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I have a very high calcium score. What next?

Heart & Blood Health | Last Active: 1 day ago | Replies (367)

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@fedoramenorah

In 2008 my 58 year old husband had a coronary CT scan. Results were: Volume130- LMA 9, LAD 458, LCX 161, RCA 577 PDA 0 (Total 1205). AJ-130- LMA 12,LAD 601, LCX 185, RCA 630 PDA 0 (Total 1428). Another scan performed this November 2018 and total result was 4410. We don't yet have detailed results for LMA, LAD, etc. For the past 2 years he has been exercising daily 1 hr on elliptical, eating low carb high protein diet, drinks 1+ oz. alcohol daily. 6'2", 195 lbs. Has been on statins for 20+ years. His father died of heart attack at age 56 and grandfather likely died of same at age 38. He will likely be referred to a cardiologist soon. What are the options for treatment, if any, going forth?

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Replies to "In 2008 my 58 year old husband had a coronary CT scan. Results were: Volume130- LMA..."

Are there any arterial blockages? What is the statin dose? Is blood pressure high? How much protein per day?

Taking low dose of BP med. 40 mg statin . I had to have an angiogram- no stents needed. Calcium was in the walls of the arteries - like my md suspected. From a previous event - no heart stack but I did abuse amphetamine was I was younger.

Seeing a cardiologist is a good idea. Unstable plaques seem to be the biggest danger for heart attacks. The calcium is stabilizing factor in plaque. Low carb high protein can cause problems for some people. There is still a huge online debate about 'fat' and heart disease. You are invited to join The High CAC Club facebook.com/groups/ 2390693934337849/ A place to discuss and share knowledge.
Accumulating evidence pose new horizons for the study, understanding and treatment of atherosclerotic lesions.

Next step will probably be a stress test, and if that indicates any blockages a cath may be done and further procedures like stents or bypass may be indicated. I do know someone who had a score of 1100 and was apparently healthy and asymptomatic and his cardiologist went straight to a cath which led to an immediate double bypass. A lot depends not only on your husband's actual condition but on how aggressive the cardiologist is in his treatment approach. The anxiety and stress in this situation can be hard on the patient and on the spouse so make sure that you are aware of the mental affect and take care of yourselves. The important thing is that this was caught before he had any major event so that it can be fixed, Best of luck.