Here's an update since my last post....would love some thoughts or advice from others who have been in the same situation. I had a stress test with echo, on which I apparently performed very well. Got my heart rate up to 180+ with no symptoms and no ekg or echo evidence of blockage over 70%. My doctor indicated an angiogram wasn't indicated based on that since I am asymptomatic (at least I think I am - since I got my calcium score every little thing feels like a symptom!!). I'm nervous about not getting an angiogram, though.... he put my on Lipitor 40mg, aspirin, and lifestyle modification...