Hi steveny,

So, my story is that I did a CAC test when I was 65 (68 now) just because they were inexpensive - no other reason. Since I have had moderately high blood pressure (completely controlled with irbesartan) for years, I had just started on atorvastatin. I have always - always - been higher than normal for glucose/A1C tests, but only a few pounds overweight - even during my 20 years as a Navy pilot. Total cholesterol always normal, but LDL towards higher range.

My score was 1352! So, in theory it was high when I was your age) - some folks note 10-15% per year increase as common. I was on vacation in Europe so didn't get the letter until I returned - about a month later.

In to see a cardiologist - had never seen one. He said, "you don't present as a heart patient" ... then stress test within a couple of days. METS 10.3 and 9 on the Duke rating with no ischemia. BTW, both my hips were replaced over the last 20 years - but no one can tell by the way I walk - just returned from another trip to Portugal where my wife and I carried backpacks and suitcases on public transportation, and logged 8-12 miles a day walking.

Also got updated blood work, and the statins were doing their thing - LDL and triglycerides dropped by half - both to around 50 and have remained in the 40-50 range since then. Total cholesterol 110-115.

Added vascepa to hopefully stabilize the plaque - no side effects from either vascepa or the statin.

My cardiologist was, as yours, rather matter of fact - following the first stress test, and confirming a few weeks ago - "We'll get another stress test in 2023."

Now, my negative sense is that the medical establishment really know their statistics and "standards of care" - and, given my complete lack of symptoms, and a very good stress test, they are on the fence about doing anything. Nonetheless, I am starting the push through my PCP to get some additional testing - this is usually a CT Angiogram (CTA).

Net - many folks probably have high CAC scores, and it is certainly agreed this is a marker, it may not indicate immediate danger ... unless one has additional medical factors.

You should, based on everything I've read, get a stress test. There should be metrics and an assessment from that to consider.