I too was shocked by my score ( 295) at 50 years of age. Statin & baby aspirin seem to be standard treatment . If you retest after being on a statin for a while expect to see a higher score as soft plaque stabilizes. The same goes for weight loss. Check out Dr. Ford Brewer online he has some information I found useful and helped settle me down. Use your score as motivation to live healthy and try not to stress . I know that it is easier said than done but the body is greatly harmed from stress. I take 5g rosuvastatin 3 times a week plus a baby aspirin daily. I am adding ezetimibe based on my cardiologists recommendation as my ldl has not reached his goal. However I believe that it also has a lot to due with inflammation not just ldl. ( I am not a doctor) That's why I chose rosuvastatin as my statin at such a low dose.