High CAC Score and Current Status

Posted by mayoconnectuser1 @mayoconnectuser1, May 21, 2022

Hi All,

I am now 68, have slightly elevated BP that has been controlled with Telemisartan/irbesartan (20mg/d) for 20+ years. I am 10-15 pounds overweight and am very active, but do not “work out” - lots of walking and maintenance on rental houses. I have had both hips replaced. Father died from lung cancer at 50 yo (3 pack a day and risky work - boat paint, propellor grinding), mother died from infection at 87 yo. Sibling early diagnosis of pancreatic cancer at 64 yo - good chance of long life due to early diagnosis and quick action.

In Sep 2019, given the low cost (no health related reason), I had a CAC (coronary calcium) test - a few days later I left on a two week vacation to Europe. Got back home to find a letter from my doctor, indicating the CAC test was “abnormal” - like 1340! At this time: Triglycerides 120-140, total Cholesterol 120-150, HDL 40-46, LDL 60-110. Never any medical issues other than hips and somewhat elevated BP.

I immediately reviewed options, met with cardiologist and started atorvastatin and Vascepa (have also taken 81 mg aspirin for the last 20 years). Did walking treadmill stress test within a couple of weeks. "Bruce protocol, normal sinus rhythm at rest, 9 minutes, no shortness of breath (legs got tired on the elevated portion), METS 10.3, peak heart rate 159, peak blood pressure 195/90, no ST-not T changes diagnostic for ischemia, occasional PVC. Conclusions: 1. Negative treadmill stress for inducible ischemia to achieve workload, 2. Achieved 10.3 METS. Placing patient good for functional capacity for age, 3. Duke treadmill score of 9. Placing patient at a low 5-year cardiovascular mortality risk."

No one recommended a re-test for CAC. Cardiologist indicated they are rarely inaccurate.

Next series of blood work - note massive decrease in triglycerides
Jun 2020 - Triglycerides 56, total Cholesterol 115, HDL 48, LDL 47
Feb 2021 - Triglycerides 60, total Cholesterol 121, HDL 46, LDL 53
Aug 2021 - Triglycerides 27, total Cholesterol 99, HDL 46, LDL 39
Mar 2022 - Triglycerides 49, total Cholesterol 106, HDL 46, LDL 47

Fast forward to today - very active, just returned from a month long tour of Portugal and Germany where we averaged 8-10 miles a day walking, rolling luggage in and out of airports, trains, and cars. Walk and work on something daily - do not watch sports - ie not a couch potato. I still feel great - and have felt great for decades.

Thoughts? Another CAC test? Another stress test?

Thanks to All!

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@whineboy

Since the moderators haven’t objected, I think her views should be heard.
You may not agree with them, but others here might.
It’s everyone’s forum, not just yours.

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You are free to present your opinions but not your own "facts".

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@keithl56

You are free to present your opinions but not your own "facts".

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So you have determined that what rochelle369 said is opinion, not fact? But what mayoconnectuser1 said is fact, not opinion?

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whineboy,

This is not a facebook page - heresay and marketing are not appropriate.

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Dr. Dean Ornish is one of the few physicians who did his homework with respect to Heart Disease and diet/lifestyle. His sample size while small was nevertheless well studied and very meaningful. Medicare rarely accepts the results of popular or celebrity people. If you review his program, you will see how holistic and in-depth it is.

The problem in our society is that scientists generally follow the money. So if a new technique in heart surgery is proposed then there is a high level of interest. If you are addressing root cause that will result in fewer surgeries as well as hospital stays, then you are putting people out of work.

The problem with Dr. Dean Ornish’s program is the difficulty that most patients have with major life style changes. Our Western society values and supports unhealthy eating and living.

So back to my question about Calcium in one’s arteries. If in fact K2 does not facilitate the reduction of calcium from plaque, is there a benefit as to bone density? Or is this another example of unproven solutions?

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@drmanny3

Dr. Dean Ornish is one of the few physicians who did his homework with respect to Heart Disease and diet/lifestyle. His sample size while small was nevertheless well studied and very meaningful. Medicare rarely accepts the results of popular or celebrity people. If you review his program, you will see how holistic and in-depth it is.

The problem in our society is that scientists generally follow the money. So if a new technique in heart surgery is proposed then there is a high level of interest. If you are addressing root cause that will result in fewer surgeries as well as hospital stays, then you are putting people out of work.

The problem with Dr. Dean Ornish’s program is the difficulty that most patients have with major life style changes. Our Western society values and supports unhealthy eating and living.

So back to my question about Calcium in one’s arteries. If in fact K2 does not facilitate the reduction of calcium from plaque, is there a benefit as to bone density? Or is this another example of unproven solutions?

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You are a good example of a good approach to your heart disease. Ornish is not unique in his approach - we can all agree that healthier lifestyles are beneficial. However, he cannot demonstrate any reversal of heart disease, and it is impossible to differentiate between cause and effect since there are so many variables and a lack of studies based on his program. The problem is when people believe that his solutions alone can provide some magic bullet. You are wise in that you incorporate the 80 mg of rosuvastatin in addition to the healthy lifestyle. This has been demonstrated in numerous independent double-blind peer reviewed studies to have a tangible benefit. Others can "whine" about comparisons to unproven theories, but you will most likely enjoy a longer healthier life.

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My Cardiologists suggested that the increase in statin may also have increased the density of calcium in my arteries, but not necessarily resulting in reducing blood flow. As most would agree, it is not the stable plaque erupting that results in a thrombosis, but rather new unstable plaque that breaks off and ends up as a precursor to an occluded artery.
I might mention that in the study that Dr. Dean Ornish followed for I believe five years did demonstrate increased blood flow resulting from decreased overall blockage (shown by Cardiac PET Scan) for some of the participants as well as stability for the others. Keep in mind that Atherosclerosis is considered a progressive disease. Therefore if you are able to stop the progression, I would consider that a win, let alone regress the disease. But, what you say is also important. There are really no magic bullets. Our life spans require that we study changes to physiology over years if not lifetimes.

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@mayoconnectuser1

whineboy,

This is not a facebook page - heresay and marketing are not appropriate.

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“Hearsay” is a legal term that doesn’t mean what you think. Or were you intending “heresy “?
And it is awfully presumptuous of you to appoint yourself the arbiter of what people can say here.

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@whineboy

“Hearsay” is a legal term that doesn’t mean what you think. Or were you intending “heresy “?
And it is awfully presumptuous of you to appoint yourself the arbiter of what people can say here.

Jump to this post

Again, this is not a Facebook page where opinions count for much.

If you have an issue with my comments please take it up with the site administrator.

This is serious medical stuff - not a place to advertise unproven diet solutions or un-confirmed cures.

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Supports what my Cardiologist discussed with me. I went from 40 mg to 80 mg of Statin and saw an increase in my Calcium score.

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