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High calcium score: I'm in shock

Heart & Blood Health | Last Active: Oct 31, 2023 | Replies (161)

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@ams016741

Hi All, I found all these posts to be very informative and valuable. So thanks for all the posts. My situation ... 62 y/o very active male (hiking, cycling, high intensity interval training at least 4x per week). Feel great after each workout and am asymptomatic. Last physical LDL was 147, HDL 56, and Triglycerides 59. Since the LDL was at the same level for the last 3 years my primary recommended a statin. Asked that he do a CT calcium score first. Results came back with a total score of 1326. Breakdown as follows: LAD was 410, left circumflex was 256, and right coronary artery was 660. So I started freaking out!

Met with cardiologist and he immediately put me on 80 mg Lipitor, 81 mg aspirin, and told me to stop the high intensity training for the time being. Because I was asymptomatic he wanted to a nuclear stress test and a cardiac hw echcardiogram. If I was symptomatic he would have done a cardiac catheterization. The results of each test were perfect! The nuclear stress showed good blood flow. I thought it would show the blood flow in each artery but apparently it doesn't.

Spoke to cardiologist this morning and he said its ok to resume the high intensity interval training and to keep taking the statin and aspiring. I told him I was still freaking out and was afraid of just dropping over one day soon. He wants to do Coronary CTA scan next but apparently the results of the coronary CTA scan tend to be higher than what's actually there. So if the scan shows there is a 90% blockage it may only be a 60% blockage. Scheduling out the scan is 6 weeks out.

Asked about doing a catheterization instead but he said because I am asymptomatic that the insurance companies may not cover it. So I don't if I should tell him that I am symptomatic now.

Is there anymore that I can do or I have I been handed a death sentence?

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Replies to "Hi All, I found all these posts to be very informative and valuable. So thanks for..."

Your LDL should come down.

Did you get an advanced blood panel/Cardio IQ?

An cardio echo should indicate flow rates, and ejection fractions, etc.

The issue with CTAs is the calcium causes a form of blooming on the scan image, obscuring some/much of the ability to assess blockages.