floppingsets,

Here's what I did - without symptoms (this is key - if you have ANY symptoms they will likely want to take a look and perhaps stent), cardiologist was uninterested in any of these except a stress test, so I worked through my PCP. I've had hypertension and been on BP meds (telemisartan) for 15 years.

1 Advanced lipids testing - one large lab calls it CardioIQ
2 Statin
3 Icosapent ethyl (Vascepa)
4 81 mg coated aspirin (might help and normally doesn't hurt)
5 stress test with full echocardiography
6 CT Angiogram (CTA)
7 Peripheral Artery Disease testing