Thanks for responding. I believe at the end of day truth is my calcium score is at 1500 and there is definitely blockage. We all know a 400 score is maxed out but still manageable if you take statins, eat healthy and exercise. I would only approve catherization if the angiogram procedure shows arteries that need stents (angioplasty). I am not in a rush and will look for a second opinion. I somewhat dislike the lack of candor from my -young- cardio doctor who was vey eager to "move forward" with procedures. My PCP suggested the same and that I should not just leave it to the Gods to decide. Second opinion is a must for me and maybe an older cardiologist who can I actually have a short conversation about it. I might end up doing the angiogram but 1st things 1st: stress, nuc, and echo tests. Be well.