So Jasper basically answered the question you asked me earlier today. My score was 642 which I thought was terrible at the time although now I understand that some have much higher scores. Yes, I had a sonogram of my heart and a nuclear stress test and probably something else and my cardiologist (who operates on Manhattan's upper east side and is well regarded) said my blood flow was good and not to worry. He did put me on Praluent, an injectable anti-cholesterol drug that lowered my LDL from 78 to 22. Then he cut back on my statins to 10 mg. I have had no side effects from Praluent although if you read the literature, you might get scared off. All I can say is that I don't notice I'm taking it at all. I stopped eating meat and I'm still trying to lose weight although I'm only about ten pounds overweight. I also started swimming 3x a week which is helpful for cardio health. I would rather exercise my head off and eat no meat at all rather than get a stent. if you need it so be it but have these other tests and make damn sure you do. you've got to take control of your own health destiny and not leave it solely up to doctors. Good luck.