High Coronary Calcium Score: How do others feel emotionally?

Posted by mcphee @mcphee, Dec 14, 2016

I have a calcium score of 1,950 which is extremely high which means I am at a very high risk for a cardiac event,heart attack,stroke or sudden death.

I take a statin and baby aspirin. I have never been sick, have excellent cholesterol, low blood pressure and I am not overweight. I have no other health problems and I have never been sick. But I feel like a walking time bomb which has caused me a lot of stress. I am 70 yrs old.

I wonder how others with this condition feel emotionally?

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@poppy07

My blood pressure has always been normal to low 120/70 . Height 175 cm ( 5ft 9in ) weight 84 kg(185 lb) . Stress test was normal but due to undiagnosed Graves’ disease at the time I became tired which is part of Graves . Thyroid removed now.
I’m in Australia and my bloods are total cholesterol 5.0 ref range < 5.6 mmol/L, triglycerides 0.6 ref range< 2.1mmol/L
HDL1.76>1.09
LDL3.0< 4.1mmol/L
Chol/HDL ratio 2.8 < 4,6
Non HDLC 3.24< 3.81 mmol/L
I only had calcium score done because a nurse I know said she had hers done because she was moving interstate and every female at age 55 is recommended to get it done . Then a friend of mine a year younger decided to get hers also and had a score of 255 but she is on blood pressure meds and statins forger high cholesterol control. She is Very slim and active but smokes which I don’t.
I have started to take a baby aspirin but I’m not on a statin. I Changed to vegetarian diet.

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Though I would also add my calcium score details of 122 . Results state LAD 27 plus right conary artery 94 . Add up to 121 !!
History:
Long-term medical hormone treatment.
Technique:
Non-contrast, prospective ECG-gated, single breath-hold CT at 120 kV with 3
mm reconstructions, according to Cardiac Society of Australia and New Zealand (CSANZ) guidelines.
Report:
|I Calcium I score:
| Left main artery: | 0 |
Left anterior descending artery: | 27 |
crease
| Circumflex artery: | 0 |
Right coronary artery: 94 |
| Other: | 0 |
I TOTAL: | 122 |
CONCLUSION:
1. The total coronary artery calcium score is 122, which is above the
75th centile for age.
2. The 10-year risk of major adverse cardiovascular events is moderately
high (15 - 20%).
Explanatory notes:
I CT Calcium score: | 10-year risk of major | Interpretation: | adverse cardiovascular events:
101 < 1% I Very low risk. I
1 1-100 | < 0% | Low risk. I
|101-400 | 10-20% | Moderate risk. |
[>400 | >20% | High risk. |
References:
Hamilton-Craig CR, Chow CK, Younger JF, Jelinek VM, Chan

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Stress perfusion MRI (with contrast and adenosine) – This examines the blood flow (perfusion) to the heart both at rest and under stress.
Just wondering if anyone has had this done instead of the nuclear perfusion stress test which is equivalent to the radiation of 400 chest X-rays to check for blockages. ?

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@hikerguy62

@alaskat I hope you don't need to go the route of angioplasty. While it is one of the most common procedures in the world, there are risks involved. A friend's father went in for a stent, they did something liked nicked an artery while moving the catheter through his vein and had to immediately take him to the O.R. and perform open heart surgery to fix the problem. Granted, that's probably a rare occurrence, but it can happen.

It's not just a simple matter of threading a catheter into your heart and placing the stent. There can also be complications with the stent. Plus you'll have to go on a blood thinner for at least a few months after the surgery. I'd suggest reading up on the whole process so you're prepared to ask questions if you have to go down that road. Best of luck.

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Hello, thanks for the note. I understand there are risks involved but what happened to other people happened to them at one point in time. it didn't happen to me. As I said, I understand your concern and I appreciate it. It is still a common procedure but personally I totally dislike it. New cardiologist has suggested I go the angiogram route. I am currently on blood thinners as (statin+ baby aspirin). Thanks again.

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@poppy07

My calcium score was 122 and I am a 67 yr old female. I have low to normal blood pressure and my overall cholesterol is ok LDL was borderline but I usually have a lot of good cholesterol. I have no chest pain . My GP gave me a form for a nuclear perfusion test but I’m not sure I should have a it . I have had my fat share of ct scans done as well. Had 4 over about 6 weeks when the emergency department did not realise the extreme pain I was in was a very tight pudendal nerve. I’ve had a lot of others throughout my life as well .
As I have not been referred to a cardiologist and just told I could take a baby aspirin and perhaps a statin I’m not sure if having a test which will give me a high level of radiation ( equal to 400 X-rays) is worth the other health risks at this stage.
I’m interested in your opinion . Ultimately I understand it is my decision but sounds like a score of 122 is not high and I have basically been following a vegetarian diet . I feel the anxiety after a test like that may give me more anxiety about cancer risk. I had Greaves disease for the third time in December 2021 and the cardiologist didn’t check the bloods that were ordered and sent me home after a stress test on a treadmill with ultrasound saying I’m just unfit and should make an appointment with a psychiatrist for anxiety other than that my heart was pumping fine. My heart rate was reaching 154 beats a minute and I was so sick over the next 2 weeks I asked my son to take be to the emergency department on Christmas Day as I could barely walk . The doctor in emergency got the blood tests from the other hospital and the heart specialist had never looked at them and never ever owned up to it or advised my Gp of the results . The emergency department could not believe it as I had Greaves . I was put on thyroid medication immediately along with a beta blocker . Unfortunately due to reaction to medication I ended up having my thyroid removed.
My parathyroid went into shock and stopped working so I was kept in intensive care for 4 days and given intravenous calcium and calcitrol and then needed calcium tablets and calcitrol for about 3-4 months after. Not sure if this could have affected any calcification that is now in my heart.
Eating well and walking more now to increase fitness. I feel it’s easy to just ask for all these tests and nothing was said to me about the amount of radiation . Does everyone with a calcium score automatically need a nuclear perfusion test.

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I hope you are well. I am not an expert but a newbie in this matter of the heart. i do know that your calcium score is low and treatable. You don't want it to go to 200 so healthy diet, exercise more and relax. It wouldn't hurt to see a cardiologist just so you hear a professional opinion. My PCP is the one that prescribed the statin (10mg per day) and baby aspirin. The 2nd Cardiologist up my statin to 20mg. p/day. There are some issues on your story that I have absolutely no clue. Seek a professional opinion.

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Can someone tell me what I might expect the next step to be after a CT Calcium score of 1,500? My appointment with cardiology is 7/20. They mentioned only the LAD? So no other arterial blockage?

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@bigbern

Hi Seaera and jimk849. So I had a cac score of 693 last year no symptoms I’m 60 great , well good shape, cardiologist put me on 80 mg statins and baby aspirin. Everything I read that’s not great so this year I decide to get another cac scan to see if statins work amd it was 1139. What? Freaked out went to another cardiologists at well known hosp he told me won’t do a catch says too risky and that the therapy I’m on is what I should trust. Unless I go on a run , usually run 3 every other day, and feel different than I’ve ever felt then come in to hosp. My question to him was isn’t it odd that my cac went up over 60% in a year while in stats maxed out ? I’m uneasy wondering if something else makes calcium so high . Also my thyroid is fine cholesterol is 70/41. Good luck to all I mean it! Best, B.

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My understanding is that your calcium score will go up, probably after statins.
Statin therapy modestly accelerates calcification of plaques leading to more stable, lower-risk compositions and sometimes an acceleration of Agatston CAC score progression.

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@mayoconnectuser1

alaskat,

I may be mixing threads ... did you get a Duke Score or a METS number from your stress test?

Was this a "stress test with echo?"

I may be confused, but you note the cardiologist wants you to be catheterized? Normally this occurs only with other symptoms noted - like chest tightness, breathing issues, etc.

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Hi, correct. Cardiologist suggests that to find out with 100% assurance what amount of blockage I have is best to go for an angiogram. He has seen on the images a dark spot (blockage). If angiogram does not reveal blockage over 70% then I go home. Hoping for that.

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@alaskat

Hi, correct. Cardiologist suggests that to find out with 100% assurance what amount of blockage I have is best to go for an angiogram. He has seen on the images a dark spot (blockage). If angiogram does not reveal blockage over 70% then I go home. Hoping for that.

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May have missed it again - was there a Duke or METS from the stress test?

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@mayoconnectuser1

May have missed it again - was there a Duke or METS from the stress test?

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No, you didn't miss it. I don't have those numbers for you but the conclusion is: 1)Evidence of mild stress-induced ischemia along the distal left anterior descending and right coronary artery territory. 2)No evidence of infarction (obstruction of blood to organ) 3)Normal left ventricular function and regional wall motion.
It is the imaging that demonstrates blockage. Is like having a nice car but if you don't look under the hood you will never know. These tests are not 100% accurate. My CAC is high. My father had bypass surgery at the age of 58. What is genetics for one it is not for others.

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I am in a similar situation, 60 yr. old female who recently quit smoking. I have always been very active, eat healthy but received a CAC score of 535, highest portion of that is the LAD. I suffer from anxiety and have for years, I was totally shocked by this score as it does not appear we have a family history of CAD by many do have high cholesterol. I am deciding on going the Statin route or the fairly new Nexlatol route. Does anyone have experience with the Nexlatol? I am using every coping mechanism in my arsenal but the slightest heart blip or weird pain throws me into a panic attack. I would love to know the % of people with CAD that have never had a cardiac event and by age group. I am looking for information to help alleviate the “time bomb” feeling. Please share any info that you have. Let’s beat the stress of having CAD!

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