High Coronary Calcium Score: How do others feel emotionally?
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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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
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. ?
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.
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.
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?
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.
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.
May have missed it again - was there a Duke or METS from the stress test?
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.
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!