@paul63,

Welcome to the board--in theory as I am sure you have read already, anything above Zero is not optimal on the CAC. Based on the CAC score you provided you are in the higher risk category for a heart attack---like many of us here are. It sounds like you have a very healthy lifestyle and also like many of us have the genetic disposition for high cholesterol...or at least the bad stuff. Stressing over anything does not help a situation or your health---but per the medical text book you are higher risk. It is best to talk to your physician about the pro's and con's of statins. I favor them...I think in the long run they help, especially if you have known disease---which it appears your CAC score indicates....all of this is my humble opinion. My father had a heart attack when he was about 60...with triple bypass due to symptoms about 5 years later. He passed away 14 years ago in high eighties, but was never on a statin...they were only coming out on the market. My gut is...if he had a statin, it would have prevented the progression of the disease. Good luck to you.