OK. . the positive is you know what you're dealing with (top of class for production of plaque -lousy genetics primarily) and how to move forward. I had the exact same experience in my mid-40s, although I was obese. Doctor said if I didn't completely change my life, I would never see 60. So, I lost 120 pounds and started exercising five days a week. I'm now 74 and had my first heart attack three weeks ago -- completely occluded right artery. Two stents later, I'm exercising again and looking forward to a pretty bright future. Dr. said if I had not completely changed my eating habits and started exercising five days a week in my 40s, I would have had this attack ten years ago and it would have likely killed me. You have your whole wonderful life in front of you . . scrap the pizza, learn to love your Lipitor, scarf down those baby Aspirin, run, walk or dance the tango . . You've got this. My calcium score initially was 200 higher than yours . and some folks have scores in the thousands. You've been given the "key" as to how to tackle our future .. . you can do t his! All best. Equinelady (and yes, I'm still riding horses.)