I have total anxiety after receiving my CAC score of 585 ( 429 in my LAD, almost 2 years ago), all of my heart testing says I have the heart of a 40 year old (I am 60) but this CAC score indicates my arteries are not good which obviously worries me. I am very active and try very hard to stay on a plant based diet. Anxiety mimics heart attack (type) symptoms and happens almost daily, which exasperates the anxiety. It feels like a vicious cycle and it is a daily battle to talk myself of the ledge each time it happens. There has got to be a better way to bridge this gap between the known and unknown that causes us so much fear. I take Red Yeast Rice instead of a statin and it has lowered all my numbers (still working on my LDL of 120). Interesting side note for those that think statins are the answer: I have a friend (55 year old) took Crestor for 10 years, his cholesterol numbers were great, his wife urged him to get a CAC score (he thought it was a waste of time), came back at 2750, Cath lab the next day, 86 % blockage in his LAD, had stent done, great outcome! Moral to the story is cholesterol numbers are not the "tell all" and statins give a false sense of security. His doctors did not request he get a CAC score, I am sure because his numbers looked good. and he had no symptoms other than being tired. Thank God his wife insisted and probably saved his life. I just think there are missing links and conclusive testing that can be developed or implemented to help those of us in this "wait and watch" phase after receiving a high CAC score.