The test detects calcium in your coronary arteries. 500 is a high number but there are many people with that number or much higher that don’t have problems. The score by itself only indicates there is calcium in your arteries. It doesn’t detect whether there is a blockage, which is the primary concern. I had a score well over 500 but have no immediately concerning blockages. The blockages were measured by a CT coronary angiogram.

The 500 score is high enough that some additional testing should be done. Is your PCP not in contact with you about it? After my diagnosis, the next step was a nuclear stress test. My PCP did not refer me to a cardiologist, but I found one on my own that gave me the CT angiogram. It was real peace of mind to have that CT angiogram.

The score is not a reason to panic, though I know it’s scary. I’d guess your PCP will contact you and direct you toward the next steps. If s/he doesn’t, you should find a cardiologist or someone to help you on your own. If you are proactive about your atherosclerosis, you can live a long healthy life (or at least that is what I have been told and what I am banking on)!