Calcium Score
I'm seventy-four years old and had a CAC Scan yesterday. My PCP called me this morning to tell me that my calcium score was 145 and that he wanted me to start on a statin, Crestor 5mg, right away, which I'd rather not do. I developed high blood pressure in my sixties for which I'm taking Losartan 50mg. I also take Effexor, which can cause high blood pressure and high cholesterol. My cholestorol was fifteen points high. My ECG was fine.
There are side effects to consider with statins, and the idea of having to be on this medication for the rest of my life is depressing. I'm not overweight, but could do more exercise and eat more more balanced meals, take vitamins, etc. Would it make sense to try a lifestyle change before starting on Crestor, or does a calcium score of 145 suggest I need to start on a statin right away? Thanks.
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Go to another Doctor for a second opinion. This is the best advice I can give. You do not want calcium deposits to block your arteries or heart so a Cardiologist with plenty of experience is the best to give you the best answer. Good luck.
I checked on calcium levels. Yes, it is high, but there are a number of reasons that can cause it. Have you checked your parathyroid levels. I read up on the Mayo Clinic about calcium level levels and that’s one thing they mentioned.
Genetics or family history plays a major part as well As well as diet
Make an appointment with your doctor and start asking questions. Research it Google scholar is a good one. I understand because I did have problems years back with my parathyroid. It’s OK now.
Wish you the best
Thanks so much for your reply. I do have family history, as you mentin, which is why I asked my doctor about a calcium score scan. I will ask him about parathyroid levels, as you suggest. I've been looking for parathyroid levels at the Mayo Clinic website, but no luck so far. Do you have a link by any chance? May I ask if even with the parathyroid problems you still needed to take a statin medication? Thanks again!
I would ask you to try reorienting yourself to the 'depressing' part of taking a medication that might prolong your life by as much as ten years. I'm guessing that you're like so many of us who are bummed about having to take a new medicine due to a new problem, and that's understandable. It doesn't help that many knowledgeable physicians and researchers are still arguing over the benefits and problems with long-term statin use. And yes, some people do develop unwelcome changes when they start using a statin, although they are in the minority. However, there is a lot of good research that shows that statins do reduce the deposition of plaque, and they help with the calcification of existing plaque...which you want. Calcification fixes the plaque and makes it less friable and less likely to flake off and travel to places none of us wants it to go to. Statins also demonstrably lower inflammation, a condition that must be pre-existing in order for the plaque to get deposited where it happens. This quality is also a salutary benefit of statins.
So yeah, who wants to learn they have a 'nuther new condition that needs drugs or surgery. But if we want to be available to young grandchildren, to our spouses and kids, and to dear friends, then there's a price to be paid when some 'bills come due'. As we age, the bills come due.
Yes, they do come due! Thanks again.
https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/statin-side-effects/art-20046013
https://my.clevelandclinic.org/health/treatments/22282-statins
https://pmc.ncbi.nlm.nih.gov/articles/PMC6047411/
https://www.webmd.com/cholesterol-management/side-effects-of-statin-drugs
https://www1.racgp.org.au/newsgp/clinical/have-the-benefits-of-statins-been-overstated
I suggest you read all the above links before making a decision , ask your doctor questions derived from the info.
My personal OPINION is stay far away from statins, try dietary changes & exercise first.