High CAC Follow-up

Posted by bitsygirl @bitsygirl, Jan 20 4:18pm

I have high CAC. It is around 600. It was found almost three years ago now. My cardiologist's follow-up protocol has been to meet with me once a year, listen to my heart, and ask me how it's going.

I am wondering what other people with high CAC for several years or more have experienced wrt cardiologist follow-up.

Thanks in advance!

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njx58 | @njx58 | Jan 20 4:25pm

My CAC was lower than yours. I had an angiogram, followed by the doctor putting me on statins, and doing blood tests every six months. I also had an echo. He would have done a stress test as well, but I'm a runner so he said I was doing my own stress test.

Two visits a year plus blood tests is my doctor's protocol.

gloaming | @gloaming | Jan 20 5:04pm

Your experience looks to me to be normal for the heavy majority of patients, bitsygirl. The CAC score is telling, but only insofar as what is extant in the way of calcified plaque where it was discovered. If it presents less stenosis than 70%, but especially if you are feeling well, then it just bears watching, perhaps with a prescription of a statin, possibly diet change, more exercise, or even a raising of the dosage of a statin....if the physician thinks it will stave off continued deposition.

IOW, steady as she goes.

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