High calcium score: I'm in shock

Posted by sjy70 @sjy70, Jun 14, 2021

Hi everyone... just wanted to share my last few days - I'm scared and lost and was just hoping to hear from some people who have been in my place. Long story short - I went in for a "routine" checkup at age 50 to make sure my heart was okay. I had a stress test two years ago that was fine. But I do have a family history, and somewhat high LDL and blood pressure so the doctor sent me for a cardiac calcium score. It came back at 407 at age 50!!! That's like the 98th percentile for my age, which is shocking. I do Crossfit and have done half marathons so it was totally unexpected. Now I'm going for another stress test in two weeks to make sure no blockages are over 70%, and I'm not sure of the steps after that.... I'm terrified of needing open heart surgery - I've gotten myself into a place of being okay with a stent if needed. I know it's better to know than not know, but I just feel like my life was suddenly ripped out from under me and to be honest I'm spinning right now... every waking second I feel like I'm going to drop over..

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@hikerguy62

Wow! I'd ditch that cardiologist. Shocking he'd say that.

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We have kind of a shortage of cardiologists around here (other specialists too) and I'll bet others would tell me the same thing.

I'm 77 and in the words of one cardiologist, at your age, of COURSE you'd (and anyone) would have elevated calcium! The rationale in medicine (especially per insurance coverage) is don't test anything you can't do anything about*. For example C+reactive protein (another cardiac marker). The thing is, there's no remedy for it so insurance won't cover it. (I said I'd out out of pocket but he still refused.)

I see reading here there are astronomical differences between calcium scores, though and I'd very much like to know what end of the range I fall in!!

Makes me mad.

* Another reasons doctors often refuse tests is if they carry any intrinsic harm. In this case the calcium test does zap you with a lot of radiation.

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@hikerguy62

Wow! I'd ditch that cardiologist. Shocking he'd say that.

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I commented elsewhere the factor of age in calcium testing (and some cardiologists POV).

I WOULD like to know the age of those posting their calcium scores. Evidently is does have a major effect.

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@realitytest

This probably doesn't apply to you (owing to age or other) but this is as good a time as any to remind anyone taking blood thinners that Vitamin is pretty much poison for such.

That would apply to people with AFIB for which they'd be taking an anti-coagulant.

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I don;t understand your comment. What does: Vitamin is pretty much poison for such. Mean>?

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@steveny9

I don;t understand your comment. What does: Vitamin is pretty much poison for such. Mean>?

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I overstated my point, because in fact, vitamin K levels need to be carefully monitored and followed by physicians for those who take blood thinners (usually for Atrial fibrillation).

Vitamin K in an improper dose (and it has to be regularly checked by specialists) can have the opposite effect of blood thinners - that is, Vitamin K can cause clotting (and in turn strokes and heart attacks).

It's to avoid that, that patients at special risk for that, take blood thinners. They need to be carefully balanced. In that sense Vitamin K can act as a poison for patients who need anticoagulants.

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@realitytest

This probably doesn't apply to you (owing to age or other) but this is as good a time as any to remind anyone taking blood thinners that Vitamin is pretty much poison for such.

That would apply to people with AFIB for which they'd be taking an anti-coagulant.

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Very good point. For example, vitamin K is known to counteract what Wafarin does, so you don't want to be taking vitamin K if you're taking Wafarin. Always best to check with your doc about drug or vitamin interactions.

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I am 63 yrs. old and have never visited a doctor or had a PCP for about 30-40 yrs. I decided to start a medical record bc I don’t know where I am at in regards of my health. I found out my LDL is high so I went to a Calcium score test and hit a record 1,536 !!! My PCP send me a statin prescription and a Cardio appt. Cardio doc gave me 2 options: a) stress test who he says is 80% accurate and b) an angioplasty procedure. Like some I am in shock. I play tennis 3/4 times a week, swim, etc… and was not ready to even imagine I would be laying in a hospital bed for this monster procedure. I googled if I could reverse my calcium score and I understand this it not possible which makes me shocked again. Right this second I have a very weird type of anxiety…. The kind that won’t go away, like having an empty box that needs to be filled with something and I won’t know what to fill it with…is like an undetermined situation that needs to be addressed. My buddy at 58 collapsed 3 months ago and ended up in a hospital with 3 bypass surgery. Tomorrow I’ll go play tennis…. Until I can’t.

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Tomorrow you might consider developing a relationship with a PCP and a cardiologist ... getting a full set of tests to allow professionals to assess your health.

I'm thinking something like:
- CardioIQ advanced lipids panel
- start statins (and expect your CAC to increase because statins increase calcification, but might save your life because they do)
- stress test with echo
- peripheral ultrasound
- CT Angiography (CTA)

Perhaps a comprehensive approach?

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@mayoconnectuser1

Tomorrow you might consider developing a relationship with a PCP and a cardiologist ... getting a full set of tests to allow professionals to assess your health.

I'm thinking something like:
- CardioIQ advanced lipids panel
- start statins (and expect your CAC to increase because statins increase calcification, but might save your life because they do)
- stress test with echo
- peripheral ultrasound
- CT Angiography (CTA)

Perhaps a comprehensive approach?

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How do statins save your life when they increase calcification?

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@steveny9

How do statins save your life when they increase calcification?

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If you have calcified plaque that means you have soft plaque also. The soft plaque is what causes strokes and heart attacks. Statins will calcify the soft plaque making it less likely to rupture. A great book is “beat the heart attack gene” by Bradley Bale and Amy Doneen. ( Bale-Doneen method). I had a 2267 score 3 years ago and follow their advice and see a Bale-Doneen doctor. Best of luck to you.

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@wisconsin2267

If you have calcified plaque that means you have soft plaque also. The soft plaque is what causes strokes and heart attacks. Statins will calcify the soft plaque making it less likely to rupture. A great book is “beat the heart attack gene” by Bradley Bale and Amy Doneen. ( Bale-Doneen method). I had a 2267 score 3 years ago and follow their advice and see a Bale-Doneen doctor. Best of luck to you.

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Thank you. Best of luck. I just ordered the book on Amazon.

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