High Coronary Calcium Score: How do others feel emotionally?

Posted by mcphee @mcphee, Dec 14, 2016

I have a calcium score of 1,950 which is extremely high which means I am at a very high risk for a cardiac event,heart attack,stroke or sudden death.

I take a statin and baby aspirin. I have never been sick, have excellent cholesterol, low blood pressure and I am not overweight. I have no other health problems and I have never been sick. But I feel like a walking time bomb which has caused me a lot of stress. I am 70 yrs old.

I wonder how others with this condition feel emotionally?

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

Doesn't anyone question WHY and HOW the calcium ended up there? And, no, it's NOT good to have calcium in your arteries. And NO it is not inevitable - I know several people in their 60s and 70s who have a O calcium artery score and do not take statins And yes, your calcium score CAN be reduced. Do you take calcium supplements? Do you think they magically go to your bones? I cannot give you medical advice but I would strongly advise you read about vitamin K2 and calcium and, if you are somewhat medically or scientifically savvy, look up the research on this in the National Library of Medicine (https://pubmed.ncbi.nlm.nih.gov/).

REPLY
@mayoconnectuser1

Ah, got it - Ramipril is an ACE inhibitor. Which BP med did you use prior to Ramipril? I am assuming you have long had high blood pressure? And, yes, weight loss will affect - way to go!

Jump to this post

Ramipril not only reduces blood pressure, But according to the Bale-Doneen method it decreases inflammation in the arteriole wall.

REPLY
@hikerguy62

Many of the articles I initially read said you could NOT lower your CAC score and that it would in face get higher because statins cause more calcification (which is actually good, as the calcified plaque is much less likely to break off and cause a clot than the "fatty plaque".

BUT, then I ran across this video from Cleveland Clinic which says if you lower your cholesterol aggressively, you can reduce the plaque (which, in theory, should lower your CAC since there's less plaque to calcify):
---


---
Below are some related links about CAC scores and plaque:
---
https://www.acc.org/latest-in-cardiology/articles/2021/11/10/19/50/the-effect-of-statin-therapy-on-the-progression-and-composition-of-coronary-atherosclerotic-plaque
---
"Statin therapy is associated with atherosclerotic plaque transformation to higher calcium density, which is associated with slower plaque progression."
---
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793667/
---
"CAC progression under statin therapy did not increase cardiovascular risk, although more supportive data are needed."
---
https://health.clevelandclinic.org/can-statins-actually-reverse-plaque-buildup/
"Q: Can statins actually reverse plaque buildup?
---
A: Yes. There have been several clinical studies — many of them done here at Cleveland Clinic — that show statins can reverse plaque buildup.

If your LDL cholesterol is lowered below 70 mg/dL, you can even see a regression in the plaque by up to 24%. So having really a low LDL cholesterol level can help stabilize any plaque buildup you have, and prevent further plaque progression."
---
https://www.health.harvard.edu/heart-health/can-we-reduce-vascular-plaque-buildup
---
"Can you unclog your arteries, or reduce plaque buildup?
---
"Making plaque disappear is not possible, but we can shrink and stabilize it," says Dr. Cannon."

Jump to this post

Reducing plaque is obviously different from reducing calcified plaque - I have read for several years and have not heard of anyone reporting they have lowered their calcium scores.

Most in our position are on some form of statin to reduce LDL (most have seen massive decreases in LDL), and I take Vascepa which lowers triglycerides massively. Other than managing weight (related), blood pressure (related), exercising, and eating a healthy diet - not sure much else can be done.

REPLY
@mayoconnectuser1

4aces,

To my knowledge there is nothing that can be done to lower calcium scores; one can only attempt to reduce the normal increases a bit by lowering LDL/triglycerides.

Jump to this post

Many of the articles I initially read said you could NOT lower your CAC score and that it would in face get higher because statins cause more calcification (which is actually good, as the calcified plaque is much less likely to break off and cause a clot than the "fatty plaque".

BUT, then I ran across this video from Cleveland Clinic which says if you lower your cholesterol aggressively, you can reduce the plaque (which, in theory, should lower your CAC since there's less plaque to calcify):
---


---
Below are some related links about CAC scores and plaque:
---
https://www.acc.org/latest-in-cardiology/articles/2021/11/10/19/50/the-effect-of-statin-therapy-on-the-progression-and-composition-of-coronary-atherosclerotic-plaque
---
"Statin therapy is associated with atherosclerotic plaque transformation to higher calcium density, which is associated with slower plaque progression."
---
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793667/
---
"CAC progression under statin therapy did not increase cardiovascular risk, although more supportive data are needed."
---
https://health.clevelandclinic.org/can-statins-actually-reverse-plaque-buildup/
"Q: Can statins actually reverse plaque buildup?
---
A: Yes. There have been several clinical studies — many of them done here at Cleveland Clinic — that show statins can reverse plaque buildup.

If your LDL cholesterol is lowered below 70 mg/dL, you can even see a regression in the plaque by up to 24%. So having really a low LDL cholesterol level can help stabilize any plaque buildup you have, and prevent further plaque progression."
---
https://www.health.harvard.edu/heart-health/can-we-reduce-vascular-plaque-buildup
---
"Can you unclog your arteries, or reduce plaque buildup?
---
"Making plaque disappear is not possible, but we can shrink and stabilize it," says Dr. Cannon."

REPLY
@mayoconnectuser1

Ah, got it - Ramipril is an ACE inhibitor. Which BP med did you use prior to Ramipril? I am assuming you have long had high blood pressure? And, yes, weight loss will affect - way to go!

Jump to this post

Ramipril was my first rodeo with circulatory issues and due to high BP readings. Largely caused by overweight, alcohol drinking, stressed executive lifestyle. Now I’m retired, 0 alcohol, losing weight and regularly exercising.

REPLY
@mayoconnectuser1

4aces,

Do you no longer have high blood pressure?

Jump to this post

Checked with Cardiologist and he said no to vitamin K. No discussion. I believe because it reduces calcium that is adhering plaque to arteries. Or interferes with the Crestor. Not sure otherwise?

REPLY

Ah, got it - Ramipril is an ACE inhibitor. Which BP med did you use prior to Ramipril? I am assuming you have long had high blood pressure? And, yes, weight loss will affect - way to go!

REPLY
@mayoconnectuser1

4aces,

Do you no longer have high blood pressure?

Jump to this post

Not with the daily Ramipril. In fact, as I’m losing weight and at gym 3 days per week it is falling. I expect to be able to discontinue the Ramipril early next year.

REPLY
@4aces4me

My Calcium Score was 2000 and if had me in mild anxiety for a few days until I called my Cardiologist and learned he had many patients in and out at 5000. He performed a Heart Cath this week and found a 40% blockage at the mouth of the D1 artery off the LAD. Said he would stint unless it got to 70%. I’m on a Heart Healthy diet. Already get good bit of exercise at the gym 3 days per week. I do need to lose 50 lbs to get to ideal weight and will do that. 81mg aspirin at night and of course on Statin - Crestor. No Beta Blocker and about to get to stop my Blood Pressure med - Ramipril. What’s the thought around supplements like Vitamin K2 - B3 taken together daily? I’m 71 years old and very active.

Jump to this post

4aces,

Do you no longer have high blood pressure?

REPLY
@4aces4me

You guys seem a step or two ahead of the rest of us. What’s the effect of Vitamins K2 and B3 regimen to reduce Calcium Scores? i.e.Mine was recently scored at 2000. Recent Heart Cath discovered one 40% blockage in mouth of D1 Branch off of LAD.

Jump to this post

4aces,

To my knowledge there is nothing that can be done to lower calcium scores; one can only attempt to reduce the normal increases a bit by lowering LDL/triglycerides.

REPLY
Please sign in or register to post a reply.