High Coronary Calcium Score: How do others feel emotionally?
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?
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May have missed it again - was there a Duke or METS from the stress test?
Hi, correct. Cardiologist suggests that to find out with 100% assurance what amount of blockage I have is best to go for an angiogram. He has seen on the images a dark spot (blockage). If angiogram does not reveal blockage over 70% then I go home. Hoping for that.
My understanding is that your calcium score will go up, probably after statins.
Statin therapy modestly accelerates calcification of plaques leading to more stable, lower-risk compositions and sometimes an acceleration of Agatston CAC score progression.
Can someone tell me what I might expect the next step to be after a CT Calcium score of 1,500? My appointment with cardiology is 7/20. They mentioned only the LAD? So no other arterial blockage?
I hope you are well. I am not an expert but a newbie in this matter of the heart. i do know that your calcium score is low and treatable. You don't want it to go to 200 so healthy diet, exercise more and relax. It wouldn't hurt to see a cardiologist just so you hear a professional opinion. My PCP is the one that prescribed the statin (10mg per day) and baby aspirin. The 2nd Cardiologist up my statin to 20mg. p/day. There are some issues on your story that I have absolutely no clue. Seek a professional opinion.
Hello, thanks for the note. I understand there are risks involved but what happened to other people happened to them at one point in time. it didn't happen to me. As I said, I understand your concern and I appreciate it. It is still a common procedure but personally I totally dislike it. New cardiologist has suggested I go the angiogram route. I am currently on blood thinners as (statin+ baby aspirin). Thanks again.
Stress perfusion MRI (with contrast and adenosine) – This examines the blood flow (perfusion) to the heart both at rest and under stress.
Just wondering if anyone has had this done instead of the nuclear perfusion stress test which is equivalent to the radiation of 400 chest X-rays to check for blockages. ?
Though I would also add my calcium score details of 122 . Results state LAD 27 plus right conary artery 94 . Add up to 121 !!
History:
Long-term medical hormone treatment.
Technique:
Non-contrast, prospective ECG-gated, single breath-hold CT at 120 kV with 3
mm reconstructions, according to Cardiac Society of Australia and New Zealand (CSANZ) guidelines.
Report:
|I Calcium I score:
| Left main artery: | 0 |
Left anterior descending artery: | 27 |
crease
| Circumflex artery: | 0 |
Right coronary artery: 94 |
| Other: | 0 |
I TOTAL: | 122 |
CONCLUSION:
1. The total coronary artery calcium score is 122, which is above the
75th centile for age.
2. The 10-year risk of major adverse cardiovascular events is moderately
high (15 - 20%).
Explanatory notes:
I CT Calcium score: | 10-year risk of major | Interpretation: | adverse cardiovascular events:
101 < 1% I Very low risk. I
1 1-100 | < 0% | Low risk. I
|101-400 | 10-20% | Moderate risk. |
[>400 | >20% | High risk. |
References:
Hamilton-Craig CR, Chow CK, Younger JF, Jelinek VM, Chan
My GP never advised me that a nuclear perfusion stress test was an ionising test equal to 400 chest X-rays. With a score of 122 , blood pressure of 120/70 , don’t smoke , normal ultrasound stress test in December 2021 and height 5 ft 9 in and weight 185 lb . Changed to vegetarian diet to slim down and more exercise. Total cholesterol 5.0 mmol/L
. Triglycerides 0.6 LDL 3.0 mmol /L Just not sure if this high radiation test is warranted at this time with no other symptoms such as pain .
What is the criteria that a General practitioner should follow to warrant this test or is it suppose to be for everyone with any calcium score ?
My blood pressure has always been normal to low 120/70 . Height 175 cm ( 5ft 9in ) weight 84 kg(185 lb) . Stress test was normal but due to undiagnosed Graves’ disease at the time I became tired which is part of Graves . Thyroid removed now.
I’m in Australia and my bloods are total cholesterol 5.0 ref range < 5.6 mmol/L, triglycerides 0.6 ref range< 2.1mmol/L
HDL1.76>1.09
LDL3.0< 4.1mmol/L
Chol/HDL ratio 2.8 < 4,6
Non HDLC 3.24< 3.81 mmol/L
I only had calcium score done because a nurse I know said she had hers done because she was moving interstate and every female at age 55 is recommended to get it done . Then a friend of mine a year younger decided to get hers also and had a score of 255 but she is on blood pressure meds and statins forger high cholesterol control. She is Very slim and active but smokes which I don’t.
I have started to take a baby aspirin but I’m not on a statin. I Changed to vegetarian diet.