Living with high calcium score

@doddr
What supplements do you take? I was taking 500mg Ca and 2000IU D3 and was surprised to have a Calcium score of 137. 10 years ago it was 0. I requested the test because my LDL was trending higher - 149 but my Ratios were always good. My thinking is the Calcium supplement without also taking Mg might be the culprit. After some reading, I bought some K2 and Mg and am trying to get my Ca from my diet. I have an appt with a Cardio next week. Thanks for your thoughts .

I was diagnosed at 63 with coronary heart disease back on 2021 got a CT scan my score was 595, I got all carried away bc is in my genes my dad had a hemiplegia at 53 died exactly at 63 my brother died from same, my nephew only 49 died autopsy undiagnosed atherisclorosis.
I started eating clean but statin was since 2010 and fenofibrate 145 for triglicerides of 850 . I am 5.7 140 pounds
On 2023 I got another scan score 666.
I really began to take it religiously working out, clean food , no salt, no sugar, I worked out so hard my arms got ruined I had to have shoulder surgery
Since im on top of this Now 2026 I just got another score 899 and have been on statin 80 mg aspirin, losartan. Ezetimibe. Eating extremely clean so clean my stomach won't take anything with weird additives and bad fats. My blood work has been great for years good hdl, ldl, Triglicerides, no diabetes 5.2 is my ac1 . But bc I had dizzy spells and some rapid heart beat once in a while I ssked the cardiologist I wanted the cta heart scan 3d. Now I just found out that ct scan does NOT see how clogged the arteries are until they do a FFR.CT.
I just wanted to share my experience and reply . I just found out this new scan and also I just enrolled here on this site.
I'm 67 now going on 68.
I was told this is a systemic progressive chronic disease .
The trick is to stabilize the plaque, make it hard and not soft, bc soft can rupture and travel. The way for this is Atorvastatin, this is my experience
I checked my.legs it has stenosis on left I checked my carotids the right one has mild stenosis, I don't have abdominal plaque

@ladijoka I just ran across your post. I suspect you may have already discussed this with your cardiologist. On the chance that you haven't, my read is that none of your arteries have more than a 25% blockage. Patent means essentially clear I think. Atherosclerosis blocks the arteries. It grows over time and eventually some of the blockage will calcify. Rust/debris in a pipe is an analogy that is often used. For perspective on your blockages, I don't think an intervention happens until an artery is more than 70% blocked. So it seems to this non-medical person that you are in good shape. The 97 percentile is concerning. I believe this means that your score is higher than 97% of people your age and gender. Given the relatively low absolute score, I'd guess you are young? So my take is no real problems yet, but a red flag to start making the lifestyle and other changes that will halt the progression. But as I said, I'm no doctor. I have a 98% score but the absolute value is much higher than yours - I'd guess because of age/gender. Good luck!

@njx58
LDL 76. Been on Rosuvastatin 20mg for 18 months. Maybe my shift to a Mediterranean diet and no red meat will help.

So many highly intelligent people who are motivated on this chat page. The reality is that the unknown stress appears to be non- producible. I went to Utube to get information and since July when my Cardiologist scared the H#ell out of me with my calcium score. Try Dr. Jamnadas on utube. He explains everything so well. I am a retired Optometrist (35 Years) and he is an excellent teacher. I started with my gut and then worked up to my fatty liver. I currently eat one meal a day and will turn 70 next week. Check out Dr. J and let me know what you think. Bri

@rcem You're doing what you can. Exercise is good. What is your LDL? You want it under 70 at the very least, and ideally lower than that.

@rcem my husbands is 5185 no symptoms. Discovered checking his lungs. Seems like that’s all we can do. My husband’s atorvastatin was increased from 10mg to 80mg and added a Baby Aspirin 81mg daily. He is 67 so depending on age and risk factors, aspirin is not always recommended. He also exercises and changed diet ( he loves red meat, desserts etc). Eating and eating out is not much fun anymore.

I'm 73 and have a high coronary calcium score; 805. Left Main 249, LAD 539, LCX 1, RCA 16, & PDA 0. I have been an avid runner for 50 years, exercise regularly, Resting pulse 38-40, Strong ability to exercise. Enlarged left Aorta (4.1). Angiogram shows 30% blockage in one area otherwise zero. Very health asymptomatic. On statin, shifted to a Mediterranean diet and reducing fat intake. Cardiologist has not expressed excessive concern other than diet, exercise and statin. Is there anything else I should be doing? Should I consider a more aggressive treatment and if so what?

Sorry here is the rest of my results and advice would be great. I'm a bit confused. I have an appointment with the cardiologist of a couple of weeks. I really don't want to go on a state . I've reduce
Y high sugar and trans fat, fat period. I drink nothing but water with neon juice and cumbers now.

FINDINGS:

Coronary anatomy: There is no evidence for anomalous coronary
arteries.

Dominance: Right

Left main: No plaques or stenosis. Normal bifurcation into LAD
and circumflex.

LAD and diagonal branches: The proximal LAD demonstrates minimal
scattered calcified plaque, 1-24% stenosis. The mid and distal
segments are patent.. 2 patent diagonal branches are noted.

Circumflex and obtuse marginal branches: The proximal left
circumflex demonstrates minimal calcified plaque, 1-24% stenosis.
2 patent obtuse marginal branches are noted.

RCA: The proximal RCA demonstrates minimal calcified plaque,
1-24% stenosis. The mid vessel is patent. The distal vessel
demonstrates minimal calcified plaque, 1-24% stenosis.

Cardiac morphology: The right and left atria and ventricles are
morphologically normal.

Valves: Normal CT appearance of the aortic and mitral valves,
without calcification.

Pericardium: Normal pericardial thickness. No pericardial
effusion or calcification.

Aorta: There is evidence of atherosclerotic disease of the aortic
arch.

Noncardiac findings: None

Impression:

Please see separate dictation for cardiac findings.

Noncardiac findings: None significant.

Addendum: The calculated Agatston score is 169 A.U. The observed
calcium score is at 97 percentile for subjects of the same age,
gender, and gray/ethnicity were free of clinical cardiovascular
disease and treated diabetes (MESA NIH database.)

Addendum:

Coronary artery disease involving the LAD, left circumflex and
RCA as reported above, with largest degree of stenosis 1-24%.

Noncardiac findings: None

Primary Diagnostic Code: NO ALERT REQUIRED

From reading I seems like my issues are in there early stages but I worried and need some help. Here are my results

TRIGLYCERIDES
Result 49 mg/dL
Reference range < 149 mg/dL

HDL
Result 62 mg/dL
Reference range >=40 mg/dL

CHOLESTEROL
Result 206 mg/dL (High)
Reference range 0-199 mg/dL

LDL CHOLESTROL (CALCULATED)
Result 134 mg/dL (High)
Reference range < 109 mg/dL

LDL
Result comment
Reference range None recorded

EGFR
Result >60
Reference range None recorded