Living with high calcium score
I am a 53 year old male. Just found out I have a CAC of 731. Most of it (699) is in the right coronary. I exercise 5 times a week , used to eat eggs every day (15-20 per week), cottage cheese and yogurt. Upon hearing this news, stopped eating eggs right away. Just trying to figure out what else to adjust. I don't have BP and am at a healthy weight of around 160 lbs for 5'8".
Doctor still has to reach out to me and I think most likely I will be put on Statins. I have high LDL and Apo(b), but triglycerides are under control.
The question I have is, how else should I adjust the lifestyle. I don't drink or smoke or eat meat. Should I reduce how hard I work out? I used to take my HR to 165 and whenever I did it I used to get a heartburn. I was thinking that the workout has triggered acid reflux but looks like something else is going on.
For those with high CAC , how hard do you work out? Should I stop hiking and running? Looking for some insights.
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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
Sugar from what I understand spikes your blood sugar. My main reason not to consume it is because I am trying to avoid dementia, which seems to run in my family. I think sugar overall is bad for us. I read the book Sugar Crush years ago and I forget the specifics now. I just decided not to consume it if I can avoid it. I do have maple syrup from time to time because it is lower on the glycemic index, so it doesn't give the spike. I do have some sorbet from time to time. So, I don’t totally deprivd myself. I have such a restricted diet because I am gluten and dairy free. I don’t think brown sugar is any better than white sugar, but you just need to find a balance if you really want your treat. I have read if you take a walk after consuming food helps. Pair it with fiber, fat, or protein I have read, helps slow down dugestion. Try reading the book, Sugar Crush, or research online. Best wishes.
They have given me different interpretations about nutrition. For example, it doesn't matter if I have a high calcium score of 900 and I consume sugar. The endocrinologist had a different opinion that sugar does not harm the heart but increases calories and weight and thus can do harm. Another different perception is that garlic cannot help because we eat it in small amounts.I have concluded that vitamin C and omega-3 from red pepper every day, onion or garlic soften atherosclerotic plaque. Also, maintaining a healthy weight and walking 1 hour and a half per day. My question is whether I can drink a cappuccino with two tablespoons of brown sugar every 7 days?
Hello @mikeoskokie -
I see you tried sharing a journal article. There is a short period of time new members are unable to share links to protect the community from spam.
In the meantime, allow me to post the link for you:
"INCREASING DURATION OF STATIN THERAPY IS ASSOCIATED WITH HIGH CORONARY ARTERY CALCIUM SCORE"
- https://www.jacc.org/doi/10.1016/S0735-1097%2822%2902236-7
Look up "collateral arteries." That's what I have, and I bet you do, too. In fact, I have a blockage in the right artery, and I still run. I had an angiogram, and they said I didn't need a stent because other arteries had taken over.
I am 72 y/o male. At a routine check (which I ask for every five years) I got a perfectly normal resting EKG from my cardio guy BUT coronary artery calcium came back at 1409, most of it in the right coronary artery. Yes I freaked, especially in light of my dad dying of his third heart attack. However a Nuclear Myocardial Perfusion Stress Test resulted in me being classified as a "low risk study", although I will be on statins for the rest of my life. No problem running on the treadmill as long as they wanted and then some (9 minutes total) or achieving the target heart rate. HOWEVER , I attribute this result to running or cycling most of my adult life (except for the last three years). I think it provides a physical reserve. Other than that I certainly was never the poster boy for a healthy life style. So if you have a healthy, fit past you might not be as bad off as you think, BUT get the stress test and find out!
Has anyone with high CAC score done anything factual to lower the score? high intake of vit. K2-MK7 then repeating the CAC test?
Statins DO increase the CAC score plus the cognitive implications (smaller brain vessels get calcified from statins - connection with early Alzheimer/Dementia)
Your post got buried in a post about coronary artery calcium. Suggest you try again to post it as its own thread in the Heart and Blood Health group.
how do you qualify for the program? Is it your CAC score or your cholesterol numbers etc.?