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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