My dr wants me to get a calcium score study, should I?

Posted by countrymom0110 @countrymom0110, Jul 8 1:20pm

My heart dr is not happy with my cholesterol totals. I have not been taking my 20 mg of atorvastatin as i should have been. He wanted to put me on injectables and do a calcium score study /CT of my heart. I am almost 55, dont smoke, am not overweight, exercise about average. Im trying to eat better and avoid cheese and dairy. My question: is it a good idea to know my risk with the calcium and do the test? or should i just take my meds and eat right and hope nothing bad happens? On one hand i want to know but also dont want more meds/testing /etc

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All that statins do, not just lipid panel improvements:
https://www.verywellhealth.com/statins-anti-inflammatory-and-other-good-effects-698210
Note that statins help to solidify plaque, or as the article says, to 'stabilize' it by imparting calcium to those plaque deposits. This is exceedingly important. You WANT calcium deposited in atherosclerotic plaque because otherwise it can be sloughed off in chunks that cause strokes further down the 'pipe.'
Finally, a video just released today by a Harvard-trained physician, Dr. Nick Norwitz, suggests that it's time to change our thinking about saturated fats.....at least....finally.....as in long overdue: (Norwitz's bona fides: https://www.nicknorwitz.com/ )

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Hello, I believe you should get a CAC scan. This will show for certain "if" you have plaque & how much. Cholesterol numbers are constantly debated, but there's no arguing with a CAC score. I'd also recommend getting a LP(a) & ApoB test. At least you'll know from imaging where you stand & can make an educated decision based on clear evidence moving forward. BTW, I had a CAC scan done in 2014 that was zero & just had another one done in 2024 that is positive. I've changed my diet & lifestyle even more to mitigate my risk. I recommend you do everything possible to find out where you're at, change what you know will make a difference, take meds if necessary & then "hope nothing bad happens". Then, you can say you've done all you can & see where the chips lay. Good luck & hope that helps.

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Profile picture for loriesco @loriesco

hey there @grands08 - actually, "no." Statins only do a type of thing. It may do nothing to reduce the arterial build-up in your heart arteries if one has inherited CAD (coronary artery disease). My dad took statins for 25 years. It lowered it cholesterol (blood serum cholesterol numbers) but did zero from stopping the plaque damage in his arteries - even with daily exercise and eating right! (we come from a "produce" family). He had his first widowmaker heart attack at 58. He continued to have a triple (58), quadruple (72) and then triple bypass surgery at 80. He had to go for MANY stints in between! But his cholesterol was GREAT! Like you, we, apparently come from a family with heart disease. I took the LPa test and yes, I've got it. However, there are a VARIETY of mitigating factors in all of this.
I can't take statins. They put me on many years ago. I had side effects. I did ask to receive the LEVQIO injections twice a year. So far nothing has reduced my LPa score. Its (88). But this thread is about the calcium score which is CRITICAL! Mine is quite good. That allows me to take a deep breath and be thankful. There are a variety of good books now explaining how lipids deposit in the arteries. I am lucky to have been made aware that cholesterol deposits were a critical component in university nutritional chemistry classes in 1978. I have watched all these years to be careful. The science is different now as the industry is identifying BETTER the process of the body laying down plaque and what, if anything the science can do about it.
IF one values their life - and living that life with some kind of "quality of life" issues managed than one will want to have whatever tests are being made available to them. I have to PUSH for all of it in todays climate. It is a kaleidoscope of lipid types, and their numbers which must come to bear. The pictures 2 years ago showed I have one artery one third blocked and 3 others clear. (I am 68.) I brought my cholesterol numbers seriously down this year by increasing eating fish. that was the most impactful! But IF one's body is going to fabricate plaque deposits, we can do little by correct eating. We are going to need to increase exercise and look for medicines which help break down the body's building of plaque in a hereditary situation. Make sense?

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Numbers re lipids would be very helpful, as well as CAC score.

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Profile picture for drumm @drumm

Hello, I believe you should get a CAC scan. This will show for certain "if" you have plaque & how much. Cholesterol numbers are constantly debated, but there's no arguing with a CAC score. I'd also recommend getting a LP(a) & ApoB test. At least you'll know from imaging where you stand & can make an educated decision based on clear evidence moving forward. BTW, I had a CAC scan done in 2014 that was zero & just had another one done in 2024 that is positive. I've changed my diet & lifestyle even more to mitigate my risk. I recommend you do everything possible to find out where you're at, change what you know will make a difference, take meds if necessary & then "hope nothing bad happens". Then, you can say you've done all you can & see where the chips lay. Good luck & hope that helps.

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So, positive means greater than zero ... given the importance of the amount, what was your CAC scoring number?

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Profile picture for mayoconnectuser1 @mayoconnectuser1

Numbers re lipids would be very helpful, as well as CAC score.

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there are MANY types of lipid scores. And CAC scores (think mine was 10 can't remember)
There are a kalidescope of numbers and tests. The cardiologists have a puzzle they plug all the pieces into. No single test is definitive. But NOT knowing your numbers leaves one at risk for a heart attack and stroke - especially with inherited familial coronary artery disease. (LPa test)
0: No calcium detected, very low risk.
1-10: Minimal calcium, low risk.
11-100: Mild plaque buildup, moderate risk.
101-300: Moderate plaque buildup, higher risk.
301-400: Extensive plaque buildup, very high risk.
400+: Very high risk of a heart attack.

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Profile picture for mayoconnectuser1 @mayoconnectuser1

So, positive means greater than zero ... given the importance of the amount, what was your CAC scoring number?

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Not exactly. Any number (I posted below) makes you more at risk.

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Hi, All I can say is that the test is your decision. At this point I can also only share what just happened to my husband and I regarding this issue. My general practitioner also wanted me to do the same test since my cholesterol wasn't coming down and actually all of my life I've battled with high cholesterol and triglycerides. My husband who is disabled so we never get to go anywhere much and I thought maybe we could both do it as a date together. It was a fast test and fairly reasonably priced since insurance didn't cover it. Thank God as it showed my scores were in the top 90% of people my age even though I also exercised regularly, ate very strictly on a renal diet and am not overweight. My husband also had score numbers of 4090 with 300 being normal. After this test he is now being taken seriously about his heart not feeling right. He is going into surgery this Thursday and hopefully they can help him in some way, whether by stents or open heart surgery. I will also have my first appointment with a cardiologist who can hopefully help me to lower my numbers. Until then, they have put me on Icosapent, vitamin D and are hoping that the cardiologist can help more. So, the test may not show anything or it may help to save your life. Can you update us with your decision and what you learn? Have a blessed day.

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Profile picture for happilyalive @happilyalive

Hi, All I can say is that the test is your decision. At this point I can also only share what just happened to my husband and I regarding this issue. My general practitioner also wanted me to do the same test since my cholesterol wasn't coming down and actually all of my life I've battled with high cholesterol and triglycerides. My husband who is disabled so we never get to go anywhere much and I thought maybe we could both do it as a date together. It was a fast test and fairly reasonably priced since insurance didn't cover it. Thank God as it showed my scores were in the top 90% of people my age even though I also exercised regularly, ate very strictly on a renal diet and am not overweight. My husband also had score numbers of 4090 with 300 being normal. After this test he is now being taken seriously about his heart not feeling right. He is going into surgery this Thursday and hopefully they can help him in some way, whether by stents or open heart surgery. I will also have my first appointment with a cardiologist who can hopefully help me to lower my numbers. Until then, they have put me on Icosapent, vitamin D and are hoping that the cardiologist can help more. So, the test may not show anything or it may help to save your life. Can you update us with your decision and what you learn? Have a blessed day.

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I will pray for a full recovery for your husband, and may you get all the help that is reasonable for you.

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Profile picture for gloaming @gloaming

I will pray for a full recovery for your husband, and may you get all the help that is reasonable for you.

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Thank you gloaming for your kindness in the reply. I sincerely hope that you have a great and blessed day.

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Profile picture for happilyalive @happilyalive

Hi, All I can say is that the test is your decision. At this point I can also only share what just happened to my husband and I regarding this issue. My general practitioner also wanted me to do the same test since my cholesterol wasn't coming down and actually all of my life I've battled with high cholesterol and triglycerides. My husband who is disabled so we never get to go anywhere much and I thought maybe we could both do it as a date together. It was a fast test and fairly reasonably priced since insurance didn't cover it. Thank God as it showed my scores were in the top 90% of people my age even though I also exercised regularly, ate very strictly on a renal diet and am not overweight. My husband also had score numbers of 4090 with 300 being normal. After this test he is now being taken seriously about his heart not feeling right. He is going into surgery this Thursday and hopefully they can help him in some way, whether by stents or open heart surgery. I will also have my first appointment with a cardiologist who can hopefully help me to lower my numbers. Until then, they have put me on Icosapent, vitamin D and are hoping that the cardiologist can help more. So, the test may not show anything or it may help to save your life. Can you update us with your decision and what you learn? Have a blessed day.

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Happy, you are taking statins, yes?

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