I have a very high calcium score. What next?

i have calcium score of 3600, 76 year old male, passed stress test,in decent shape. what
is next?

Yes, that is the correct link and it uses existing heart disease (positive Ca score) as one of the risk elements. Making the right changes in lifestyle can push risk way down. I spoke to my doctor yesterday at length and he was very supportive, wants me to stop worrying and that my risk of a cardiac event are very low considering my meds, diet, weight loss and working out daily. My mom started statin treatment at 40. I should've done the same, but just didn't know. What is done is done, all I can do is limit new plaque burden and enjoy life. It is hard to get it out of your mind completely, in fact, my doctor said he somewhat regretted having me take the test as the burden maybe outweighs the value of the information. I had plenty of risk factors already that were motivating me to change prior to the test results. There is a good argument to made for not putting this burden on asymptomatic patients. This article resonated with me, "The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk Assessment" Mandrola et al 2019 Am Fam Physician.

Yes, that is the correct link and it uses existing heart disease (positive Ca score) as one of the risk elements. Making the right changes in lifestyle can push risk way down. I spoke to my doctor yesterday at length and he was very supportive, wants me to stop worrying and that my risk of a cardiac event are very low considering my meds, diet, weight loss and working out daily. My mom started statin treatment at 40. I should've done the same, but just didn't know. What is done is done, all I can do is limit new plaque burden and enjoy life. It is hard to get it out of your mind completely, in fact, my doctor said he somewhat regretted having me take the test as the burden maybe outweighs the value of the information. I had plenty of risk factors already that were motivating me to change prior to the test results. There is a good argument to made for not putting this burden on asymptomatic patients. This article resonated with me, "The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk Assessment" Mandrola et al 2019 Am Fam Physician.

I typed in "Arizona Heart Risk Calculator" and the first citation is: https://heart.arizona.edu/heart-health/heart-attacks/heart-disease-risk-assessment

Well everyone is entitled to take whatever actions they want when receiving news of a CAC score, getting cardiac catheterization, stress testing, coronary angiography etc if you're asymptomatic and making recommended dietary and lifestyle seems like overkill to me, as referenced by the study.

Well everyone is entitled to take whatever actions they want when receiving news of a CAC score, getting cardiac catheterization, stress testing, coronary angiography etc if you're asymptomatic and making recommended dietary and lifestyle seems like overkill to me, as referenced by the study.

The study:” No immediate or long-term benefit to such individuals from either stress testing or coronary angiography has been documented in the literature." I see a lot of folks here running to do these things after getting a CAC score and it's really not needed,…”
I don’t agree with that.

I don't agree with the reading. If your CAC is 400+ It is not necessary to have the stress and EKG tests but the risk of a stroke or heart attack exists. It will exist forever although you can stabilize your condintin by improving life style (diet, exercise + statins). I am asymptomatic but my score is close to 1600. Numbers don't lie. My liver produces too much cholesterol.
As far as the angiogram the imaging of the blockage in your arteries are facts as well. I didn't run to the angiogram believe me but with a score like the one I have I needed to know the exact blockage percentage on my LAD.