I have a very high calcium score. What next?

Hmmm ... your CAC was obviously high, but why would you start taking a statin when you were 39 years old ... you only recently had the CAC test?

Do you any data from your stress test? It was not a stress test with echo, right? You should have had some form of data - METS, Duke score, etc? What level did you get your heart?

Your HDL (good cholesterol) is pretty low - has it always been this low?

49
5’7” 160lbs
Pretty good shape
Bp 120 75
Total cholesterol 140
Hdl 35
LDL 81
Triglycerides 120
No iq panel
Statin now for 10 years and just switched to ROSUVASTATIN CALCIUM 40 MG

@christianzane I thought this article was very informative. Do you know if this is still considered the standard approach to dealing with this cohort of patients? I fall into this group and just received my CAC over 400. I was expecting a stress test, but this article doesn't recommend, only use of statin and controlling LDL to a low level. They also refer to "reversing" the disease which I had not thought was possible, but it sure sounds better than focusing on the high probability of bad events. Thanks for posting the link

Hi, I have a 1525 CAC. Cardiologist number one didn't want to perform any stress test and said I should not waste my time and money and go for an angiogram to actually see the percentage blockage in my arteries. Sound too progressive for me. Cardiologist number two perform all tests and came back normal BUT he saw on the imaging a small dark spot. He suggested I have an angiogram so he send me back to cardiologist number one. I will have my angiogram Tuesday June 27th. It is the best way to know for sure if there is blockage or not. All other suggestions are from mortals like me who does not wish to have an angiogram, I have read "How to beat the heart attack gene" book. Interesting read. On a very good healthy diet, I exercise, and the whole bit. I had cardiologist number two swear to me that if the blockage is not high (70%) hew will let me go home. We will see. My suggestion for peace of mind get an angiogram or catheterization.

Have you discussed the results with your primary care provider? Seems like this person would be the place to start. Then perhaps get a referral to a cardiologist? I got a high score also and am winding my way through it too. Waiting to see a cardiologist.

On this forum, I saw a recommendation for the book "Beat the Heart Attack Gene" by Bale et al. I found it to be the best main stream reference I've run across so far. It will give you some background and a starting place for mapping out a plan along with your care provider.

Good luck. I would be interested to hear back on the plan you come up with along with your care provider or cardiologist.

Hmm... that makes it harder to understand then, doesn't it? Have you done a search on Connect yet? It's at the very top of the screen...type in "high calcium score" and you will find dozens of prior discussions on the subject.

What is your age? Physical condition including weight?

Diagnosed with heart disease? High blood pressure?

What are your basic lipid numbers?

Have you had Cardio IQ (advanced lipids panel)?

What were the numbers from the stress test? METS, Duke, etc?

What were Ejection Fractions (EF)?

Are you taking a statin - which one and what dosage? When did you start taking the statin?

Sorry - but this is a bit of a game of numbers to begin with 🙂

Out of the blue. No symptoms whatsoever and just had a nuclear stress test and all results were normal.

Welcome to Mayo Connect @pkoutou, you have come to the right place to learn more about high calcium scores. While waiting for others to chime in and respond to your question, I'd like to say that this site is a members site and not so much about medical advice, but we certainly can offer our opinions or share our stories.
Have you done a search on "high calcium scores" in the search area? There are several discussions you may find informative, from members with your same situation.
Obviously, only your doctor can guide you in your next steps, but you also may need to be your own advocate and push for additional testing.
Learn as much as you can, both here on Mayo Clinic and elsewhere. Be informed about choices available and ask your doctor to refer you to a cardiologist as necessary. High calcium scores can be very scary, and they certainly need to be addressed by your physician. Do you have a cardiologist already? Is this something that just came out of the blue, or have you had symptoms?

I had a nuclear stress test and everything came back fine. Calcium sore test was 1865 what should I do or who who should I see next ?