I have a very high calcium score. What next?

Here is what I did for my Calcium load of 1200+
I lost 50lbs
I had a stress test with adenosine
followed by an echo-cardiogram which led to a surprisingly easy negative coronary angiogram
no stents no bypass
The second cardiologist is PROBABLY correct but not a bad idea to have it checked by the more conventional screening tests. JRM MD

Calcium Score over 1200, coronary angio shows diffuse non occlusive calcification of coronary arteries ( cardiologist doing cath said mine were better than his). If its not CAD what causes cardiomegaly with LBBB in a 76 yr old male, BP 120/70, Hbg A1c 5.3, Cholesterol 100, HDL 31, LDL 32, TG 114, echo shows cardiac output >60m with left atrial enlargement. My concern is emerging cardiomyopathy somehow being caused by the LBBB dyssynchrony somehow caused by calcification more aggressive than simple aging in a man who has been on statins with CoQ10 coverage for years. I am not changing anything but would appreciate an explanation JRM MD

I just found out this past week that my CAC is 2534. It was quite a shock given I've always been an active person, non-smoker/non-drinker, ate VERY little red meat the past 10 years, walk or hike quite a bit still, and exercise at least 3x / week (I'm a 60 year old male). No family history except my dad dying at 84 from a heart attack (but he had a HORRIBLE diet and was on BP and cholesterol meds).

I'm seeing a cardiologist at Duke in two weeks thankfully to give me more answers to this score. My biggest number was 1639 on my right coronary artery. I wish you the best. I'll post here in a few weeks to provide an update on what the cardiologist says. I'm hoping he suggests more tests before doing anything invasive. Thankfully I'm completely asymptomatic at this time.

Thanks for responding,
Stress test in two weeks
Lipid A came back well in range. Waiting for more BW results
65 y.o.
No Statins. Cholesterol has always been low.
None of the other tests yet.
Are there specialists in this area?
Thank you

LDL and TC numbers are pretty good - CAC not so good, but not reversible so need to work to slow down.

Age?
Advanced lipids panel? (named Cardio IQ by one provider)
Had stress test?
Had echo with the stress test?
Ultrasound of extremities?
Taking statin?
Icosapent Ethyl?

You are going to have to quietly change some of his life styled without him realizing it. DON'T nag. Just quietly do it. Check out the website of Dr. Gundry. He used to repair hearts. He got tired of doing that and started researching why some people live longer than others. The Mayo Clinic has great ideas and recipes to try.
Since both encourage a more plant based diet, you might just tell him, you are trying to save money. Or you are bored eating the same things all the time.
You may not be able to do much about his drinking. But you can start to become an adventurous cook. AND start checking out his insurance policies and other financials. If he gets curious, tell him you want to know if you can fix the kitchen or go on trips by yourself! That might scare him.
Get a dog! It will need walking. And it will be a great comfort to you if he passes. Trust me.
I know some of this is "tongue in cheek" but there are some serious suggestions here to help.
All the best.

He needs to start exercising, quit drinking, start eating healthy. He needs to lose weight also.
This is his "Wake up Call" ! Listen to your doctor and not the bottle!

Hi Ethan
My husband has an LDL of 68, total cholesterol of 168, and a Calcium Score of 3899. The doctor has suggested a stress test next. He also has MGUS That has not progressed. Is this Calcium score the MGUS progressing? Is it hart disease? He feels like a time bomb. He is overweight, drinks alcohol and doesn’t exercise. Please advise.
Thanks.

Icosapent ethyl?

I don't see a cardiologist. I don't smoke or have high blood pressure, diabetes or issues with being out of breath, heart palpitations, inflammation, swelling etc. EKG and stress test all normal. I'm a healthy person with a high CAC score so only thing for me to do is make changes which include 10mg of rosuvastatin, a mostly plant based diet free of trans fats, regular exercise and a good nights sleep. And that occasional glass of Cabernet. Not sure what a cardiologist would do. My cholesterol levels now are crazy low but the second I start experiencing chest pain when exerting myself then I'll definitely see one.