I have a very high calcium score. What next?

Posted by dpframing @dpframing, Aug 24, 2018

Just joined the site and I'm looking to share with others who have had a high calcium score. I found out today that mine is 2996 and I am scared by this. I am 61 and I am totally asymptomatic. Now I feel like a walking time bomb. I am thinking of requesting an angiogram to see if there's any narrowing anywhere and if it can be corrected with a stent. After a second heart doctor told me that the plaque buildup might be uniform over the course of years with no big problem areas, I am encouraged. But the score still freaks me out, specifically my LAD at 1333. I don't smoke or drink but I have to lose 40 lbs.

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

If your lp(a) is good then you have large cholesterol particles which is very good news.
Have your thyroid AND parathyroid checked. If parathyroid (no relationship to thyroid) is malfunctioning it can make your calcium levels freak out. Had a friend who had this issue and she had her parathyroid glands (multiple small) removed till her level s became normalized.
It’s hell to get old

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Profile picture for dstuemky @dstuemky

Have you been taking calcium supplements? After having similar issues I began researching my every evening before bed TUMS habit (I love very spicy food and kept getting heartburn at night). I found multiple articles re a study that proved that calcium from diet was readily absorbed into the body but calcium supplements were not and could build up in your arteries. Ive since stopped my spicy food at night and all TUMS and will recheck my calcium score after a year.

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I have not been taking any calcium supplements or high calcium foods. I routinely get blood work done and my calcium levels have been 9.0-9.5 which is within normal range, Additionally my LP(a) levels which I was told is independent of LDL cholesterol levels and my c- reactive protein levels are both very good. The ct angio did not reveal any blockages but I’m terrified of my calcification continuing to accumulate despite me doing everything I can from a medication and lifestyle perspective.

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Have you been taking calcium supplements? After having similar issues I began researching my every evening before bed TUMS habit (I love very spicy food and kept getting heartburn at night). I found multiple articles re a study that proved that calcium from diet was readily absorbed into the body but calcium supplements were not and could build up in your arteries. Ive since stopped my spicy food at night and all TUMS and will recheck my calcium score after a year.

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Hello - I’m a 40 y/o male that just received a calcium score of close to 1100 taken during a CT angiogram. 4 years ago my score was 330 at which time my crestor was doubled the 40 and 4g of vascepa daily along with an aspirin. I’ve had no symptoms, don’t smoke, eat very healthy, LDL regularly in the 40s-50s, and exercise very regularly. I’m at a loss on how my score still increased exponentially despite me taking every effort to reduce it over the past 4 years. Has anyone experienced anything similar with the score rising steeply even though you are taking all precautions to address it?

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Profile picture for mayofeb2020 @mayofeb2020

@tim1028. Did you have high cholesterol before the calcium scan? Is this why your PCP ordered it? I eat a very clean diet, with alot of vegetables and very little animal protein, yet my cholesterol is on the borderline. My PCP said it could be genetics since my family has a history of high cholesterol and high blood pressure. My vegan friend's cholesterol is not that much better and he is very surprised.

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My only cholesterol risk factor was a low HDL, in the high 20s. My PCP gave me the option of getting a CAC scan to see if I needed to be on a statin. The rest is history. Cholesterol numbers are influenced by genetics as well as lifestyle.

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Profile picture for tim1028 @tim1028

A calcium score gives a good indication of plaque burden in the coronary arteries. In my case it was initiated by my PCP at age 70, and the high result determined that I should be on a statin. It also caused me to redouble my efforts to reduce my risk thru a heart-healthy diet and exercise. Cleveland Clinic publishes an informative 80-page report on Coronary Artery Disease which was helpful for me in understanding this disease. 877-300-0253 to order. Mayo Clinic has not published anything similar to my knowledge.

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@tim1028. Did you have high cholesterol before the calcium scan? Is this why your PCP ordered it? I eat a very clean diet, with alot of vegetables and very little animal protein, yet my cholesterol is on the borderline. My PCP said it could be genetics since my family has a history of high cholesterol and high blood pressure. My vegan friend's cholesterol is not that much better and he is very surprised.

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Primary care Doctor was the initial drive, and the high score got the attention of my Cardiologist who followed up with a trip to the cath lab.

Bruce
Texas

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Profile picture for mayofeb2020 @mayofeb2020

I have been reading all the posts on calcium scan. May I ask what prompted the scans? Was it at the suggestions of cardiologists?

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A calcium score gives a good indication of plaque burden in the coronary arteries. In my case it was initiated by my PCP at age 70, and the high result determined that I should be on a statin. It also caused me to redouble my efforts to reduce my risk thru a heart-healthy diet and exercise. Cleveland Clinic publishes an informative 80-page report on Coronary Artery Disease which was helpful for me in understanding this disease. 877-300-0253 to order. Mayo Clinic has not published anything similar to my knowledge.

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I have been reading all the posts on calcium scan. May I ask what prompted the scans? Was it at the suggestions of cardiologists?

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Profile picture for tucsonjim @tucsonjim

I want to thank everyone in this thread for your posts and the excellent references that are included. I just had a CT evaluation and my Agatston score was 2082! It put me at the 97th percentile for someone my age (65). I just found my score from July of 2005. At that time, I was 50 years old and my score was 544. That placed me at the 90th percentile. But hey, at least I'm a top achiever in something...

The new score was a little frightening, but reading your stories, I've mellowed out a little. I'm doing everything I can to stay healthy. I eat a reasonable diet, keep my blood pressure under control, take a statin, don't smoke, and minimize alcohol consumption. I exercise most days of the week and try to avoid stressful situations.

I did have one stent placed in an OM artery in 2006. Over the years, I've had coronary catheterizations done to rule out additional blockages, and they've all indicated the plaque is primarily in the artery wall, and not causing issues.

I've been living very well with high calcium scores for 15 years. And I'm feeling pretty darn good now. So if you get diagnosed with a high score, don't panic, take care of yourself and hopefully you can stay healthy too.

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Your post made me feel so much better.
I had Calcium Scan 5 yrs ago at age 71.
My score was 1,910 and it really scared me.
I am asymptomatic and feel great at age 76.

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