True, CAC scan is a lagging indicator. A high score means a history of plaque, but risk of ongoing buildup of new plaque needs to be investigated. So understand, my score at age 68 was zero.
From “Slate”:
“A physical conducted in 2018 found that the president had moderate heart disease. In a routine coronary calcium CT scan, he had a score of 133. Anything over 100 indicates a buildup of plaque, and therefore coronary artery disease.”
From Mayo Clinic:
“The result of the test is usually given as a number called an Agatston score. The score reflects the total area of calcium deposits and the density of the calcium.
A score of zero means no calcium is seen in the heart. It suggests a low chance of developing a heart attack in the future.
When calcium is present, the higher the score, the higher your risk of heart disease.
A score of 100 to 300 means moderate plaque deposits. It's associated with a relatively high risk of a heart attack or other heart disease over the next three to five years.
A score greater than 300 is a sign of very high to severe disease and heart attack risk.
You also may receive a percentile score, which indicates your amount of calcium compared to people of the same age and sex.”
Lives could be saved if a CAC scan at age 50 was standard procedure. But Nissen did everything thing he could to kill it. He failed ultimately but tainted it so that only that rare spotted purple unicorn cardiologist who believes in prevention will prescribe them.
As for my LDL, statins aren’t an option. Had been taking 10 mg Lipitor but had a rhabdo episode when increasing running intensity. Tried 5 mg Crestor, but no go. Not really interested in a Vascepa combo pill. Like you, I think it’s a dumb idea. Meanwhile, I’m more interested in controlling the hypertension.
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