This may give some reassurance to those reading this thread.
First, I'm a high total cholesterol person. It has been up around 300 all my life.
That's OK with me because I have nice low triglycerides and high HDL so my ratios are excellent.
Second, I had a fairly high calcium score about ten years ago, with the total up close to 400. I took some comfort in the doc's comment that there was no way to tell how long it had been there, and might be leftover from early in my life with no current calcification. Wishful thinking perhaps, so I'm planning to get another one to find out.
Since I'm opposed to statins for various reasons, my new doc made a deal with me. He would get off my case if I agreed to three tests, and I had them this year. First, a AAA (abdominal aorta aneurysm) ultrasound, second a carotid ultrasound, and third a stress echocardiogram.
Passed all three with flying colors, so the doc agreed I'm OK living the way I do. Of course, I'm not in a high risk group otherwise. No history of heart attacks in my family, I'm not a smoker or overweight, and I get plenty of exercise.
On the subject of calcium scores, I think it's worthwhile to recognize that it's only one test. There was a study in the New England Journal of Medicine that looked at nearly 7,000 people over four years and divided them into groups. For simplification, I'll choose two, those with scores from 1 to 100 and those with scores over 300. The higher scoring group had around three times the relative risk of the low scoring group, but look at the absolute risks:
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