Since The 2 Tests Are Contradicting What Should I Do ? Perform An Angioplasty Test ? Am I At High Risk Now ?

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello,

I passed carefully through your concern and would explain that those 2 tests results may in fact show an initial phase of coronary plaques presence with a probability of mild heart disease.

Being in the calcium score range of 11 - 100 means that a moderate probability for coronary event is present. Coming to this point, it is necessary to quit smoking, follow a healthy diet profile (preferably a Mediterranean diet), and thinking to begin an exercise program; following necessary treatment in case of dyslipidemia and hypertension.

All the above measures would help to reduce any theoretical probability of developing coronary events in the next 10 years.

Though such a calcium score classify you as having a mild heart disease and a moderate risk for future 10 years coronary events, this approximation holds true in case the individual in case of a moderate coronary risk (presence of certain coronary risk factors, such as hypertension, smoking contact, diabetes, dyslipidemia, etc.)

In such case, changing the risk profile by controlling the above mentioned factors (properly treating hypertension, diabetes, dyslipidemia, avoiding close smoking contacts, etc.) will lead to a reduction of the theoretical future risk.

But in the case you have not any obvious coronary risk factors, probably this calcium risk score would be a bit misleading.

After performing the stress echo test with excellent results, you shouldn't worry too much about the calcium score. You just need to follow a healthy life profile and treat possible coronary risk factors. No coronary angiography is necessary.

You are not at any high risk for future coronary events considering the results of the performed tests.

Hop you will find this answer helpful!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Iliri

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Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

I understand your concern and agree with you on the fact that lipitor may decrease Coenzyme Q10 levels.

For this reason, taking Coenzyme Q10 would be a reasonable treatment choice.

Regarding Aspirin, you should know that different studies have shown controversial conclusions about its benefits for primary prevention, when there is no evidence of coronary artery disease or stroke.

For this reason, you can take Aspirin if you have no contraindications on it, but as your cardiac stress echo is excellent and you have no symptoms of angina, I don't think that it would make a change in your cardio-vascular risk.

Hope to have been helpful!

Wishing good health,

Dr. Iliri

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