← Back to context

Comment by jimmydddd

9 months ago

My wife had high cholesterol numbers, so her doctor wanted to give her statins. She asked about a scan, he begrudgingly said well, I guess you could do that. Her scan showed 0 plaque.

Plaque won't show as calcium until it has been in your arteries for decades and has calcified. It is a delayed indicator.

For anyone under 40, it's expected to have zero calcium. Even a measure of 1 or 2 when you're below 40 would be a bad sign.

Was it a CAC or CTA?

It was almost certainly the former, and the former is is basically an indicator that the damage is already done.

Soft plaque takes a long time to calcify. But soft plaque is the stuff that ruptures, and will clog up your arteries just as much.

Statins are best used as a preventative measure - once the plaque is there it's difficult to regress it even while soft, and as far as we know effectively impossible once it is calcified.