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  • Q&A with Australian Health Practitioners

    My Coronary Calcium Score is 239 in LAD. Can someone please provide further insight into my cardiac condition?

    Related Topic
    Cardiology & Vascular Health
    I had a CT Coronary Calcium Score test last week which showed a score of 239 in LAD, 0 in Left Main, 0 in Left Circumflex and 1 in Right Coronary Artery. My GP has immediately put me on a daily low dose asprin and 20mg Crestor and has requested I have a Mycocardial Perfusion Scan and intends for me to see a cardiologist who he says may do an angiogram and possible stent. I am male, almost 60, 5'11, 92kgs and have a good diet (losts of fruit and veges with little deep fried) although I do not exercise as much as I should. My cholesterol has always been normal and although I was on BP tablets many years for about 8 years I have not been on these for over 8 years since losing weight and my BP is generally stable at 120/80. I am concerned at the prognosis for this condition and whether this is manageable and if it will impact my longevity. Any advice and insight would be greatly appreciated.
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  • Dr Reza Moazzeni

    Cardiologist (Heart Specialist)

    Dr Moazzeni earned his medical degree in 2000 and subsequently garnered diverse experience in various medical sub-specialties, including general practice in remote regions. In 2009, … View Profile

    A calcium score of 239 in the LAD is not uncommon for your age and doesn't automatically mean you need a stent. It does confirm plaque is present and that preventive treatment is essential — your GP has acted appropriately with aspirin and Crestor. A cardiology review is the right next step. If you're able to exercise, a stress echocardiogram is often safer and just as informative as a perfusion scan — it involves no radiation and directly assesses how your heart performs under load. It's also important to consider the bigger picture: family history, Lipoprotein(a), and how well you're functioning day-to-day matter more than just the calcium score itself. Many people live long, healthy lives with similar findings when well managed.

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