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Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16246
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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I do if I have been unable to tolerate statins in the past

Resolved Question:

I had a cardiac score done and it was 110. Is that high? What can I do if I have been unable to tolerate statins in the past? Are there any new ones that are easier to tolerate?
Submitted: 6 years ago.
Category: Health
Expert:  A. Schuyler, NP replied 6 years ago.

Hello,

Welcome to Just Answer and thanks for your question. Can you provide some more information about what kind of a test this was? Was it a CT scan for cardiac calcium or some other test?

 

Customer: replied 6 years ago.
It was a cardiac calcium CT
Expert:  A. Schuyler, NP replied 6 years ago.

Thanks for the clarification. A level of 110 is considered moderate evidence of coronary artery disease. The following table may help you put it into perspective:

 

Calcium Score

Presence of CAD

0

No evidence of CAD

1-10

Minimal evidence of CAD

11-100

Mild evidence of CAD

101-400

Moderate evidence of CAD

Over 400

Extensive evidence of CAD

 

 

 

 

 

 

 

 

 

 

Customer: replied 6 years ago.
What is the commom recommended next step for a patient with moderate evidence of CAD?
Expert:  A. Schuyler, NP replied 6 years ago.

Lifestyle changes to lower cholesterol such as low fat diet, with lots of fresh vegetables and fruits, lean protein and whole grains and brisk exercise 30-60 minutes a day most days of the week is the universal recommendation. Depending on what the cholesterol profile looks like, statins and other cholesterol-lowering drugs may be added to the lifestyle changes.

 

 

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