*
Calcium score can be useful for risk stratification in people aged 40–75 with risk factors like hypertension.
* It is more useful when the diagnosis is uncertain, or to decide how aggressively cholesterol treatment/statins are needed.
* It is not the best test for ongoing active chest pain if symptoms are suspicious for angina.
If the pain is:
* exertional,
* associated with breathlessness, sweating, radiation to arm/jaw,
* or becoming frequent,
then a CT coronary angiography (CTCA) is usually more informative than a calcium score alone.
Next Steps
1. Review the TMT and echo reports with a cardiologist.
2. Check BP control regularly.
3. Get/update:
*
lipid profile,
*
HbA1c,
*
kidney function,
* ECG if not recent.
4. Avoid assuming all left-sided pain is cardiac — cervical spondylosis, muscle strain, acidity, and anxiety are very common causes in IT professionals with long sitting hours.
Seek urgent medical care if:
* chest heaviness/pressure develops,
* pain occurs with walking/exertion,
* sweating, nausea, fainting, or breathlessness occur,
* or symptoms last >15–20 minutes