Not necessarily, of course. CAC score is actually Agatston score which is the product of Area (calcification) and density score (1 through 4 classified according to plaque density measured in Hounsfield units). Area is not available on the CT scan report, but volume of plaque can be found if you search for it in the CT film (see picture, it is along side Agatston). You can calculate area by dividing volume with slice thickness (2.5 or 3 mm). Then, if you divide Agatston score by area, you get density score. Supposing you get density score of 4, it means your plaque density is >= 400 Hounsfield units. Compared to score 1, 2 or even 3 the hazard ratio of CAD or CVD events is less. See attached figure below (it is from an article in JAMA). Michael Eades, MD. also explains this in a conference & was posted on fatemperor.com website.
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Don't fear fat. Eating saturated fat will not make you fat. Eating refined carbs will.