I had a calcium score of zero, is that good? Hereditary high-cholesterol.
Also, taking a statin can increase the CAC score because statins cause fat build ups to calcify faster which makes them less likely to break free and cause big problems.
If you’re old: Great! Keep an eye on cholesterol.
CAC is a lagging indicator. Its usefulness is more about assessing damage done, not rate of change or future risk.