Had vap chol. test overall num high, but ratios good ldl pattern a/b. prim. dr encouraging statin. 43yr old male calcium score 0. is statin neces.?

Depends on risks: Groups have different recommendations,which change. For >40yr w known atherosclerotic disease,kidney disease,diabetes,or >20% 10 year risk for MI (search "Framingham risk score calculator"), generally get statins.Low risk coronary artery calcium score can allow recalculation of risk score. Your doctor knows you better than we do; doing the risk score calculator & discussing at next appt worthwhile