Coronary Calcium Scoring

What is coronary calcium scoring?

Coronary calcium scoring is a CT technique used to determine if coronary calcium is present in your coronary arteries.  Calcium is a direct although incomplete measure of coronary atherosclerosis.  The most recent literature states that a calcium score is more accurate than Framingham Risk and hsCRP (Geurcietal.  St. Francis Heart Study JACC V. 46, No. 1 2005 pp. 158-165).  This test, along with other indicators, helps present an overall picture of your heart health.

Why is coronary calcium scoring a better alternative?

Unlike many medical tests, coronary calcium scoring is fast, painless and non-invasive.  There is no preparation necessary for this type of scan and the entire process only takes about 30 minutes.

How is the procedure performed?

After you complete a brief personal and family health history, you will have a non-invasive, painless computed tomography (CT) scan of your heart and coronary arteries.  The technologist will need to place electrocardiogram (ECG) leads on your chest so that the CT scanner can precisely measure the beating heart.  Once completed, the data is sent to an advanced workstation to calculate a total calcium score.  This numerical score is compared to gender and age specific patient databases to determine your percentile ranking. 

Who should consider getting the scan?

Individuals who exhibit a number of the primary factors that increase your risk of coronary heart disease such as the following can consider getting the scan:

  • Men over 45 or women who have passed menopause or are age 55 or greater
  • Abnormal cholesterol levels
  • Family history of heart disease
  • Diabetes
  • High blood pressure
  • Cigarette smoking
  • Obesity
  • Physical inactivity

How do I schedule an appointment?

This scan can be requested without a physician order.  However, we encourage you to contact your physician or medical provider prior to getting the scan.  Additionally, at this time the procedure is still not covered by insurance and payment will be requested at the time of the exam.  You can call CMC-NorthEast radiology scheduling at 704-783-1729 for an appointment. 

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