Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Get the Compare Your Your Quiz Your Summary This information is only for people who are curious about their risk for heart disease but don't have angina symptoms, such as chest pain or pressure. A coronary calcium scan is a test for people who have no symptoms of heart disease but may be at risk for getting it. The test uses computed tomography (CT) to check for calcium buildup in plaque on the walls of the coronary arteries. The coronary arteries wrap around the heart and supply it with blood and oxygen. Calcium in these arteries is a sign of heart disease. During the test, a CT scan takes pictures of your heart in thin sections. The result is a score based on the amount of calcium seen on the scan. The higher your calcium score, the higher your risk for a heart attack. The test takes about 30 minutes. Most health insurance plans don't pay for coronary calcium scanning. The cost can range from about $100 to $400. CT angiography is a test that uses computed tomography to see if an artery is narrowed or blocked. It's different from a coronary calcium scan and may be best after you already have symptoms of heart disease and other test results are not clear. Talk with your doctor if you want to know more about CT angiography. This Decision Point is about coronary calcium scanning. Your doctor may want you to have a coronary calcium scan if it can help you and your doctor make decisions about how to lower your risk for heart disease and heart attack. This test might be most helpful for people who do not have heart disease but who are at medium risk for heart disease. Your doctor can help you know your risk of heart disease and heart attack. Your doctor will look at things that put you at risk, including blood pressure, cholesterol, diabetes, and your age, sex, and race. In most cases, the results from your physical exam and other tests will give your doctor enough information about your risk for heart disease. A coronary calcium scan is not advised for routine screening for coronary artery disease.footnote 1 This test might not tell your doctor any more about your risk for heart disease than your risk factors do. Risk factors are things that can increase your risk for heart disease, such as diabetes, high blood pressure, high cholesterol, and smoking. This screening test is not for you if: This test may not be right for you if you are a man younger than 40 or a woman younger than 50. This is because younger people typically do not have much calcium buildup in their arteries yet. Your test result is a number that is your calcium score. The score can range from 0 to more than 400. The higher your score, the greater your chance of having a heart attack. The score might be helpful if you are unsure whether to take a statin to lower your risk of a heart attack. Your doctor will look at your calcium score as well as your age, your health, and your other test results such as your cholesterol level.footnote 2 After you have the test, talk with your doctor about your results. Many people only learn that they have heart disease when they have a heart attack. A coronary calcium scan is one way to find out if you have early heart disease before it gets worse. After you know your risk, you and your doctor can make decisions about how to lower it. You can make lifestyle changes such as having a heart-healthy eating plan, staying at a healthy weight, getting more exercise, and quitting smoking. You might also decide to take medicine such as cholesterol or blood pressure medicine. A coronary calcium scan can give your doctor more information about your risk for heart disease, especially if you already have risk factors. Then you can make decisions about how to lower your risk. For example, you and your doctor can use your score plus your other risk factors to decide whether cholesterol medicine is right for you. Compare What is usually involved? What are the benefits? What are the risks and side effects? These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. My mom had a heart attack in her early 60s, followed by bypass surgery. She didn't have a clue that she had heart disease. I don't want that to happen to me. I already know I have a couple of health issues that raise my risk for heart disease. So I'm going to ask my doctor about getting a coronary calcium scan to check my risk. Rose, age 48 My wife has been bugging me to get this test. So I asked my doctor about it. He said my risk for getting heart disease is pretty low even though I have high blood pressure. I'm taking medicine for that and for high cholesterol. I'm also trying to eat better and exercise. I just don't think the test is going to tell me more about my risk than I already know. Jeffrey, age 56 My doctor says I am at risk for heart disease. She wants me to have a coronary calcium scan so that we can get a better idea of my risk of a heart attack. Then, we can decide whether I should start taking medicine so I can lower my risk. I like the idea of having all the information before I make decisions. So I'm going to have the test. Tony, age 53 I get a physical exam from my doctor every year, and she says I'm in pretty good shape. But ever since I passed 50, I've been worried about heart disease. I saw an ad for this test in the newspaper and asked my doctor about it. It turns out that in healthy people like me, the test results aren't very reliable. I'm going to just keep getting an annual checkup. Maria, age 54 Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to have a coronary calcium scan Reasons not to have a coronary calcium scan I need more information about my risk so I can commit to making lifestyle changes or taking medicines. I already know that I should make some lifestyle changes to keep my heart healthy. It's worth it to me to pay for this test myself. My insurance won't pay for this test, and I can't afford it. I want to take any tests that could help me find out my risk for heart disease. I don't want to take tests I don't need. I want to take this test because I need more information about my risk for having a heart attack. I already know my risk for having a heart attack, so I don't need this test. My other important reasons: My other important reasons: Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having a coronary calcium scan NOT having a coronary calcium scan Check the facts Decide what's next Certainty 1. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. This information is only for people who are curious about their risk for heart disease but don't have angina symptoms, such as chest pain or pressure. A coronary calcium scan is a test for people who have no symptoms of heart disease but may be at risk for getting it. The test uses computed tomography (CT) to check for calcium buildup in plaque on the walls of the coronary arteries. The coronary arteries wrap around the heart and supply it with blood and oxygen. Calcium in these arteries is a sign of heart disease. During the test, a CT scan takes pictures of your heart in thin sections. The result is a score based on the amount of calcium seen on the scan. The higher your calcium score, the higher your risk for a heart attack. The test takes about 30 minutes. Most health insurance plans don't pay for coronary calcium scanning. The cost can range from about $100 to $400. CT angiography is a test that uses computed tomography to see if an artery is narrowed or blocked. It's different from a coronary calcium scan and may be best after you already have symptoms of heart disease and other test results are not clear. Talk with your doctor if you want to know more about CT angiography. This Decision Point is about coronary calcium scanning. Your doctor may want you to have a coronary calcium scan if it can help you and your doctor make decisions about how to lower your risk for heart disease and heart attack. This test might be most helpful for people who do not have heart disease but who are at medium risk for heart disease. Your doctor can help you know your risk of heart disease and heart attack. Your doctor will look at things that put you at risk, including blood pressure, cholesterol, diabetes, and your age, sex, and race. In most cases, the results from your physical exam and other tests will give your doctor enough information about your risk for heart disease. A coronary calcium scan is not advised for routine screening for coronary artery disease.1 This test might not tell your doctor any more about your risk for heart disease than your risk factors do. Risk factors are things that can increase your risk for heart disease, such as diabetes, high blood pressure, high cholesterol, and smoking. This screening test is not for you if: This test may not be right for you if you are a man younger than 40 or a woman younger than 50. This is because younger people typically do not have much calcium buildup in their arteries yet. Your test result is a number that is your calcium score. The score can range from 0 to more than 400. The higher your score, the greater your chance of having a heart attack. The score might be helpful if you are unsure whether to take a statin to lower your risk of a heart attack. Your doctor will look at your calcium score as well as your age, your health, and your other test results such as your cholesterol level.2 After you have the test, talk with your doctor about your results. Many people only learn that they have heart disease when they have a heart attack. A coronary calcium scan is one way to find out if you have early heart disease before it gets worse. After you know your risk, you and your doctor can make decisions about how to lower it. You can make lifestyle changes such as having a heart-healthy eating plan, staying at a healthy weight, getting more exercise, and quitting smoking. You might also decide to take medicine such as cholesterol or blood pressure medicine. A coronary calcium scan can give your doctor more information about your risk for heart disease, especially if you already have risk factors. Then you can make decisions about how to lower your risk. For example, you and your doctor can use your score plus your other risk factors to decide whether cholesterol medicine is right for you. These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. "My mom had a heart attack in her early 60s, followed by bypass surgery. She didn't have a clue that she had heart disease. I don't want that to happen to me. I already know I have a couple of health issues that raise my risk for heart disease. So I'm going to ask my doctor about getting a coronary calcium scan to check my risk." — Rose, age 48 "My wife has been bugging me to get this test. So I asked my doctor about it. He said my risk for getting heart disease is pretty low even though I have high blood pressure. I'm taking medicine for that and for high cholesterol. I'm also trying to eat better and exercise. I just don't think the test is going to tell me more about my risk than I already know." — Jeffrey, age 56 "My doctor says I am at risk for heart disease. She wants me to have a coronary calcium scan so that we can get a better idea of my risk of a heart attack. Then, we can decide whether I should start taking medicine so I can lower my risk. I like the idea of having all the information before I make decisions. So I'm going to have the test." — Tony, age 53 "I get a physical exam from my doctor every year, and she says I'm in pretty good shape. But ever since I passed 50, I've been worried about heart disease. I saw an ad for this test in the newspaper and asked my doctor about it. It turns out that in healthy people like me, the test results aren't very reliable. I'm going to just keep getting an annual checkup." — Maria, age 54 Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to have a coronary calcium scan Reasons not to have a coronary calcium scan I need more information about my risk so I can commit to making lifestyle changes or taking medicines. I already know that I should make some lifestyle changes to keep my heart healthy. It's worth it to me to pay for this test myself. My insurance won't pay for this test, and I can't afford it. I want to take any tests that could help me find out my risk for heart disease. I don't want to take tests I don't need. I want to take this test because I need more information about my risk for having a heart attack. I already know my risk for having a heart attack, so I don't need this test. My other important reasons: My other important reasons: Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having a coronary calcium scan NOT having a coronary calcium scan 1.
Can anyone who is worried about heart disease benefit from a coronary calcium scan? 2.
Does a high score on a coronary calcium scan always mean you have heart disease? 3.
Could you still be at risk for heart disease even if you get a low calcium score on the test? 4.
Is having a coronary calcium scan the only way to tell if you need to make lifestyle changes to help your heart, such as exercising, eating better, and not smoking? 1.
Do you understand the options available to you? 2.
Are you clear about which benefits and side effects matter most to you? 3.
Do you have enough support and advice from others to make a choice? 1.
How sure do you feel right now about your decision? 2.
Check what you need to do before you make this decision. Current as of: June 24, 2023 Author: Healthwise Staff Clinical Review BoardCoronary Calcium Scan: Should I Have This Test?
Coronary Calcium Scan: Should I Have This Test?
1
Facts2
Options3
Feelings4
Decision5
Yourself6
Get the facts
Your options
Key points to remember
What is a coronary calcium scan?
Who should get a coronary calcium scan?
What do the results mean?
What are the benefits of a coronary calcium scan?
What are the risks?
Why might your doctor recommend this test?
Compare your options
Personal stories about coronary calcium scanning
What matters most to you?
Where are you leaning now?
What else do you need to make your decision?
Your Summary
Your decision
Next steps
Which way you're leaning
How sure you are
Your comments
Your knowledge of the facts
Key concepts that you understood
Key concepts that may need review
Getting ready to act
Patient choices
Credits and References
Author Healthwise Staff Clinical Review Board Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.Coronary Calcium Scan: Should I Have This Test?
1. Get the Facts
Your options
Key points to remember
What is a coronary calcium scan?
Who should get a coronary calcium scan?
What do the results mean?
What are the benefits of a coronary calcium scan?
What are the risks?
Why might your doctor recommend this test?
2. Compare your options
Have a coronary calcium scan Don't have a coronary calcium scan What is usually involved? What are the benefits? What are the risks and side effects? Personal stories
Personal stories about coronary calcium scanning
3. What matters most to you?
4. Where are you leaning now?
5. What else do you need to make your decision?
Check the facts
Decide what's next
Certainty
By Healthwise Staff Clinical Review Board Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version.
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
FAQs
Have a coronary calcium scan Have a coronary calcium scan
Don't have a coronary calcium scan Don't have a coronary calcium scan
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Credits
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You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.
Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
FAQs
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Equally important
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Leaning toward
Undecided
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You're right. People who are at medium risk for heart disease will get the most benefit from this test. If you are at low risk, the test results may not be reliable. If you are at high risk, you should already be under a doctor's care.
That's right. You could get a high score on the test even if your arteries do not have signs of heart disease. That could lead to other tests or treatments you don't need.
That's right. Not all arteries that have early signs of heart disease have calcium. So you could get a low score on the test and still be at risk.
You are right. Even without taking the test, you can make healthy lifestyle changes that can help your heart.
Not sure at all
Somewhat sure
Very sure
Credits
References
Citations