CT Heart Score / Calcium Score

What is a Heart Score?
A heart score is an evaluation of the coronary arteries for calcified plaque. The blood vessels of the body develop fatty deposits and the body will convert these deposits to calcium; this is the body’s defense mechanism against the soft plaque. Soft plaque can break free or cause a blockage, which can result in a stroke or heart attack. The amount of calcium is quantitatively determined for each artery and a total score is determined. The “total score” is an indication of the risk for coronary artery stenosis. A high score indicates the likelihood of a significant coronary artery stenosis. A low score would suggest that significant coronary artery stenosis is unlikely, however a low score does not guarantee a disease free heart or that heart attack will not occur.

Should I get a Calcium Score?
In general, you should speak with your physician before getting a heart score. There are risks associated with heart scores, and the study is unlikely to be helpful unless you are working closely with a physician who can help guide therapy. Currently, major medical associations do not recommend heart scores as a screening exam. There are cases where a heart score may be beneficial. The risks and benefits should be determined in a discussion with your physician. Patients do not need a physician’s prescription to obtain this exam, but will need to provide a doctor’s name for the facsimile of the report. Typically insurance does not cover these types of exams.

What Can I Expect?

Exam Preparation

• No caffeine 12 hours prior to the examination.
• No cold medicine and withhold inhalers if possible.
• If your heart rate is 80 BPM or higher, we would encourage a discussion with your physician and consider taking a Beta Blocker. 
  Click here to view Beta Blocker Guidelines.
• Drink water, there is no restriction on your water intake.

During the Exam

• Any metal that is within the area to be scanned will need to be removed.
• During the scan your arms will be brought above your head and ECG leads will be attached to your chest.
• You will be asked to hold your breath for 10-20 seconds while the images are being taken.
• Exam should be completed within 10 minutes.

After the Exam

• If a Beta Blocker was taken you may feel tired.
• Report will be forwarded to your doctor within 24 to 48 hours.