Heart Scan Test: What You Need to Know

Introduction

A heart scan, also known as a coronary calcium scan, is a specialized imaging test used to detect calcium deposits in the coronary arteries. This test helps assess the risk of coronary artery disease (CAD) and potential heart problems.

What is a Heart Scan?

A heart scan is typically performed using a computed tomography (CT) scan, specifically coronary artery calcium (CAC) scoring. The scan measures the amount of calcium in your heart’s arteries, which can indicate plaque buildup and potential blockages.

Why is a Heart Scan Done?

A doctor may recommend a heart scan if you have: - A family history of heart disease - Risk factors for CAD (high blood pressure, high cholesterol, diabetes, smoking, or obesity) - Intermediate risk of a heart attack based on other health assessments

How is the Test Performed?

  • The test is painless and non-invasive.
  • You lie on a table while a special CT scanner takes detailed images of your heart.
  • The procedure takes about 10-15 minutes.
  • No contrast dye or injections are needed.

Interpreting the Results

  • Calcium Score = 0: No detectable heart disease risk.
  • 1-100: Mild plaque buildup, low risk of heart disease.
  • 101-400: Moderate plaque, increased risk.
  • Over 400: High risk, significant coronary artery disease may be present.

Who Should Get a Heart Scan?

This test is usually not recommended for everyone. Instead, it is best for people with a moderate risk of heart disease, rather than those with a known diagnosis of CAD or very low risk.

Next Steps After Your Scan

  • A low score may mean lifestyle modifications are sufficient.
  • A high score may require medication (e.g., statins) and further testing (stress test, angiography).
  • Always discuss your results with your cardiologist for the best course of action.

Final Thought

A heart scan is a useful tool for assessing cardiovascular risk, but it’s not a standalone diagnostic tool. It should be used in combination with other cardiovascular risk assessments.

Source recommendations

1. European Society of Cardiology (ESC) Guidelines on Cardiovascular Disease Prevention

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-Prevention-Guidelines
  2. https://academic.oup.com/eurheartj/article/42/34/3227/6358713
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines
  4. https://pubmed.ncbi.nlm.nih.gov/34458905/
  5. https://www.portailvasculaire.fr/sites/default/files/docs/2021_esc_guidelines_prevention_cardiovasculaire_ehj.pdf

2. American Heart Association (AHA) Guidelines on Cardiovascular Risk Assessment

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000677
  2. https://professional.heart.org/en/guidelines-and-statements/prevent-calculator
  3. https://www.ahajournals.org/doi/10.1161/cir.0000000000000678
  4. https://tools.acc.org/ascvd-risk-estimator-plus/
  5. https://newsroom.heart.org/news/leading-cardiologists-reveal-new-heart-disease-risk-calculator

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