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Facts about heart disease:

  • 58 million Americans have one or more forms of cardiovascular disease
  • Coronary heart disease is the number one killer of men and women in the United States.
  • More Americans die of heart disease than all types of cancer combined.
  • At least 250,000 people a year die of a heart attack within one hour of the onset of symptoms and before they reach a hospital.
  • 12 million people alive today have a history of heart attack, chest pain or both.

Source: American Heart Association Back to Top

What is your Heart CT?
Your Heart CT is a revolutionary, pain free, non-invasive and inexpensive procedure that in 17 seconds can screen you for calcium deposits in your coronary arteries. Using CT imaging with multi-slice capability, the scanner takes images of your coronary arteries.

The speed of the GE Lightspeed CT unit makes it possible to capture cardiac images between beats. Cardiac scoring measures the amount of calcium built up in blood vessel walls.

This diagnostic procedure can help predict cardiovascular disease in people with no symptoms. Cardiac scoring enables the identification of individuals in the early stages of coronary disease, who could benefit the most from such therapies as drug treatment, diet and exercise.

This screening may help to prevent heart attacks and/or detect the need for more interventional treatment. Cardiac scoring is an excellent screening tool for all patients since all patients over 40, with or without "risk factors", are at risk for heart attack. Back to Top

What are the risk factors for heart disease?
The risk factors for heart disease include the following:

  • High Blood Pressure
  • Diabetes
  • High Cholesterol
  • Family history of heart disease
  • History of smoking
  • Sedentary lifestyle
  • Overweight
  • High stress lifestyle
  • Men: over 40 years old
  • Women: over 40 years old Back to Top

What causes heart disease?
The primary cause of heart disease is the build-up of plaque (atherosclerosis) in the arteries of the heart. This build-up can cause the arteries to narrow. Plaque can also break away from the artery walls and cause a blockage. In both instances the heart muscle does not receive enough blood flow and oxygen- thus a heart attack can occur.Back to Top

What does the procedure involve?
There is no preparation for your cardiac scoring exam. You will be asked to refrain from caffeine 4 hours prior to your study. You will be asked to complete a brief risk factor questionnaire. Next, you will lie down on the imaging table while the CT technologist places a few EKG leads on you. The heart is imaged only during a particular moment within the cardiac cycle. This almost eliminates the blurring produced by cardiac motion. You are then asked to hold your breath while the images are taken.

That's it. You can return to your regular routine. The information acquired during your CT scan is then processed with a cardiac scoring package called "Smart Score" that evaluates and quantifies the amount of calcium in your coronary arteries. Back to Top

What can my cardiac score tell me?
Cardiac scoring can help you understand your level of risk for heart disease. Subtle early warning signs of heart disease can be detected. Calcified plaque in coronary arteries can mean that you may be developing coronary artery disease. Calcium does not occur in normal coronary arteries. Calcium deposits are a strong marker for the presence of atherosclerosis, the lesions that cause narrowing of the coronary arteries, and ultimately lead to heart attacks.

If there is calcium in the coronary arteries, you have atherosclerosis. Further testing might then be indicated to measure the extent of the disease, and to decide on the best way to treat it.

A board certified radiologist, using high tech software called "Smart Score" calculates your cardiac score based on the images taken. You will receive your results at the time of your visit. The radiologist will sit down with you and give you a virtual tour of your heart.

"Smart Score" gives you a score indicative of the amount of calcium in the main arteries feeding your heart, from zero to more than 1,000, in each artery. Back to Top

Regardless of your score, always discuss your test results with your doctor.

  • If your score is 0:
    Your probability of having significant coronary artery disease is minimal. Share the results with your physician and discuss any lifestyle modification for continued good health.
  • If your score is positive but less than 100:
    Cardiac scoring by "Smart Score" has detected calcified plaque in the arteries of your heart which are unlikely to be causing a narrowing at this time. Along with your physician, you should discuss cardiac risk factors and initiate appropriate preventive measures.
  • If your score is between 101 and 400:
    Cardiac scoring by "Smart Score" has detected considerable amount of calcified plaques in the arteries of your heart. While this is not a medical emergency, there is an increased risk of heart attack. Your physician will determine what additional tests may be best. Your doctor will place you on a treatment regimen to modify your risk factors to reduce the risk of a heart attack.
  • If your score is greater than 400:
    Cardiac scoring by "Smart Score" has detected extensive calcified plaque in your coronary arteries which may have critical narrowing. You are at increased risk of heart attack. Based on your physician's recommendations you should begin treatment immediately to reduce your risk of heart attack. Back to Top

Is coronary artery disease treatable?
Yes, the plaque build-up process can be slowed, stabilized and reversed, in some cases, through aggressive lifestyle modifications and/or through medication therapies under the guidance of your physician. Back to Top

Does insurance cover this exam?
At this time, health insurance plans do not cover this procedure. The cost for Cardiac Scoring is $250.00, Cardiac Scoring including lungs is $425.00, payable at the time of service. Many convenient payment methods are available, including most major credit cards and personal checks. Cardiac scoring is a preventive screening procedure so a prescription or referral from your doctor is not necessary. You may call and schedule your appointment for a time that is convenient for you.

How often have you heard: "if we had caught this sooner, the outcome may have been different". Preventive imaging is a proactive approach to better health.


A Smart Score heart scan is not a replacement for seeing your physician or cardiologist. A preventative imaging scan should always compliment your annual physical. Back to Top

 

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