Imagine if you could take a picture of what’s happening inside your heart arteries — before you feel any symptoms. That’s exactly what a calcium score test does.
A calcium score (also called a coronary artery calcium scan or CAC scan) is a special type of CT scan that looks for calcium buildup in the arteries that feed your heart. When cholesterol and other substances stick to your artery walls over time, they form plaques. These plaques often contain calcium, which shows up clearly on the scan.
The best part? This test is:
- Quick (takes about 10–15 minutes)
- Painless (you just lie still on a table)
- No needles, no contrast dye, no fasting required
- Very low radiation — similar to a mammogram
Why It Matters for South Asians
Here’s something many doctors don’t tell you: South Asians can have dangerous plaque buildup even when their cholesterol levels look “normal.”
For people of South Asian heritage — Indian, Pakistani, Bangladeshi, Sri Lankan, Nepali — heart disease often strikes 10–15 years earlier. A 40-year-old South Asian can have the arteries of a 55-year-old from another group.
The calcium score test catches what blood tests miss. It shows whether plaque is building up silently, giving you precious time to take action.
Score Ranges and What They Mean
Your calcium score is a number that tells you how much plaque you have:
- Score of 0: No visible calcium buildup. That’s a great sign*
- Score of 1–99: Mild plaque buildup. Early stage — time for action.
- Score of 100–399: Moderate plaque. You have heart disease — but you can still protect yourself.
- Score of 400+: Significant plaque buildup. High risk — but this knowledge helps guide strong treatment decisions.
*Your arteries likely don’t have advanced plaque. But soft plaque could still be present, especially in younger people or early stages.
Did you know? A score of 0 doesn’t catch soft plaque — other tests like CIMT or advanced lipid panels can offer a fuller picture.
A high score isn’t a death sentence — it’s a wake-up call that could save your life.
When Should You Get One?
For South Asians, consider a calcium score scan if you:
- Are age 40 or older (or 35+ with diabetes or strong family history)
- Are unsure about starting cholesterol medication (statins)
- Have normal test results but still feel concerned
- Have risk factors like high blood pressure, diabetes, or smoking
Many insurance plans don’t cover it, but at $100–300, it’s one of the best health investments you can make.
What To Do If Your Score is High
First, take a deep breath. Finding calcium doesn’t mean something terrible is about to happen — it means now is the time to act.
Here’s what to do:
- Talk to your doctor about treatment options
- Consider medication if advised
- Start strong lifestyle changes (diet, movement, stress)
- Ask for follow-up tests and regular monitoring
Want step-by-step guidance? Visit: What To Do If Your Calcium Score is High →
Key Takeaways
- A calcium score shows dangerous plaque that standard blood tests may miss.
- South Asians are more likely to have hidden buildup.
- It’s fast, safe, and gives years of early warning.
- A high score isn’t panic — it’s power. Use that knowledge to protect your heart.
Ask your doctor. Share this with your siblings. It could save someone you love.
Because your heart doesn’t give warnings — but this scan does.