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A-Z Health Guide from WebMD: Medical Tests

  Exam Overview
  Why It Is Done
  Results
  What To Think About
  References
Electron beam computed tomography (CT) scan for coronary artery disease

Exam Overview

An electron beam computed tomography (CT) scan is a new test that can be used to find calcium buildup in the lining of arteries.

An electron beam CT scan is much faster than a standard CT scan. An electron beam CT scan can make an image in a fraction of a second and can take a clear picture of an artery even while the heart is beating. A standard CT scan is not fast enough to take pictures of a pumping heart. In standard CT, several pictures, or "slices," of the heart are taken from different angles. These pictures are then put on a computer to create a three-dimensional view of the heart.

Why It Is Done

This test is used to find calcium buildup in heart arteries, which can increase your risk for coronary artery disease (CAD). It may be used as a tool to find hardening of the arteries in people who have a high chance of developing atherosclerosis.

Results

Fat and calcium buildup may be seen in the arteries during an electron beam CT scan. Treatment for atherosclerosis may be needed.

If an electron beam CT scan does not show calcium buildup in the arteries, then the chances of having CAD are low.1 Most people who have a negative angiogram test result also have a negative electron beam CT scan test result.1

A high calcium score on an electron beam CT scan shows a higher chance of having cardiovascular problems within the next 2 to 5 years, especially when a person also has multiple risk factors for developing coronary artery disease.1 However, the scan does have a fairly high rate of false-positive results.

What To Think About

An electron beam CT scan is a simple, noninvasive test that can find how much calcium buildup is in the heart arteries.

An electron beam CT scan is more expensive than other tests and may not be widely available. Because this test is still new, some insurance companies will not pay for it.

Complete the medical test information form (PDF)Click here to view a form.(What is a PDF document?) to help you prepare for this test.

References

Citations

  1. American College of Cardiology (ACC) and American Heart Association (AHA) (2000). Expert consensus document on electron-beam computed tomography for the diagnosis and prognosis of coronary artery disease. Circulation, 102: 126–140.

Credits
Author Ellie Rodgers
Editor Geri Metzger
Associate Editor Lila Havens
Primary Medical Reviewer Adam Husney, MD

- Family Medicine
Primary Medical Reviewer Caroline S. Rhoads, MD

- Internal Medicine
Specialist Medical Reviewer Robert A. Kloner, MD, PhD

- Cardiology
Specialist Medical Reviewer Ruth Schneider, MPH, RD

- Diet and Nutrition
Last Updated May 28, 2004


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Last updated: May 28, 2004
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