CT Coronary Angiography + Calcium Score

Combined cardiac CT package — coronary calcium score followed immediately by contrast-enhanced CT coronary angiography in a single appointment. Provides a complete, non-invasive picture of coronary artery health on a 128-slice scanner. Published price: €550.

The combined CT cardiac package at Sanador Hospital runs two sequential examinations — a non-contrast calcium score and a contrast-enhanced coronary angiography — on the same Siemens CT Definition Edge 128-slice scanner, in a single appointment that typically lasts under one hour from arrival to departure. This two-stage approach is the most comprehensive non-invasive cardiac CT workup available and is precisely what is published at €550 on Sanador's English-language pricing page. The first stage is the coronary calcium score. With no contrast agent and a very low radiation dose, the scanner sweeps the heart region in seconds, capturing images timed to the cardiac rhythm to eliminate motion blur. The resulting Agatston score quantifies total calcific plaque burden across all four coronary territories, giving an immediate read on the patient's underlying atherosclerotic load. A score of zero is powerfully reassuring; high scores identify patients who need further investigation urgently. The second stage follows directly in the same appointment. After an intravenous cannula is placed and heart rate is optimised if needed (Sanador's cardiology team can administer beta-blockade if required), iodine-based contrast is injected and the scanner acquires a cardiac-gated volumetric dataset as the contrast bolus perfuses the coronary arteries. The result is a high-resolution three-dimensional map of the left main, left anterior descending, left circumflex, and right coronary arteries from their origins to their distal branches. The radiologist then processes the angiogram dataset to grade any stenosis by the percentage reduction in luminal diameter and to characterise plaque composition — distinguishing calcified from non-calcified (lipid-rich, more rupture-prone) plaques. The combination of the Agatston score and the angiographic map is particularly powerful because it answers two related but distinct questions: how much total atherosclerosis is present (the score), and whether any specific plaque is causing a flow-limiting narrowing that requires intervention (the angiogram). Sanador is the largest private hospital in Romania, with 413 beds and a 30,000 m² purpose-built facility near Piața Victoriei in central Bucharest. The radiology department runs 24 hours a day, seven days a week, enabling same-day scheduling in most cases. For medical tourists arriving in Bucharest, the hospital is accessible from the city centre in under 20 minutes and from Henri Coandă International Airport in approximately 40 minutes by taxi. The €550 package price (approximately 2,730 RON at current exchange rates) is one of the most competitive combined cardiac CT prices in Central and Eastern Europe, where equivalent packages typically range from €600 to €900 at established private hospital networks. No referral from a local GP is required for self-pay bookings. Appointments can be arranged through the 24-hour call centre at +40 21 9699.