Coronary Calcium Score

Non-contrast CT scan measuring calcium deposits in the coronary arteries to quantify atherosclerotic plaque burden. The Agatston score produced stratifies 10-year cardiovascular event risk and guides statin, aspirin, and lifestyle decisions. Voxel Warsaw's specialisation in cardiac and coronary imaging makes it a natural venue for this investigation. Physician referral required.

The coronary artery calcium (CAC) score is one of the few CT examinations that requires no contrast agent, no special preparation, and no fasting — yet delivers clinically actionable cardiovascular risk information in under 20 minutes. Voxel Warsaw's stated focus on non-invasive cardiac diagnostics and oncological CT positions it well for this examination, which is explicitly listed among the examinations recommended by cardiologists and general internal medicine physicians on Voxel's CT guidance pages. The scan acquires ECG-gated images of the heart during a single breath-hold, synchronised to the cardiac cycle to minimise motion artefact in the coronary arteries. Dedicated workstation software then identifies and quantifies all calcified lesions in the four coronary arteries — left anterior descending (LAD), left circumflex (LCx), right coronary artery (RCA), and left main (LM) — and calculates the total Agatston score as the weighted sum of calcified plaque area and peak density. A score of zero means no identifiable calcified plaque and carries a very low 10-year event rate, reassuring enough to defer or deprioritise statin therapy in intermediate-risk individuals. A score of 1–99 indicates mild plaque; 100–399 moderate plaque; 400+ extensive plaque, each tier associated with stepwise increases in event probability. In asymptomatic patients with intermediate traditional risk (10-year Framingham or SCORE2 risk in the 5–20% range), a zero calcium score reclassifies approximately 40% to low risk, while a score above 100 reclassifies approximately 20% to high risk. Voxel's Warsaw team specialises in cardiac imaging; the cardiologist referral pathway is clearly articulated on their public CT guidance page, which notes coronary CT angiography and vascular risk assessment as key cardiac indications alongside the calcium score. The centre's radiologists are supported by the broader Voxel network, including teleradiology review capacity. National cardiology societies in Poland and across Europe now include CAC scoring in prevention guidelines. Warsaw market pricing for this examination ranges from 370 PLN to 700 PLN at comparable imaging centres, reflecting variability in scanner specifications and report turnaround. Voxel's pricing is not published but expected to fall in the mid-market range.