What Your Cholesterol Test Might Not Be Telling You
- Dr. Arlene Johnston

- May 11
- 2 min read

When most people think about heart health, cholesterol is usually the first thing that comes to mind.
While cholesterol levels can provide helpful information, they don’t always tell the full story about someone’s risk for heart disease.
Some people with normal cholesterol levels still develop plaque in their arteries, while others with higher cholesterol may not have significant plaque buildup.
This is where a Coronary Artery Calcium (CAC) Scan can provide additional insight.
What Is a Coronary Artery Calcium Scan?
A coronary artery calcium scan is a quick, non-invasive CT scan that looks for calcium deposits in the arteries of the heart. These calcium deposits are a sign of plaque buildup in the coronary arteries, which can increase the risk of heart disease over time.
The test produces a calcium score, which helps estimate how much plaque may be present in the arteries.
Why This Test Can Be Helpful
A CAC scan can provide a clearer picture of heart disease risk than cholesterol levels alone.
It can be helpful for both men and women, especially for those with risk factors such as family history of heart disease.
For some people, it can help:
• Detect early plaque buildup
• Better assess overall cardiovascular risk
• Guide prevention strategies
• Help determine whether certain medications may be beneficial
For others, a low or zero score can provide reassurance that their current risk is low.
Cost and Insurance
Most insurance plans do not typically cover coronary artery calcium scans.
However, the test is often less than $100 at many imaging centers, making it a relatively affordable way to gain additional insight into heart health.
Looking at the Bigger Picture
Heart disease often develops slowly over time and may not cause noticeable symptoms in the early stages.
Tools like the CAC scan can sometimes help identify risk earlier so that lifestyle changes and prevention strategies can be started sooner.
For some people, this simple scan can offer a clearer picture of what’s actually happening in the arteries. You can schedule an appointment with one of our providers if you’d like to discuss whether it may be helpful for you.



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