Coronary CT calcium scans are getting more popular. But before getting one, I'd do these simpler tests first:

- ApoB - about 20% of people with normal cholesterol results will have abnormal ApoB, and be at risk of heart disease.

- Lp(a) - the strongest hereditary risk factor for heart disease.

- hs-CRP - inflammation roughly doubles your risk of heart disease

- HbA1c - insulin resistance is a risk factor for just about everything.

- eGFR - estimates the volume of liquid your kidneys can filter, and is an input to the latest heart disease risk models (PREVENT).

These are simple blood tests. You can get them for <$200 through my company or others:

https://empirical.health/product/comprehensive-health-panel

Imaging is great for detecting calcified plaque in your coronary arteries. But before you have calcified plaque, the above risk factors tell you about the buildup of soft plaque. And 4 out of 5 of them are modifiable through lifestyle, exercise, and medication.