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Cardiac Electron-Beam CT Scan

What is a cardiac electron-beam CT scan?

A cardiac electron-beam CT scan, sometimes called ultra-fast CT or EBCT, is a computer-assisted X-ray scan of the heart. It can be used to check for coronary artery disease.

CT can also check the heart in other ways, including looking at heart valves and the size and function of the lower chambers of the heart (right and left ventricles). CT can help healthcare providers check nearby blood vessels, such as the aorta, which carries blood from the heart.

The full medical term for CT is computed tomography.

When is it done?

This scan may be done to:

  • Check for calcium (calcification) in the coronary arteries to get an idea of how much the arteries may be narrowed or hardened by atherosclerosis. (Normal coronary arteries have very little or no calcium in them. Atherosclerosis attracts and concentrates calcium in the blood vessels.)
  • Evaluate blood flow to the heart.
  • See how well your heart is working.
  • Check the heart valves.
  • Look at structures around the heart, such as the pericardium (the thin membrane around the heart) and the aorta.

How do I prepare for the scan?

No special preparation is needed.

How happens during the scan?

Scanning usually lasts 20 to 90 minutes and is painless. During a CT scan, you lie still on a table. The table slides into the CT unit, which is like a small tunnel. It is important not to move during the scan. The best CT scans are obtained if you hold your breath while you are being scanned. If this is not possible, you will be asked to breathe quietly and regularly. The scanner moves around the table and may make noises. You can talk to the technologist at any time during the procedure.

Ask your healthcare provider when you will get the results of the scan.

What are the benefits of this procedure?

Information from the scan can help your healthcare provider check your risk for heart disease and get a close look at your heart and arteries to check for problems. Results from the scan may help your provider determine how best to manage risk factors for heart disease, such as high cholesterol.

Because the procedure is noninvasive, which means that it does not involve any cuts or needles, it has fewer risks than a coronary angiogram.

What are the disadvantages of the scan?

This scan may not always help diagnose early-stage heart disease. You may need other tests. The scan can be expensive and is not usually covered by insurance or Medicare. In addition these tests expose you to radiation from the X-rays.

When should I call my healthcare provider?

Your provider will review the results and let you know what the pictures show. Call your provider during office hours if:

  • You have questions about the scan or its result.
  • You want to make another appointment.

Written by Donald L. Warkentin, MD.
Adult Advisor 2012.1 published by RelayHealth.
Last modified: 2011-08-11
Last reviewed: 2011-04-25
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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