Authorized Cigna healthcare provider Trusted partner to 45+ embassies in Stockholm
Cardiology-led preventive imaging

See your heart health. Before symptoms.

Two established imaging methods to map coronary artery disease — always with a cardiologist, always in person. Personal planning, clinical motivation, and 12 months of structured follow-up.

Always cardiology-led
Performed at Evidia
IVO-registered
ESC guidelines
Patient injury insurance
The medical motivation

Cardiovascular disease remains the leading cause of death in Sweden.

Many heart attacks happen in people without prior symptoms. Modern imaging can identify coronary artery disease long before it becomes symptomatic — and change both prognosis and treatment while it still matters.

41 %
lower risk of myocardial infarction and cardiac death over five years in patients where CT coronary angiography was integrated into the workup, compared to standard care. SCOT-HEART, New England Journal of Medicine 2018.

Two methods · Clinical indication decides

Which scan is right for you?

The choice between calcium score and CT coronary angiography rests on age, symptoms, risk factors, and prior workup. A cardiologist makes that assessment at the first visit — we never recommend a scan without clinical motivation.

METHOD 01 · LOW-DOSE CT, NO CONTRAST

Calcium Score (CACS)

5–10 min · Agatston value · ~1 mSv radiation

Measures the amount of calcified plaque in the coronary arteries — one of the strongest single predictors of future cardiac events in asymptomatic individuals. Quick, contrast-free imaging with low radiation dose.

  • Suitable for ages 40–75 without known heart disease
  • Basis for medication decisions (statin indication)
  • Agatston = 0 carries strong prognostic confidence
  • Upgraded in ESC prevention guidelines 2021
  • No contrast, no blood tests required for the scan itself
4,290 SEK
Entire protocol

Consultation included

METHOD 02 · CT WITH IODINE CONTRAST

CT Coronary Angiography (CCTA)

30–60 min total · CAD-RADS · ~3–5 mSv

Detailed anatomical mapping of the coronary arteries — visualises both calcified and soft plaque, stenosis grade, and vessel anatomy. First-line per ESC for low-to-intermediate pretest probability of coronary artery disease.

  • For symptomatic patients or those at higher risk
  • Detects soft plaque that calcium score misses
  • SCOT-HEART: 41 % lower 5-year MI/death
  • First-line per ESC 2019/2024
  • Requires normal kidney function (creatinine drawn first)
21,900 SEK
Entire protocol

Consultation included

Who this is for

Appropriate — and not appropriate.

Preventive cardiac imaging is not for everyone. Here is when it is medically motivated, and when it is not.

Appropriate if you…

  • are 40 or older with risk factors (hypertension, diabetes, high cholesterol, smoking)
  • have premature myocardial infarction in the family (men < 55, women < 65)
  • have elevated LDL or Lp(a) despite lifestyle measures
  • experience atypical chest pain without prior workup
  • want clarity before lifestyle or medication decisions
  • train intensively and want vascular health confirmation

Not right if you…

  • have acute chest pain — go to the emergency department or call 112
  • already have a known coronary artery disease under active treatment
  • are pregnant or suspect pregnancy (radiation)
  • are under 35 without risk factors or family history
  • have severe renal failure and require contrast (CCTA)
  • want a scan without clinical indication

The protocol · 12 months

How it works.

Structured, physician-led, and always in person — from first consultation through 12-month follow-up. We handle the referrals and coordinate with Evidia.

1

Cardiology consultation

45-min in-person visit. Review of risk factors, family history, blood pressure, ECG. Clinical indication established.

2

Preparatory labs

Lipid panel incl. ApoB and Lp(a), HbA1c, hsCRP, creatinine if CCTA is on the table. Results within 5 days.

3

Imaging at Evidia

CACS or CCTA. We handle the referral and scheduling. Images reviewed by a specialist in imaging and functional medicine.

4

Results review

45-min in-person visit with cardiologist. Image walkthrough, score, risk stratification. A personal action plan is drawn up.

5

3-month check-in

Follow-up lipid panel if medication was started. Phone call with your cardiologist — fine-tuning and questions.

6

12-month check-up

In-person visit, repeat lipid panel, blood pressure review, lifestyle alignment. Decision on further imaging if needed.

7

Referral when needed

For significant findings we refer onward to interventional cardiology, electrophysiology or another specialist through our network.

The protocol includes

Full commitment
No hidden costs · 12 months

What’s included in the price

  • Pre-test consultation with cardiologist (45 min, in person)
  • Imaging at Evidia (CACS or CCTA)
  • Results review with cardiologist (45 min, in person)
  • Personal action plan and medication strategy
  • 3-month follow-up (phone + labs)
  • 12-month in-person check-up
  • Secure digital communication and access to your record
  • Referral handling to specialists when needed

The scientific basis

Not hype. Established evidence.

We only offer imaging that is well validated in international research and recommended by the European Society of Cardiology.

SCOT-HEART: 5-year follow-up

Newby DE et al. N Engl J Med 2018;379:924–933

Among 4,146 patients with stable chest pain, CT coronary angiography was associated with a 41 % lower risk of myocardial infarction and cardiac death after 5 years, compared to standard care (HR 0.59).

MESA: Calcium score as predictor

Detrano R et al. N Engl J Med 2008;358:1336–1345

Among 6,722 individuals without cardiovascular disease, coronary calcium was the strongest single predictor of future coronary events — superior to traditional risk factors alone.

ESC 2019 — chronic coronary syndromes

Knuuti J et al. Eur Heart J 2020;41:407–477

CT coronary angiography is recommended as the initial test for patients with low-to-intermediate pretest probability of coronary artery disease (Class I recommendation).

ESC 2021 — cardiovascular prevention

Visseren FLJ et al. Eur Heart J 2021;42:3227–3337

Coronary calcium was upgraded to a clinically useful risk modifier for individuals at intermediate risk where the treatment decision is not straightforward.

CAC = 0 and prognosis

Mahabadi AA et al. Atherosclerosis 2017;264:11–15

Individuals with a calcium score of zero have a very low risk for cardiovascular events over the following 5–10 years — sometimes referred to as a “warranty period”.

ACC/AHA guideline position

Greenland P et al. J Am Coll Cardiol 2018;72:434–447

Consensus that calcium score is useful for risk stratification in individuals at intermediate risk, to determine whether primary preventive statin therapy is warranted.

Transparency

What we want you to know first.

We think it’s more important that you make a well-informed decision than that you book a scan.

A negative finding is not a guarantee

A normal result means low risk — not no risk. Heart disease can develop over time, and lifestyle, blood pressure and blood lipids still need to be followed regularly.

A positive finding is not a diagnosis

Calcification or soft plaque indicates elevated risk, but not that you will have a heart attack. Further workup may be needed before an action plan is set.

Radiation — justified under the Radiation Protection Act

CACS involves roughly 1 mSv (compared to 3 mSv of natural background radiation per year). CCTA, roughly 3–5 mSv. All imaging is performed with clinical indication under the Swedish Radiation Protection Act (2018:396).

Incidental findings occur

CT of the thorax can show findings outside the heart (lungs, mediastinum). All findings are reviewed by a specialist in imaging and functional medicine and followed up if medically motivated. This can lead to additional workup.

False positives and false negatives

As with all diagnostics, there is a small risk of incorrect results. That is one of several reasons we always integrate imaging with clinical assessment, blood work and symptom analysis.

We follow Swedish law and proven experience

Care is delivered under the Health and Medical Services Act, by licensed personnel, in accordance with science and proven experience. We are supervised by the Health and Social Care Inspectorate (IVO) and follow the guidelines of the National Board of Health and Welfare (Socialstyrelsen).

Frequently asked

Questions and answers.

What’s the difference between calcium score and CT coronary angiography?
Calcium score (CACS) measures the amount of calcified plaque in the coronary arteries and is performed without contrast. It produces a numerical Agatston value that reflects your 10-year risk. CT coronary angiography (CCTA) uses iodine contrast and shows both calcified and soft plaque as well as the degree of any narrowing. CCTA gives more detailed anatomical information but involves contrast, a slightly higher radiation dose, and a longer scan time. Which one is right for you is decided in the cardiology consultation.
Can I book without a referral?
The first step is always a cardiology visit with us. Imaging is ordered only when the cardiologist judges it medically motivated — you cannot book the scan directly yourself. This ensures the right scan is chosen and that the result is interpreted in a clinical context.
How safe is the radiation?
CACS involves roughly 1 mSv, equivalent to about four months of natural background radiation. CCTA involves roughly 3–5 mSv, comparable to about a year of background radiation. Modern low-dose technique and clinically motivated indication make the benefit large relative to the risk. We comply with the Swedish Radiation Protection Act (2018:396) and justify each scan individually.
What happens if something is found?
At the results review we go through the findings together — what they mean and how you compare to different risk groups. Depending on the findings we may initiate medication (such as a statin), recommend a deeper workup (exercise test, MR, coronary angiography) or refer you to an interventional cardiologist. You are not alone after the result arrives — the 3- and 12-month follow-ups are included.
Is it included in my membership?
CT coronary angiography and calcium score are not included by default in Individual Membership. As a member you get a fixed member price and 20 % off other workups and complementary tests. For Health Optimize members the scan may be included according to the programme’s terms — ask us at the consultation.
How long does the whole process take?
From the first cardiology consultation through the results review usually takes 2–4 weeks, depending on Evidia’s availability. The imaging itself takes 5–10 minutes for CACS and 30–60 minutes in total for CCTA. The 12-month protocol then runs with follow-ups built in.
Where is the scan performed?
Imaging is performed at Evidia — one of Sweden’s leading providers of medical imaging, with specialists in imaging and functional medicine. The cardiology visit, planning, results review and follow-ups take place with us at Kungstensgatan 2, Stockholm. We handle the referral and booking for you.

Authorized provider
Cigna Healthcare
International medical network
Trusted partner to
45+
Embassies in Stockholm