Heart Health

Calcium and heart disease: What's the connection?

Best known for boosting bone health, calcium also plays a role in diagnosing — and preventing — heart disease.

By , Executive Editor, Harvard Heart Letter

An attractively arranged assortment of calcium-rich foods including collard greens, tofu, almond milk, and a tin of sardines; in the center is a card with Ca printed on it, the periodic table abbreviation for calcium.

One test doctors use to better understand a person's risk of heart disease is a coronary artery calcium scan, a special type of CT scan. The test measures the amount of calcium in the walls of the heart's arteries to generate a calcium score. The higher the score, the greater the risk of having a heart attack.

Calcium makes up just a small part of the harmful buildup (known as plaque) that narrows the heart's arteries. "Plaque also contains cholesterol, inflammatory cells, and scar tissue," explains Dr. Rhanderson Cardoso, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. On a CT scan, the cholesterol is not visible, but the calcium is easy to see. Because there's a close correlation between the amount of calcium and the amount of plaque, a calcium score is a good indicator of plaque inside the arteries.

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About the Author

photo of Julie Corliss

Julie Corliss, Executive Editor, Harvard Heart Letter

Julie Corliss is the executive editor of the Harvard Heart Letter. Before working at Harvard, she was a medical writer and editor at HealthNews, a consumer newsletter affiliated with The New England Journal of Medicine. She … See Full Bio
View all posts by Julie Corliss

About the Reviewer

photo of Christopher P. Cannon, MD

Christopher P. Cannon, MD, Editor in Chief, Harvard Heart Letter; Editorial Advisory Board Member, Harvard Health Publishing

Dr. Christopher P. Cannon is editor in chief of the Harvard Heart Letter. He is a professor of medicine at Harvard Medical School, and senior physician in the Preventive Cardiology section of the Cardiovascular Division at … See Full Bio
View all posts by Christopher P. Cannon, MD

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