Consumer Reports On Treadmills

Welcome to the Heart Scanning Industrial Complex

Wouldn't it be great if you could just get some sort of heart or blood vessel scan to prevent an early death? You have to admit there is nothing more effective than good old fear to drive you to do "something medical" to save your life. As the most important organ in your body, your heart is the focus of a lot of attention from the medical community and that's why finding heart disease before it strikes you down seems so attractive.

What, you feel perfectly healthy? Think again: your arteries may be so clogged you're a walking time bomb. Lucky for you there are oodles of heart and blood vessel scanning technologies available to people who don't yet have any signs of heart disease.

If you can't get to Wisconsin to avail yourself of the highest of the high tech vascular screening, you could easily pop into Vancouver's Canada Diagnostic Centre in the City Square Mall on West 12th where for $690 you get a heart scan. Their facility is equipped with Toshiba's 64-slice Aquilion CT Scanner, a high-speed, high-resolution scanner that can take a detailed study of "any area of the body" in seconds.

Want some preventive screening? Their website says that a heart scan (also known as Coronary Artery Calcium Scoring) would be appropriate for men 40 and over or women 50 and over.

The goal of such a scan is to look for "calcified plaque build-up in the heart's arteries." Apparently you could have such plaque and feel fine, even do well in the standard exercise stress test and exhibit no signs of disease. The plaque, they say, correlates to "the risk of future coronary disease."

Why do this? Well, as their brochure says, the scan, "combined with your other risk factors, can provide an overall picture of your heart health and can help you and your doctor develop a prevention strategy that's right for you."

Better safe than sorry right? The Canadian Diagnostics Centre is careful in not recommending screening to everyone, but state that it is only designed for people with a family history of heart disease, those with high cholesterol, high blood pressure or diabetes as well as smokers and people exposed to second-hand smoke. In other words "almost everyone."

Who pays for the test?

So you plunk down $690 to determine that you have some atherosclerotic plaque. This means you've got a "greater likelihood of occlusive coronary artery disease." Your heart arteries aren't like clogged plumbing and there is no roto-rooter to send down your pipes to clean things out. So now what? They recommend what sounds like the usual things, changing your diet and exercise habits, and possibly take some kinds of preventive medication to reduce your risk of a future heart attack. Hmmm.

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Consumer Reports January-December 2003

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