Coronary Artery Calcium (Agatston) Score

Coronary artery calcium (CAC) Agatston score interpretation (Agatston 1990): a total score of 0 = no plaque, 1-99 = mild, 100-399 = moderate, >=400 = severe/extensive.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Total coronary artery calcium (Agatston) score
250

Result: CAC 250 — moderate (100-399).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Category
total Agatston score: 0 = no calcified plaque, 1-99 = mild, 100-399 = moderate, >= 400 = severe/extensive (the 100 and 400 breakpoints are consensus).
Statin aid
in borderline/intermediate-risk primary prevention: CAC 0 favors deferring a statin, 1-99 favors starting (esp >=55), >=100 or >=75th percentile favors statin. Advisory; 0 is not zero risk.

What you enter

  • Total coronary artery calcium (Agatston) score
How this is calculated

Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990;15(4):827-832. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.