Has anyone recently done a Coronary Artery Calcium Scan (CAC) to find out how much calcium deposits are in your heart's arteries? In particular, anyone done it in Pattaya? How much are the prices?

 

Is it only worth doing it at Bangkok Hospital Pattaya or is it worth doing at Pattaya Memorial or Pattaya International?

 

Seems Bangkok Hospital (think this is in Bangkok?) has a package for 4,500 baht but they have a lot of other uncessary things as part of their package, when all I want is the Coronary Artery Calcium Scan (CAC). Actually, looks like Bangkok Hospital Pattaya has it for 2,900 baht: https://bangkokpattayahospital.com/product/heart-center-packages-2/?srsltid=AfmBOoqM31zKKEyCsigzBIXPQhU6YNGBQZ5VXbXcOyWEvjZvXjpOCsL9

 

Below it the 4,500 baht package from Bangkok Hospital (think this is in Bangkok?):

 

• Fasting blood Sugar
• Glycated Hb – HbA1c
• Creatinine plus GFR
• Cholesterol
• HDL
• LDL
• Triglycerides
• CT Coronary Calcium Score
• Physical examination by the doctor

In my other thread which is similar to yours , a poster just replied he had had a calcium test but wishes he got the angiogram 

Not perfect, but you could just get a carotid (neck) artery ultrasound, and if 'NO' plaque found there, then think you'd have low risk of any major build up elsewhere.  Or just get the CAC.

 

Carotid artery, large & close to skin, so easily read with ultrasound.  From AI ...

 

 

On other tests you may want, and ones I get, that give me a pretty clear idea, where I'm at or heading, with eating lifestyle.

 

Lipid panel

(Lipoprotein) Lp (a) ... just once in life time

Lp (b) 

HbA1c

HSCRP

HOMA-IR

 

Never hurts to know your electrolyte levels, copy of what those should show, and let's you know to avoid supplementing, unless doing heavy work out, it that's even needed  🙄

 

 

DISCLAIMER:  not a doc or med professional, but my numbers tell me I'm doing OK so far, after 71 yrs of gracing the planet.  Non smoker, cut all alcohol out, slowly over last 10 ish years.  Whole foods, home cooking, Keto-ish diet with intermittent fasting overnight, 2000 hrs - 1100 hrs.

 

I get most of my blood work done at 'N Health' now, Chumphon branch, being closest to us.

 

 

https://www.nhealth-asia.com/th/s/contact?_rsc=1iadh&%2Fth%2Fs%2Fcontact={"fk"%3A""%2C"total"%3A33%2C"currentPage"%3A2%2C"pageSize"%3A9%2C"filter"%3A{"filter"%3A{"keyword"%3A""%2C"saleAreaSlug"%3A"all"%2C"searchLocation"%3Anull}%2C"key"%3A"keyword%3A%3A_saleAreaSlug%3A%3Aall_searchLocation%3A%3A"}}

 

 

 

2 hours ago, bbi1 said:

Has anyone recently done a Coronary Artery Calcium Scan (CAC) to find out how much calcium deposits are in your heart's arteries? In particular, anyone done it in Pattaya? How much are the prices?

 

Is it only worth doing it at Bangkok Hospital Pattaya or is it worth doing at Pattaya Memorial or Pattaya International?

 

Seems Bangkok Hospital (think this is in Bangkok?) has a package for 4,500 baht but they have a lot of other uncessary things as part of their package, when all I want is the Coronary Artery Calcium Scan (CAC). Actually, looks like Bangkok Hospital Pattaya has it for 2,900 baht: https://bangkokpattayahospital.com/product/heart-center-packages-2/?srsltid=AfmBOoqM31zKKEyCsigzBIXPQhU6YNGBQZ5VXbXcOyWEvjZvXjpOCsL9

 

Below it the 4,500 baht package from Bangkok Hospital (think this is in Bangkok?):

 

• Fasting blood Sugar
• Glycated Hb – HbA1c
• Creatinine plus GFR
• Cholesterol
• HDL
• LDL
• Triglycerides
• CT Coronary Calcium Score
• Physical examination by the doctor

There is no reason to do a CAC test, unless you are older and got a risk for heart disease. Or is it advised by a cardiologist??

1 hour ago, newbee2022 said:

There is no reason to do a CAC test, unless you are older and got a risk for heart disease. Or is it advised by a cardiologist??

No, not advised by a cardiologist.

 

Been watching Dr. Pradip Jamnadas who's a vascular surgeon on YouTube and Facebook. He mentions that it's well worth getting a CAC done, and I feel it is as well to know if I have any calcium plaque buildup.

 

I've been getting constant sharp chest pains for over 10 years already on and off, always on the left or the centre area. Seen cardiologists before, done the EKG, 24 hour Holter monitor, treadmill stress test. Conclusion they said was that it's probably from GERD, which can apparently give chest pain and similar symptoms as heart pain. Others have said anxiety even though I'm not anxious.

2 hours ago, bbi1 said:

No, not advised by a cardiologist.

 

Been watching Dr. Pradip Jamnadas who's a vascular surgeon on YouTube and Facebook. He mentions that it's well worth getting a CAC done, and I feel it is as well to know if I have any calcium plaque buildup.

 

I've been getting constant sharp chest pains for over 10 years already on and off, always on the left or the centre area. Seen cardiologists before, done the EKG, 24 hour Holter monitor, treadmill stress test. Conclusion they said was that it's probably from GERD, which can apparently give chest pain and similar symptoms as heart pain. Others have said anxiety even though I'm not anxious.

They said mine was from Gerd too ( acid reflux ) 

They are liars these doctors 

 

I plan on having more tests like the CT angiogram which is considered the BEST test for heart problems 

2 hours ago, georgegeorgia said:

I plan on having more tests like the CT angiogram which is considered the BEST test for heart problems 

In between your shrink visits, for being a hypochondriac, you might as well add an echocardiograph, as the best test for 'heart' problems.   

 

AI opinion of ...

 

... "Echocardiography (Echo) is a top heart health test because it's a safe, non-invasive ultrasound that provides real-time images of your heart's structure, function, and blood flow, revealing issues like valve problems, heart failure signs, congenital defects, and muscle damage, making it crucial for diagnosing and monitoring many heart conditions. " ...

10 hours ago, georgegeorgia said:

They are liars these doctors 

NO, they are not, but too many "wannebies" and social media followers....

I recently had this done at PhayaThai Sri Ratcha.  They had a promotional price of 1500b for the scan/score + 1000b to discuss the results with a cardiologist and get a copy of the files.  Not sure what they are charging now.  I think Bangkok Pattaya wanted at least 4500.

 

They had a translator on duty to act as a go-between so everything went smoothly.  It costs about 300 baht each way from Pattaya for a bolt car.  That was my plan B in case it looked like rain.  I ended up going there on my rental scooter instead.

6 minutes ago, shdmn said:

 Not sure what they are charging now.

 

 

10 hours ago, KhunLA said:

In between your shrink visits, for being a hypochondriac, you might as well add an echocardiograph, as the best test for 'heart' problems.   

 

AI opinion of ...

 

... "Echocardiography (Echo) is a top heart health test because it's a safe, non-invasive ultrasound that provides real-time images of your heart's structure, function, and blood flow, revealing issues like valve problems, heart failure signs, congenital defects, and muscle damage, making it crucial for diagnosing and monitoring many heart conditions. " ...

I had this last year ,they claim nothing wrong except minor pericarditis.....liars !!!!!!!

6 hours ago, shdmn said:

I recently had this done at PhayaThai Sri Ratcha.  They had a promotional price of 1500b for the scan/score + 1000b to discuss the results with a cardiologist and get a copy of the files.  Not sure what they are charging now.  I think Bangkok Pattaya wanted at least 4500.

 

They had a translator on duty to act as a go-between so everything went smoothly.  It costs about 300 baht each way from Pattaya for a bolt car.  That was my plan B in case it looked like rain.  I ended up going there on my rental scooter instead.

They usually include transport if you arrange via Gavin Waddell

I've had one. I forget the price. They only recommend to do them if you have other indicators, like high LDL Direct (more than 130) and if you have some hypertension - even without symptoms - and are overweight. Just listening to your heart or doing an EKG doesn't tell them much.

 

Hospitals (abroad) usually restrict it to males 40 y.o. min - 70 y.o. max (after that everyone will have plaque in their arteries).  Women get a reprieve usually until mid 50s or post-menopause because estrogen protects them from the plaque formations (allegedly).

 

As you probably already know, anything above 400 on their scale of counting is very serious for a near-future cardiac event like heart attack or stroke. But some people get scores above 1,000, 2,000 and higher but are asymptomatic.

 

But just getting one of these low-dose CAC CT scans is a double-edged sword some would say.

 

On the one hand, if you're 50-60 and get a score of 200 or less you could click your heals in delight. But what if it's much higher than 400? Then, down the rabbit hole you go, with a cardiologist, loaded up with statins and heart meds. But the CAC doesn't tell you if you have any blockages in your arteries - it just tells you how serious your 'hardening of the arteries' is at present. So then wouldn't you be tempted to go for the CT Angiography? That's where they inject you with a dye into your veins and then give you a CT with full dose CT radiation that - again - only looks at the three arteries of your heart. Then you find out if there are any significant blocks (stenosis) in that small area and whether you need MORE interventions to head off cardiac events like baloons/catheters and stents to open them up (angioplasty).

 

Some would say if you are fit, not overweight, don't smoke (that's the worst for this), and eat red meat only in small amounts, you might as well just live your life as it comes..

18 hours ago, scubascuba3 said:

They usually include transport if you arrange via Gavin Waddell

Who is Gavin Waddell and how can he be contacted?

17 minutes ago, bbi1 said:

Who is Gavin Waddell and how can he be contacted?

 

17 hours ago, ronnie50 said:

Hospitals (abroad) usually restrict it to males 40 y.o. min - 70 y.o. max (after that everyone will have plaque in their arteries). 

Not everyone, (71 in couple weeks) or better, not enough to be noticed or an issue.  Had stents place 3+ yrs ago,(arterial tortuosity) and procedure report noted ... no stenosis.   Kind of a shocker, considering all the crap I use to eat 

4 hours ago, KhunLA said:

Not everyone, (71 in couple weeks) or better, not enough to be noticed or an issue.  Had stents place 3+ yrs ago,(arterial tortuosity) and procedure report noted ... no stenosis.   Kind of a shocker, considering all the crap I use to eat 

Stents ?

That means they cut you open ?

2 hours ago, georgegeorgia said:

Stents ?

That means they cut you open ?

Not sure what's worse, your total ignorance, or your extreme hypochondriac paranoia, with no research whatever into everything you worry about.  You obviously don't know what a stent even is, and what the usual procedure is to place them.

 

Hint: the procedure itself, took 11 mins, once the doc started.   So no, was wide awake, and they didn't crack me open.   Even watched it on the monitor, as he performed.  Actually got bored and closed my eyes.

 

2 stents were places, I think, though could have been a 2 part stent, as listed items, were 2 stents, of different size.  TBO not sure if 1 or 2 stents were place.  Really, don't know, don't care.  Spent about 12 in ICU, just monitoring, make sure they set properly, no leaks or blockages.  BP checked about every 15 mins, on auto, for first few hours.

 

Got booted out of ICU about midnight, as they needed for someone else.  They were done monitoring me, well, maybe every hour at that point.  That was a Friday (?)  morning procedure, and they wanted to keep me till Tuesday, so doc could follow up.   

 

Since no longer monitoring me, I didn't see the point, and checked myself out.

 

Seriously something wrong with you.  Seek a shrink for your paranoia.  Doc tells you that you're healthy, but they must be lying, as the results don't confirm you're going to die next week.   Why the quest for a terminal diagnosis ?  Is planning your hospice experience top on your bucket list.

CAC score is a useful predictor that is part of determining a start statins for cholesterol recommendation.

 

https://www.acc.org/Latest-in-Cardiology/Articles/2021/01/19/14/27/The-Agatston-Coronary-Artery-Calcium-Score-in-Statin-Users ACC

https://www.jacc.org/doi/10.1016/j.jacadv.2023.100664 JACC 

https://jamanetwork.com/journals/jamacardiology/fullarticle/2781973  JAMA 

Yes, CAC score can be useful in deciding whether or not to treat slightly elevated LDL. I got one about a year ago for that reason. 

23 hours ago, KhunLA said:

Not sure what's worse, your total ignorance, or your extreme hypochondriac paranoia, with no research whatever into everything you worry about.  You obviously don't know what a stent even is, and what the usual procedure is to place them.

 

Hint: the procedure itself, took 11 mins, once the doc started.   So no, was wide awake, and they didn't crack me open.   Even watched it on the monitor, as he performed.  Actually got bored and closed my eyes.

 

2 stents were places, I think, though could have been a 2 part stent, as listed items, were 2 stents, of different size.  TBO not sure if 1 or 2 stents were place.  Really, don't know, don't care.  Spent about 12 in ICU, just monitoring, make sure they set properly, no leaks or blockages.  BP checked about every 15 mins, on auto, for first few hours.

 

Got booted out of ICU about midnight, as they needed for someone else.  They were done monitoring me, well, maybe every hour at that point.  That was a Friday (?)  morning procedure, and they wanted to keep me till Tuesday, so doc could follow up.   

 

Since no longer monitoring me, I didn't see the point, and checked myself out.

 

Seriously something wrong with you.  Seek a shrink for your paranoia.  Doc tells you that you're healthy, but they must be lying, as the results don't confirm you're going to die next week.   Why the quest for a terminal diagnosis ?  Is planning your hospice experience top on your bucket list.

The good thing is you will be gone in 10 years so need to put up with your silly posts 

I will still be here 

Bye 

14 minutes ago, georgegeorgia said:

The good thing is you will be gone in 10 years so need to put up with your silly posts 

I will still be here 

Bye 

You shouldn't take any bets on the 10 yr crap out thought, as brother just turned 78 on the 7th 

 

Mother made it to 74, and stone Alky & chain smoker.  Her nephew, my cousin, 85 😎

On 12/6/2025 at 8:38 PM, bbi1 said:

No, not advised by a cardiologist.

 

Been watching Dr. Pradip Jamnadas who's a vascular surgeon on YouTube and Facebook. He mentions that it's well worth getting a CAC done, and I feel it is as well to know if I have any calcium plaque buildup.

 

I've been getting constant sharp chest pains for over 10 years already on and off, always on the left or the centre area. Seen cardiologists before, done the EKG, 24 hour Holter monitor, treadmill stress test. Conclusion they said was that it's probably from GERD, which can apparently give chest pain and similar symptoms as heart pain. Others have said anxiety even though I'm not anxious.

It seems like your heart is fine.

However, I would find out if you really have GERD and if so, work on that problem instead of getting a calcium scan. 

On 12/7/2025 at 12:49 AM, scubascuba3 said:

They usually include transport if you arrange via Gavin Waddell

Good to know.  Thanks.

On 12/7/2025 at 9:33 AM, shdmn said:

I recently had this done at PhayaThai Sri Ratcha.  They had a promotional price of 1500b for the scan/score + 1000b to discuss the results with a cardiologist and get a copy of the files.  Not sure what they are charging now.  I think Bangkok Pattaya wanted at least 4500.

 

They had a translator on duty to act as a go-between so everything went smoothly.  It costs about 300 baht each way from Pattaya for a bolt car.  That was my plan B in case it looked like rain.  I ended up going there on my rental scooter instead.

Thanks

 

How was the overall service, assuming you arrived early ?   Wait time, Q, as thinking of popping in, as love a sale price, apparently till end of year.   Wife will be with me, so no need for translator, or cardiologist to explain results, especially if <100 CAC score.

 

Anyone  @Ralf001 done their (PhayaThai Sriracha Hosp) full check up, and thoughts about.  TIA

 

Need an O&A, and that would be a nice add on.  And I finally get to see the "World's Largest 7-11", tops my bucket list 

Unnecessary comment removed 

 

@newbee2022

11 minutes ago, KhunLA said:

Thanks

 

How was the overall service, assuming you arrived early ?   Wait time, Q, as thinking of popping in, as love a sale price, apparently till end of year.   Wife will be with me, so no need for translator, or cardiologist to explain results, especially if <100 CAC score.

 

Anyone  @Ralf001 done their (PhayaThai Sriracha Hosp) full check up, and thoughts about.  TIA

 

Need an O&A, and that would be a nice add on.  And I finally get to see the "World's Largest 7-11", tops my bucket list 

Phayathai is my social security registered hospital and am a regular visitor (just spent 7 days there) having to visit my doc every 4 weeks.

full checkup once a year is a seamless exercise, they are (in my opinion) a great hospital... but then it costs me nothing.

4 minutes ago, Ralf001 said:

Phayathai is my social security registered hospital and am a regular visitor (just spent 7 days there) having to visit my doc every 4 weeks.

full checkup once a year is a seamless exercise, they are (in my opinion) a great hospital... but then it costs me nothing.

THANK YOU  👍

39 minutes ago, KhunLA said:

Thanks

 

How was the overall service, assuming you arrived early ?   Wait time, Q, as thinking of popping in, as love a sale price, apparently till end of year.   Wife will be with me, so no need for translator, or cardiologist to explain results, especially if <100 CAC score.

 

Anyone  @Ralf001 done their (PhayaThai Sriracha Hosp) full check up, and thoughts about.  TIA

 

Need an O&A, and that would be a nice add on.  And I finally get to see the "World's Largest 7-11", tops my bucket list 

I wouldn't bother....waste of money at your age 

5 minutes ago, georgegeorgia said:

I wouldn't bother....waste of money at your age 

How would you know?  You don't even know what a heart stent is.