“…Although at the present time cardiac computed tomography is the reference standard to directly detect and quantify coronary artery and cardiac calcification, the high cost of equipment, the radiation exposure, the risk of contrast agent nephropathy and the inability to perform in-office testing limit its use on a routine basis [9,10]. An easy to conduct echocardiography calcification score involving more anatomical structures than previous scores shows a strong association with significant CAD, and may have a clinical relevance for CAD risk stratification in the asymptomatic patient.…”