Cardiac Executive Health Screening- CT Coronary Calcium Scoring, ApoB and What It Actually Costs
Heart disease kills more people every year than any other single cause, and it does so almost silently until the day it doesn't. A standard cholesterol check and a resting ECG, which is what most basic health screens offer, will miss the majority of coronary artery disease sitting in an otherwise healthy-looking 45-year-old. A properly built cardiac screen goes further: it measures the particles that actually cause disease, not just the cholesterol carrying them, and where warranted it looks directly at the arteries themselves. The Wellness runs cardiac-focused executive programmes from £2,995 to £12,995, built around your personal and family risk rather than a fixed list applied to everyone. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated August 2026.
Request a cardiac risk assessment on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
Why total cholesterol is the wrong number to anchor on
Total cholesterol and even standard LDL are blunt instruments. They estimate how much cholesterol is being carried around the bloodstream without directly counting the particles doing the damage. ApoB counts those particles directly, which makes it a materially better predictor of cardiovascular risk, and it is a test most standard screens simply do not run. Add Lp(a), a genetically determined risk factor that is worth testing once in your life because it does not change with diet or lifestyle, and a proper lipid picture starts to look very different from the one most people have seen on a routine blood test.
The single test that changes the picture: CT coronary calcium scoring
A calcium score is a low-dose CT scan that directly measures the calcified plaque already present in your coronary arteries. It is quick, it involves a fraction of the radiation of many other scans, and it answers the one question a blood test cannot: not what your risk factors suggest about your arteries, but what is actually happening inside them right now. A score of zero is genuinely reassuring, even in someone with a family history that would otherwise cause concern. A raised score reclassifies risk upward in a way no cholesterol number could, often years before any symptom would appear, and it changes the conversation from "watch and see" to a concrete, time-sensitive plan.
Where a calcium score raises further questions, a CT coronary angiogram goes a step further, visualising the arteries directly and identifying blockages rather than inferring risk from calcium deposits alone. This is arranged where a doctor's assessment indicates it, not offered as a default to everyone regardless of risk.
Ask whether a calcium score is right for you on WhatsApp or email team@thewellnesslondon.com.
Rhythm, structure and the tests around the edges
A full cardiac assessment does not stop at plaque and cholesterol. A resting ECG looks at electrical rhythm, and where symptoms or risk warrant it, extended rhythm monitoring or an echocardiogram assesses the heart's structure and pumping function directly. Blood pressure is measured properly rather than as an afterthought, since undiagnosed hypertension remains one of the most common and most consequential findings in an otherwise well-feeling executive. None of this is useful in isolation. The value is in a cardiologist-informed read that puts rhythm, structure, plaque and blood chemistry together as one risk picture rather than four separate results.
What cardiac-focused screening costs in London
At the entry level, a cholesterol panel and blood pressure check from a GP or basic screening provider typically costs under £150, but includes no ApoB, no Lp(a) and no imaging. Mid-tier private cardiac screens that add a calcium score alongside a fuller lipid panel generally run from £400 to £1,200 depending on provider. At the top of the market, comprehensive cardiac assessments combining CT coronary angiography, full biomarker profiling and a cardiologist consultation can exceed £3,000 to £5,000 at hospital tier. [Note: verify current competitor figures before publishing — treat these as illustrative bands.]
At The Wellness, all figures are from prices.
Cardiac Baseline — full lipid profile with ApoB, blood pressure, ECG and doctor consultation, from £2,995.
Cardiac Advanced — the above plus Lp(a), extended metabolic markers and a CT coronary calcium score, with results read by a cardiologist-informed physician, from £6,995.
Cardiac Comprehensive — full biomarker profiling, CT coronary calcium score, CT coronary angiogram where indicated, echocardiogram and an in-depth consultation with a personalised risk-reduction plan, from £12,995.
Assessments are held in Marylebone, three minutes from Baker Street, with imaging arranged across specialist centres and appointments available within the week.
Why The Wellness is the right clinic for this
Because a calcium score or an ApoB result on its own is just a number. What matters is a doctor who reads it against your family history, your other biomarkers and your actual lifestyle, and turns it into a specific plan rather than a generic "reduce your cholesterol" instruction. Because The Wellness owns no imaging equipment, each scan is sent to the London centre best equipped for that specific question and reported by consultant radiologists who read cardiac imaging daily. And because it is a full clinic, any finding that needs treatment, whether that is a statin, a referral to a cardiologist, or ongoing monitoring, is arranged through the same team rather than left for you to chase.
Frequently asked questions
What is a CT coronary calcium score and do I need one?
It is a low-dose CT scan measuring calcified plaque in the coronary arteries, and it is one of the most predictive single cardiac tests available. It is arranged where your risk profile, age or family history warrant it, following a doctor's assessment.
What is ApoB and why does it matter more than standard cholesterol?
ApoB counts the actual number of artery-clogging particles in your blood, rather than estimating the cholesterol they carry, which makes it a more accurate predictor of cardiovascular risk than total or LDL cholesterol alone.
Is Lp(a) worth testing if my cholesterol is normal?
Yes. Lp(a) is genetically determined and does not change with diet or lifestyle, so a normal standard cholesterol result does not rule out this risk. It is generally worth testing once in adult life.
How is a CT coronary angiogram different from a calcium score?
A calcium score measures existing calcified plaque as an indirect marker of risk. A CT coronary angiogram visualises the arteries directly and can identify blockages, and is arranged where the calcium score or clinical picture indicates it is needed.
Do I need a referral from my GP?
No. You can book directly, and a physician reviews your history and agrees the right level of testing with you.
The Wellness is a doctor-led private clinic in London. All doctors are GMC-registered. Imaging is carried out at specialist centres and reported by consultant radiologists. This article is general information and not a substitute for medical advice about your own health.
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