Is Your Heart at Risk? Here is How to Find Out

by Logan Gladney, MD
Internal Medicine Specialist at Boulder Medical Center

As a preventive medicine specialist and primary care physician, Dr. W. Logan Gladney emphasizes cardiovascular risk assessment as a central part of proactive health care for patients in Boulder and the surrounding communities. Early detection and thoughtful intervention can significantly reduce the risk of heart attack and stroke.

Why Cardiovascular Risk Assessment Matters

Cardiovascular disease remains the leading cause of death worldwide. Yet many serious cardiac events occur without warning. A preventive approach allows patients to understand their risk early — before symptoms develop or emergency care is needed.

Traditional risk calculators estimate a patient’s 10-year risk of heart disease using factors such as:

• Age
• Sex
• Race
• Blood pressure
• Smoking status
• Diabetes
• Cholesterol levels

While helpful, these models do not always capture the full picture. They may overlook important contributors such as:

• Family history of heart disease
• Chronic inflammatory conditions (e.g., arthritis, inflammatory bowel disease)
• Obesity or pre-diabetes

For patients seeking a more comprehensive evaluation, imaging-based assessments provide deeper insight.

Advanced Imaging Options: CIMT and Calcium Score

Dr. Gladney offers two validated tools for patients in Boulder and nearby communities:

CIMT (Carotid Intima-Media Thickness)

• A non-invasive ultrasound that measures artery wall thickness in the neck
• Detects early atherosclerotic plaque
• Estimates “vascular age.”
• No radiation exposure
• Typically lower cost (copays range from $0–$300)
• Can be repeated over time to monitor progress

Calcium Score (Coronary Artery Calcium Scan)

• A CT scan that detects calcified plaque in the coronary arteries
• Assigns a risk level (low, moderate, or high — a score of 0 is considered low risk)
• Uses a small dose of radiation
• Copays typically range from $100–$400 (patients should confirm with their insurance plan)

These tools are especially helpful for men over 40 and individuals with additional cardiovascular risk factors who want a clearer understanding of their heart health.

If Elevated Risk Is Identified

If imaging reveals significant plaque buildup or accelerated vascular aging, Dr. Gladney may recommend further evaluation, including:

• Advanced cholesterol particle testing (such as NMR lipid analysis)
• Inflammatory or genetic markers
• Targeted lifestyle, nutrition, or medication strategies (including statins when appropriate)

This personalized, preventive approach to cardiovascular care empowers patients to take meaningful steps today to protect their long-term heart health.