Background: A major cause of mortality is coronary artery disease (CAD). The research evaluated the usefulness of 2D Echo calcium as a simple technique to predict the gravity of C.T. angiography and coronary angiography syntax. Methods; 100 patients of the coronary-computed tomography unit for coronary coronary CT were examined in this cross-sectional research and required coronary angiography. Patients have been exposed to histories, exams, blood samples and echocardiographic tests. The calcium echocardiography was linked to their coronary angiography and calcium CT scores syntactics. Results: There were 100 patients involved in the research, 68 of them were males representing 68% of the participants. The average age of the whole group was 53. The mean final calcium echo score for the whole research group was 6. The whole research group's mean syntactic score was 10. There was a significant difference in the overall ECHO calcium score between the three subgroups of the syntactic score and CT (p value <0.001 both). Conclusion: The echocardiographic calcium score is linked with coronary artery disease severity and may thus be utilised as a novel tool for stratification of cardiovascular risks. The cheap cost, accessibility and radiation-free characteristics of echocardiography make it an appealing option for continuous development into non-invasive CAD prediction methods.