LONGEVITY with Nathalie Niddam #405: Heart Attacks Aren't What You Think | The Plaque LIE That Changes Everything (Cardiology 2.0) With Dr. Sanjay Bhojraj
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Jan 20, 2026 Dr. Sanjay Bhojraj, a cardiologist who pivoted from emergency care to a focus on prevention, shares groundbreaking insights on heart health. He dispels the myth that most heart attacks stem from significant blockages, emphasizing the danger of soft plaques. He explains the importance of imaging techniques like the CLEERLY scan for detecting high-risk conditions. Additionally, he highlights how lifestyle choices, early screening, and understanding women's unique heart risks could drastically change cardiovascular care.
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Choose CT Angio When It Will Change Care
- Use advanced coronary CT (CLEERLY) to quantify soft plaque, not just calcium score.
- Reserve CT angiography for cases where anatomy will change management because of radiation and contrast risks.
Scan Replaced Fear With Motivation
- A morbidly obese patient with shortness of breath had only a 14% coronary lesion on CLEERLY.
- The scan changed fear into motivation and enabled a prevention-focused plan.
Make 45 Your Heart Health Checkpoint
- Get a cardiovascular evaluation around age 45 to establish baselines and act early.
- Start with noninvasive tests and metabolic labs, then escalate imaging only when indicated.
