Heart Doctor REVEALS Why Most Heart Attacks Come Out of NOWHERE l Dr. Sanjay Bhojraj l Ep #405
š¹ About This Episode:
Most heart attacks donāt come from massive blockagesāand thatās exactly why so many are missed. In this episode, I sit down with Dr. Sanjay Bhojraj, a former ER cardiologist turned prevention expert, to break down the biggest misconceptions in modern cardiology. We explore why calcium scores and ānormalā labs can create a false sense of security, how dangerous soft plaque actually forms, and why chronic stress and nervous system overload may be just as important as cholesterol when it comes to heart attack risk.
We also dive into advanced imaging like the CLEERLY scan, what CIMT and CT angiograms really measure (and what they donāt), and why age 45 is a major cardiovascular inflection point. This conversation takes a deep look at womenās heart health, perimenopause, estrogen loss, inflammation, ApoB, small dense LDL, and why cardiology must evolve into true longevity medicine. If youāve ever been told your heart tests look āfineā but still feel uneasy, this episode may completely change how you think about prevention.
š¹ What you will learn:
ā Why most heart attacks arenāt caused by major blockages and how dangerous soft plaque is often missed
ā How stress, inflammation, hormones, and nervous system load quietly drive cardiovascular risk
ā Which heart tests actually reveal riskāand when to test before symptoms appear
š¹ What We Discuss:
Welcome to Longevity & episode setup ā¦ 00:00:00
Dr. Bhojrajās shift from ER cardiology to prevention ā¦ 00:06:30
Why most heart attacks arenāt caused by big blockages ā¦ 00:09:15
Stress, nervous system load & heart attack risk ā¦ 00:13:10
CIMT explained: what it measures (and what it misses) ā¦ 00:26:40
Calcium scores vs CT angiograms ā¦ 00:35:45
CLEERLY scan: seeing dangerous soft plaque ā¦ 00:38:45
Can plaque actually regress? ā¦ 00:41:55
When heart scans make patients less afraid ā¦ 00:44:05
When should you test ā even without symptoms? ā¦ 00:45:50
Why age 45 is a major cardiovascular inflection point ā¦ 00:47:10
Hormones, estrogen loss & womenās heart risk ā¦ 00:50:10
Why cardiology still misunderstands women ā¦ 00:54:30
Small dense LDL, ApoB & oxidized cholesterol ā¦ 01:02:00
Why fixing inflammation matters more than numbers ā¦ 01:05:50
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š¹ Learn More From Dr. Sanjay Bhojraj below:
ā¢ Instagram: https://www.instagram.com/doctorsanjaymd/?hl=en
ā¢ Website: www.lagunamedicine.com
ā¢ 12-week Metabolic Optimization Program: https://lagunamedicine.com/well12
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š¹ Thank You To Our Sponsors For Making This Episode Possible:
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š¹ Find more from Nathalie:
ā¢ YouTube: / @nathalieniddam9630
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#TheLongevityPodcast #HeartHealth #HeartAttackPrevention #Cardiology #Longevity #PreventiveMedicine #WomensHealth #Inflammation #CholesterolMyths #Biohacking #AgingWell
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