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#405: Heart Attacks Aren't What You Think | The Plaque LIE That Changes Everything (Cardiology 2.0) With Dr. Sanjay Bhojraj

#405: Heart Attacks Aren't What You Think | The Plaque LIE That Changes Everything (Cardiology 2.0) With Dr. Sanjay Bhojraj

LONGEVITY with Nathalie Niddam

January 20, 20261h 31m

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Show Notes

Today, I'm joined by the deeply thoughtful and refreshingly honest Dr. Sanjay Bhojraj, a self-described "curious cardiologist" who spent decades treating heart attacks in the cath lab — before stepping away to ask a bigger question: Why are we waiting for the crisis instead of preventing it?

Episode Timestamps:

Welcome to Longevity & episode setup … 00:00:00

Dr. Bhojraj's shift from ER cardiology to prevention … 00:06:30

Why most heart attacks aren't caused by big blockages … 00:09:15

Stress, nervous system load & heart attack risk … 00:13:10

CIMT explained: what it measures (and what it misses) … 00:26:40

Calcium scores vs CT angiograms … 00:35:45

CLEERLY scan: seeing dangerous soft plaque … 00:38:45

Can plaque actually regress? … 00:41:55

When heart scans make patients less afraid … 00:44:05

When should you test — even without symptoms? … 00:45:50

Why age 45 is a major cardiovascular inflection point … 00:47:10

Hormones, estrogen loss & women's heart risk … 00:50:10

Why cardiology still misunderstands women … 00:54:30

Small dense LDL, ApoB & oxidized cholesterol … 01:02:00

Why fixing inflammation matters more than numbers … 01:05:50

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