Why Looking Fit and Having Standard Lipids May Miss Heart Plaque
Despite high fitness and apparently strong performance markers, Greenfield says advanced imaging showed concerning plaque and inflammation in his heart. He argues that standard lipid panels and outward fitness do not always reveal what is happening at the organ level, and discusses CT angiography and CIMT as different ways to examine plaque.
- External fitness did not prevent Greenfield from finding plaque
- CT angiography can show plaque location and stability but involves radiation and dye
- CIMT uses ultrasound at the carotid arteries and can be repeated more frequently
- Blood markers and imaging can disagree in either direction
“my heart was concerningly high in plaque and markers of inflammation”
“other people will have a really good lipid panel and kind of like me have plaque issues even unstable plaque issues”