Post
by pamojja » Fri Apr 11, 2025 6:20 am
I try to explain as simple as possible:
A heart attack happens whenever a clot blocks coronary arteries, its blood supply. To the extent his happens, heart tissue remains to a certain extent scarred. You survived this otherwise often deathly event by hospital care. You recovered from that event only, but not from the disease what caused your heart attack.
The cause of heart attacks is arterial plaque, which can form those deathly clots. Which in turn was caused by injury to the innermost protective layer of cells in arteries (endothelium). This injury comes from decades of exposures to toxins (too many to mention).
The best available predictor for heart attack risk is, by measuring this plaque-buildup by Coronary Calcium Score (CAC, volumetric and by density). The higher the CAC score, the higher the likelihood for heart attacks. This score, once above zero, has a yearly growth-increase of about 30%. Even with the most extensive comprehensive life-style changes and supplementation, the best improvement most often achieved is merely a 0% increase per year. Statins don't decrease its growth-rate, therefore CAC-score isn't routinely measured.
For you, without knowledge of a CAC-score, which doesn't give symptoms until a heart attack, your risk of further heart attacks increases likewise. Since you already experienced an event caused by plaque-buildup. Only once you could prove to yourself your plaque buildup has stalled, you could call yourself indeed 'recovered'. Otherwise, you're just on the waiting list for a further event.
Because of the often rare availability to get a CAC-score, a CIMT (carotid intimal max. thickness) could serve as substitute measurement, done yearly. Again, surviving a heart attack without stalling the plaque-buildup isn't real recovery, but waiting for the next even more likely bad event.
In my complicated case with comorbid conditions (COPD, ME/CFS), it took 7 years of continuous efforts with life-style changes and comprehensive supplementation, until my CIMT declined. Though a walking-disability due to PAD, likewise caused by plaque-buildup, had already improved greatly with Linus Pauling's recommendations alone, it ceased completely after 7th year only.