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The Ben Azadi Show

The Truth About Aspirin, Heart Attacks, and Arterial Plaque That Most Doctors Are Still Getting Wrong: Why 70% of Heart Attacks Start in Arteries That Were Less | #1340

The Ben Azadi Show

Ben Azadi

Health & Fitness, Alternative Health, Fitness, Nutrition

4.81.1K Ratings

🗓️ 27 June 2026

⏱️ 26 minutes

🧾️ Download transcript

Summary

Fresh Pressed Olive Oil Club: https://freshpressolive.com/3Qnswiv  Pre-order Keto Flex Revised and get free bonuses at: https://bit.ly/4wKG1sM    Here's the fact that changes everything: roughly 70% of heart attacks happen in arteries that are less than 50% blocked. The person often felt completely fine. And then a life-changing event. It's not a slow clog. It's a rupture. Soft, inflamed plaque buried in the artery wall ruptures, platelets rush in, a clot forms in seconds, and that clot is what actually triggers the heart attack. The real villains are inflammation, unstable plaque, and clotting. Not your cholesterol number. That's also why the aspirin debate got so confusing. Aspirin works by making platelets less sticky, blunting that first step of clot formation. For someone with documented plaque or a previous heart attack or stroke, the evidence is strong: aspirin cuts the risk of a second event by around 19 to 20%. But for someone at genuinely low cardiovascular risk who has never had an event, the bleeding risk may quietly outweigh any benefit. Same pill, different person, opposite outcome. The key test most people have never gotten: your coronary calcium score. In this episode, I share exactly what I would do the day I found plaque in my arteries, including seven metabolic steps that address the root cause instead of just managing the risk. Key Takeaways: 70% of heart attacks happen in arteries less than 50% blocked. It's a rupture and clot, not a slow clog. Aspirin helps people at high cardiovascular risk (secondary prevention), but may do more harm than good for low-risk individuals Your coronary calcium score is the most important test most people have never taken Chronically high insulin is, according to heart surgeon Dr. Philip Ovadia (5,000+ open heart surgeries), the number one contributor to artery damage The PREDIMED trial found extra virgin olive oil was tied to a 30% lower risk of major cardiovascular events Aspirin manages the consequence of plaque. These seven lifestyle steps remove the cause. Every meal either supports your arteries or works against them. There is no neutral. Find All The Ben Azadi Show Sponsorship Deals ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.ketokamp.com/sponsorship-deals

Transcript

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0:00.0

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0:23.2

Most people think heart attacks happen because their arteries slowly get clogged until one day

0:28.9

it closes. That's not what happens. In fact, most heart attacks happen in arteries that most

0:35.1

doctors would consider mildly clogged. Think about that for a second.

0:39.3

The artery wasn't fully clogged. The person often felt completely fine. And then suddenly,

0:44.3

a life-changing event. Which raises a very uncomfortable question. If heart attacks aren't caused by what most people think,

0:52.3

then what actually causes them? And here's where the aspirin story gets weird.

0:57.0

Because for decades, millions of Americans were told,

1:00.0

take a baby aspirin every day, it'll protect your heart.

1:04.0

Then almost overnight, doctors started telling millions of those same people to stop.

1:09.0

So which is it? Was aspirin saving lives? Or were

1:12.4

millions of people taking a pill they never needed? Well, here's the thing most people don't understand.

1:17.7

The recommendation didn't change because aspirin stopped working. It changed because researchers

1:22.9

discovered something far more important. Not everyone is fighting the same heart disease. Some people are at

1:29.0

high risk, some people are at surprisingly low risk. And for one group, aspirin may help,

1:34.3

but for another group, it may quietly create a completely different danger. Today I'm going to

1:39.8

show you what actually causes most heart attacks, why doctors change their mind about aspirin,

1:44.9

who might still benefit from it, and if I discovered plaque in my own arteries tomorrow morning,

1:50.5

exactly what I would start doing that exact day. Because once you understand what's really

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