The Feldman Protocol

The Stent Myth: Why Fixing a Blockage Isn’t a Cure - Dr. Arthur Agatston

September 18, 2026·1h 51m
Episode Description from the Publisher

In this episode of The Feldman Protocol, how well do conventional cardiovascular risk metrics actually identify who is truly at risk for a heart attack decades before it happens? Cardiologist Arthur Agatston (MD) makes the case for coronary calcium scoring as an early detection tool, discusses the natural history of atherosclerotic plaque, revisits key moments in lipid science history, explores why stent placement in asymptomatic patients presents a more complex picture than intuition suggests, and shares observations on the evolving role of CT angiography and AI-assisted plaque analysis.🔥 This episode is sponsored by us --Own Your Labs 👉 `https://ownyourlabs.com/sp/50` Private blood testing services🩸Over 300 blood tests💰Extremely affordable❤️ We love our customers(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)🔗 CONNECT WITH DAVE FELDMAN:Main Channel: `https://youtube.com/@realDaveFeldman`X/Twitter: `https://x.com/realDaveFeldman`Instagram: `https://instagram.com/realDaveFeldman`Website: `https://thefeldmanprotocol.com`⏱ Chapters0:00 – Cold open & introduction7:46 – Arthur's path into medicine18:59 – Early cardiology & clinical trials27:47 – Lipid science history & Ancel Keys39:04 – Rabbit studies & lipoprotein discovery47:15 – Ultra-fast CT arrives at Sinai55:26 – Collateral vessels & total occlusion1:00:00 – Ischemia trial: stents vs. medical therapy1:05:01 – Back to the CAC origin story1:13:09 – Soft vs. calcified plaque progression1:21:40 – FH patient with zero CAC score1:26:53 – The Agatston score is named1:33:51 – Power of zero & plaque burden1:39:35 – CAC vs. CT angiogram explained1:44:19 – Resistance to new imaging technology1:48:34 – Nutrition interest in the 1990s1:49:25 – Heart Lung AI & plaque ratio research1:51:11 – Closing reflections#FeldmanProtocol #DaveFeldman #ArthurAgatston #CoronaryCalcium #HeartHealth #Atherosclerosis #CardiacImaging #CACScore #LDL #Lipids #PlaqueBiology #CTAngiogram #CardiologyResearch #LowCarbDiet #LeanMassHyperResponder #HeartDiseasePrevention #LipidScience #CardiovascularResearch

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