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How does a heart attack really happen? Most people think heart disease starts suddenly in your 50s or 60s — but the truth is, atherosclerosis begins decades earlier. In this video, I break down exactly how an LDL cholesterol particle turns into a fatty streak… then plaque… and eventually a heart attack. You’ll learn: How LDL cholesterol enters the artery wall What fatty streaks and foam cells actually are How plaque forms over years How nitric oxide protects your arteries What arterial remodeling (“athlete’s artery”) is Why exercise can change your arteries Heart disease does not happen overnight. It is the result of cumulative exposure to LDL cholesterol, inflammation, high blood pressure, insulin resistance, and lifestyle factors over decades. Understanding the biology of atherosclerosis helps you take control of your heart health early — before symptoms appear. ⸻ 🫀 Chapters 00:00 When does heart disease start? 00:51 Heart studies on kids & teens 02:18 LDL: How a plaque starts 03:13 The endothelium explained 03:55 Immune system and plaque 05:37 How long for heart attack to develop? 06:09 Clarence Demar’s Unusual Heart 07:09 Athlete’s heart and artery remodeling 07:41 Labs to detect heart disease early ⸻ heart attack explained, LDL cholesterol, atherosclerosis, plaque buildup, fatty streaks, foam cells, endothelial dysfunction, nitric oxide, calcium score, coronary artery disease, statins and plaque, arterial remodeling, exercise and heart health, heart disease prevention ⸻ 📣 Call to Action If this helped you understand heart disease better, consider subscribing for more evidence-based videos on longevity, prevention, and metabolic health