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Many patients believe they are safe from heart attacks because their basic total cholesterol or low-density lipoprotein (LDL) numbers look average. However, clinical studies reveal that over half of acute cardiac events happen in individuals with completely normal resting cholesterol levels.
To understand heart disease, we must look at the endothelial lining—the single-cell inner wall of your arteries. Plaque only builds up when this wall becomes chronically inflamed, rough, and porous. When the lining is healthy, cholesterol particles glide through safely without forming critical blockages.