The heart attack: timing and lipid changes

In this episode of The Feldman Protocol, a central question hangs over the conversation: what actually causes a heart attack when standard risk markers look “normal”? Guest Dr. Stephen Hussey, DC (functional medicine practitioner focused on cardiovascular disease), makes the case for re-examining core assumptions about heart disease. Topics include plaque vs. risk, LDL cholesterol, CAC scoring, stress physiology, hydration, type 1 diabetes, endurance exercise, and alternative mechanisms behind myocardial infarction.

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⏱ Chapters

3:06 – Why heart cells don’t regenerate

8:12 – Marathon runners & plaque paradox

13:48 – Introducing Dr. Stephen Hussey

18:37 – Type 1 diabetes & heart risk

23:54 – Diet changes and inflammation

29:35 – Low-carb, keto, and carnivore paths

35:10 – Insulin, carbs, and standard care

40:52 – Fear of ketosis vs ketoacidosis

46:18 – Discovering lipid anomalies

51:40 – Rejecting statins early on

57:12 – Elevated LDL in context

1:02:44 – Writing a heart disease book

1:08:30 – Widowmaker heart attack story

1:14:06 – CAC score of zero explained

1:19:42 – Stress, dehydration, and triggers

1:25:18 – The moment symptoms began

1:30:54 – Cath lab and LAD blockage

1:36:20 – Stent placement and relief

1:41:58 – Was it plaque or clot?

1:47:30 – Alternative MI mechanisms

1:53:12 – Parasympathetic nervous system

1:58:54 – Vasa vasorum hypothesis

2:04:36 – Transcytosis and ApoB

2:10:18 – Endothelial injury models

2:15:44 – Exercise-linked occlusions

2:21:06 – Post-MI medical advice

2:26:30 – Five lifelong medications?

2:31:48 – Blood pressure overshoot

2:37:22 – Blood thinners and stents

2:42:54 – Re-evaluating cholesterol blame

2:48:10 – What medicine gets wrong

2:53:36 – Prevention beyond LDL

2:58:52 – How Stephen works with clients

#FeldmanProtocol #DaveFeldman #StephenHussey #HeartHealth #Cardiology #MetabolicHealth #Cholesterol #LDL #Atherosclerosis #CACScore #Type1Diabetes #ExerciseScience