Hardiness with Dr Paul Taylor

Revolutionising Heart Health With Dr John Osborne

Jan 23, 2026
Dr. John Osborne, a leading preventative cardiologist, shares his insights on revolutionizing heart health. He dives into the dangers of silent plaque and the limitations of traditional tests like stress tests. Dr. Osborne explains the power of advanced cardiac CT and AI in early detection, stressing that proactive measures can literally save lives. He also discusses the importance of specific cholesterol tests and how understanding plaque types can guide effective treatments. This conversation is a must-listen for anyone interested in heart health!
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INSIGHT

Plaque Hides In Vessel Walls

  • Plaque builds in the vessel wall and expands outward long before it narrows the lumen.
  • Stress tests and early symptoms miss decades of disease because symptoms appear only after ~70% lumen narrowing.
ADVICE

Prefer Cardiac CT Over Stress Tests

  • Stop relying on stress tests and invasive caths as first-line screening for coronary plaque.
  • Use cardiac CT when you want an early, accurate picture of coronary plaque before symptoms appear.
INSIGHT

Cardiac CT Is A Virtual Autopsy

  • Modern cardiac CT produces ultra-high resolution 3D images with very low radiation.
  • It functions as a 'virtual autopsy' that reveals valves, function and coronary plaque in one scan.
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