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Zero coronary calcium does not mean zero cardiovascular risk

Peter Attia · 1 Aug 2026 · peterattiamd.com ↗

2 korrents from this piece

Peter Attia did not write this page.

Every claim below was made in this piece, quoted word for word and numbered in the order the piece makes them, so you can read it there rather than take our word for it. The sentence above each quote is our reading of the claim, not their wording. Each quote was checked against a stored copy of the page at build time; where the two differ, the quote is the fact.

  1. Our reading

    A coronary calcium score of zero does not mean the arteries are free of disease, and in a younger adult it is far weaker reassurance than it looks.

    Their wordsIn other words, the absence of calcium is not the same as the absence of disease—it may simply mean the disease hasn’t reached the stage CAC is designed to detect.
    Interesting

  2. Our reading

    A zero calcium score is only as reassuring as the rest of the risk profile it sits in.

    Their wordsA zero calcium score is reassuring, but it is most reassuring when the rest of the risk profile points in the same direction.
    Interesting