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The Coronary Artery Inflammation Controversy

Eric Topol · 5 Sept 2026 · erictopol.substack.com

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Eric Topol 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. We can’t count on surrogate blood markers to guide the results of cardiovascular clinical outcome trials.
  2. The “inflammation hypothesis” is not a hypothesis.
  3. We know that arteries with a calcium (CAC) score of zero can be highly inflamed, and that high CAC scores are not necessarily high-risk for cardiovascular events.