3854: Soft Plaque vs. Hard Plaque Heart Testing

August 25, 2026

3854: Soft Plaque vs. Hard Plaque Heart Testing

August 25, 2026

TWT: Soft Plaque vs. Hard Plaque Heart Testing

Heart disease remains one of the biggest health risks we face, but understanding what’s happening inside your arteries can give you a much clearer picture of your cardiovascular health.

On today’s show, I break down the difference between hard, calcified plaque and soft plaque, why soft plaque can be more vulnerable to rupture, and how arterial plaque develops in the first place.

I’ll explain what a CAC score can and can’t tell you, and how other options can help assess your cardiovascular health.

So join me on today’s Cabral Concept 3854 to discover the differences between hard and soft plaque, which tests can identify each type, why inflammation and other underlying factors matter, and what you can do to better understand your cardiovascular risk.

Enjoy the show, and let me know your thoughts!

Show Highlights & Big Takeaways

CAC Score:

A CAC score of zero doesn't mean you're plaque-free. CAC testing detects calcified plaque, but it doesn't identify soft plaque.

Soft Plaque:

Soft plaque may be the bigger immediate concern. Soft plaque is more vulnerable to rupture, which can contribute to blood clots and heart attacks.

Blood Work Isn't Enough to Assess Arterial Plaque:

Cholesterol levels can provide important information, but they don't directly show whether plaque is building up in the arteries. Imaging such as CAC scoring or CCTA can provide a much clearer picture.