The MI paradox: why most heart attacks still happen in “low-risk” patients

Many first heart attacks still occur in patients considered low risk by traditional screening tools. This is known as the MI paradox. Learn why risk factors are not the disease itself, how non-calcified plaque escapes calcium scoring, and how coronary CT angiography and AI-driven plaque analysis are shifting preventive cardiology from estimating risk to detecting silent coronary artery disease before the first myocardial infarction.