The Scan That Reveals Heart Disease Years Before Symptoms
Lily Johnston, MD MPH
@lilyjohnstonmdAbout
I’m Dr. Lily Johnston, a vascular surgeon on a mission to put myself out of business. After years of treating the end-stages of heart disease—bypass surgeries, stents, amputations—I realized something brutal: Almost all of it was preventable. So now I teach the part of medicine we should have been taught all along: ✅ How to prevent heart attacks and strokes ✅ How to fix metabolic dysfunction (even when your labs look “normal”) ✅ Why weight loss isn’t a willpower problem ✅ When lifestyle changes are enough—and when you need medication ✅ How sleep, nutrition, stress, movement, hormones, and connection shape your heart and health This isn’t influencer wellness. This isn’t fear-based medicine. It’s real prevention, real science, real hope. If you’ve been “doing everything right” and still not seeing results… you’re my people. Subscribe and let’s make chronic disease optional.
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Video Description
In this video, I break down CAC (coronary artery calcium score), CIMT (carotid intima–media thickness), and CCTA (coronary CT angiography) — the three imaging tests that reveal your real cardiovascular risk. If you’ve ever been told your cholesterol is “fine” or “high” and you still don’t know what that means for you, this is the missing link. Most people think cholesterol numbers (LDL, HDL, triglycerides) can predict heart attacks and strokes. They can’t — not on their own. What actually matters is whether you’re building plaque in your arteries. And the only way to know that is through imaging. What we cover: • What a CAC score really measures and why a calcium score of zero isn't always reassuring • How CIMT ultrasound detects early soft plaque long before calcification • Why CCTA (coronary CT angiography) is the gold-standard for spotting dangerous non-calcified plaque, and why I don't recommend it for everyone • CAC vs CIMT vs CCTA: which test is right for you, and how much they cost • Why some people with “normal cholesterol” still develop plaque • How we currently assess cardiovascular disease risk and why it's not enough • Why detecting disease early saves lives If you want to understand your true heart attack and stroke risk — not just a lab number — these scans are the roadmap. I’m Dr. Lily Johnston, a vascular surgeon who treats the end stage of this debate every week. My goal is to help you prevent the heart attacks, strokes, and amputations I see in the OR. You deserve clarity, not confusion. Take good care — and if this helped, share it with someone who needs to know their real risk. ___________________________ 🧬 About Dr. Lily Johnston Dr. Johnston is a double board-certified vascular and general surgeon in San Diego, specializing in metabolic and cardiovascular prevention. She’s the founder of CorSight Health and a passionate advocate for reimagining how medicine approaches chronic disease. #MetabolicHealth #CardiovascularPrevention #HeartHealth #Longevity #InsulinResistance #DrLilyJohnston #DrLily #WomenInMedicine #Surgeon #VascularSurgeon #PreventiveMedicine #PADPrevention #HeartAttackRisks #HealthPortfolio #California #SanDiego #Arizona #Virginia #Minnesota
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