I am of the opinion that once have soft plaque, it just time bomb. There are just as many people of having rupture plaques by just plainly doing nothing. Maybe strenuous exercise accelerateto it, but shying away exercise also will heighten risk as consistent exercise tends to lead to stable plaques the calcified type.
Yeah if talking about stability issues, soft type is usually more dangerous.
"Unfortunately" need the (most) expensive CT angiography test which can detect both soft and calcified plague.
The calcium scan (much cheaper) cannot, and definitely not those treadmill tests.
But then even when detected with soft plague, there is only so much healthcare / meds can do.....the tests just lets you know it and the specialist decides or not to medically intervene with meds, stents or even bypass.
Best is to have a good diet in the first place and dose with appropriate levels of exercise/physical activiity for the ultra long haul. Coz we also have to remember, cardiac testing only covers 1 aspect. But appropriate exercise and diet affects risk levels of all other lifestyle type diseases as well.
Esp if one can do good volume/duration and actually burn more fats (esp visceral type - which is damn difficult to burn) hence reducing weight which is one big risk factor......and as we'd all know, it's damn difficult and only possible with kee siao exercising fellas like some of us who can gun high vols of Z1/Z2, talking about 10-15hrs per week easy easy before it makes a notable impact. instead of just using glcogen/water loss and then replenishing it.
And there is also info that really unfit fellas can barely burn fats even in high Z1/Z2 levels, they generally just use glycogen even at that intensity. So in a way, some morbidly obese fellas really just stay obese....their fats like maciam stuck in them forever one cannot be burnt off, there is literally no way out unless they do something really super duper extreme.
