Tanya Haught

[Tanya Haught @tanyahaught]

@FreddyLA7 @ClayTravis Yay! Glad you are back!

[Cernovich @Cernovich]

🇺🇸

[Michael Dell 🇺🇸 @MichaelDell]

Today, on America’s 250th birthday, Susan and I are celebrating by giving $250 each to the first 25 million qualifying American children who sign up for their @InvestAmerica24 @TrumpAccounts.

This makes every child a shareholder in the greatest prosperity-creating engine the world has ever known — American capitalism. Through this public-private partnership, we’re giving the next generation a real stake in our economy and a path to the American Dream: education, a first home, starting a business, and building lasting wealth.

It unites us all in hope and optimism for every child’s future.

Happy 250th Birthday, America! 🇺🇸

https://t.co/Jd7nb98JDT

[Tanya Haught @tanyahaught]

@travisk LOL. I work in that office. This is awesome!

[Tanya Haught @tanyahaught]

@Jason @bucees Yikes!!! I love P Terry’s!

[Mary Katharine Ham @mkhammer]

I love that we are back to giving the Medal of Honor to living recipients. Please appreciate Maj. James Capers, American hero and absolute unit, folks:

[Afshine Emrani MD FACC @afshineemrani]

I'm a cardiologist. If you've ever been told "your calcium score is zero — you're fine," I need you to read this carefully.

A new study just changed how I think about the most popular heart scan in preventive cardiology.

The NATURE-CT study — published in the Journal of Cardiovascular Computed Tomography in 2026 — tracked 205 low-risk, untreated adults with two detailed coronary CT angiograms roughly five years apart. No diabetes. No statins. No prior heart attacks. Average LDL around 112 mg/dL — what most labs still call "normal." Over half had a calcium score of exactly zero at baseline.

What happened over five years with no treatment:

Total plaque volume roughly doubled. From about 30 cubic millimeters to 59.

And here's the finding that should change how every patient and every physician thinks about the calcium score:

Nearly all the growth was non-calcified soft plaque — the lipid-rich, inflamed kind most linked to heart attacks. Soft plaque grew from 27.5 to 53.5 cubic millimeters. Calcified plaque barely moved — from 0.3 to 3.2.

The most dangerous subtype — low-attenuation plaque, the very soft, rupture-prone lesions that cause sudden cardiac events — was present in 9% of patients at baseline. Five years later: 23%. More than doubled.

Even among patients with a true zero calcium score at baseline, non-calcified plaque was often already present and grew substantially. Silently. Without symptoms.

Let me explain why this matters so much — because I've been ordering calcium scores for twenty years and I need you to understand what they can and cannot tell you.

A calcium score measures calcified plaque. Calcium in your arteries is essentially scar tissue — the healed residue of old inflammation. Think of it as a smoke detector that only detects fires that already burned out.

A zero score means: no old scarring detected. It predicts very low short-term event risk — typically a "warranty period" of 5-15 years depending on your other risk factors. That's genuinely reassuring and I still order this test regularly.

But a zero score does NOT mean zero plaque.

It means the scan is blind to the plaque that's most likely to kill you — the soft, active, lipid-rich plaque that's growing right now inside your artery walls. The plaque that ruptures without warning and causes the heart attack nobody saw coming.

This is why I've had patients on my cath lab table who said: "But my calcium score was zero two years ago."

It was zero. And the soft plaque that was already there — invisible to the calcium scan — kept growing until it ruptured.

A coronary CT angiogram with AI-enhanced plaque composition analysis is the difference between seeing old scars and seeing the active fire. It visualizes your arteries in 3D with contrast, quantifies total plaque burden, and — critically — tells me how much is soft and dangerous versus calcified and stable.

The NATURE-CT study used exactly this technology — Cleerly's AI plaque analysis — and it revealed what the calcium score alone would have completely missed: a near-doubling of dangerous plaque in "healthy" people with "normal" cholesterol over just five years.

Here's what this means for you:

If your calcium score is zero — celebrate it. It's genuinely good news. You have time. Use that time wisely.

Do not interpret it as "I'm fine forever." Plaque is building. In most adults over 40, it's already there — just in a form the calcium scan can't see.

Know your ApoB. This counts every atherogenic particle penetrating your artery walls. LDL of 112 — the average in this study — looks "normal" on a standard panel. But those particles were building plaque year after year in every single patient tracked. ApoB tells you the real particle burden. Most people have never had it checked.

Know your Lp(a). Test it once in your lifetime. 1 in 5 Americans are elevated. Completely genetic. Triples risk independently. Diet and exercise cannot lower it.

If you have risk factors — family history, elevated ApoB or Lp(a), metabolic syndrome, autoimmune disease — push for a full coronary CT angiogram with plaque analysis, not just a calcium score. The difference is the difference between seeing the scars and seeing the disease.

If soft plaque is found early, we can stabilize it. Statins don't just lower LDL — they stabilize plaque, making soft lesions harder and less likely to rupture. PCSK9 inhibitors drive LDL even lower. Lifestyle — Mediterranean diet, resistance training, sleep, stress management — reduces the inflammation that makes plaque vulnerable.

The goal of prevention isn't perfection. It's slowing the slope so dramatically that you never have an event. And the NATURE-CT data proves that the slope is steeper than we thought — even in people who look "low-risk" by every standard measure.

I've written on this platform about inflammation as the fire behind heart disease. About AI detecting inflamed arteries years before symptoms. About advanced lipid testing that catches what standard panels miss. This study ties all of it together into one devastating conclusion:

The standard playbook — check calcium score, if zero you're fine, see you in five years — is not enough.

It was never enough.

We were looking for old fires and missing the ones still burning.

Zero calcium buys you time. It buys you peace of mind. But what you do with that time — the ApoB you check, the lifestyle you build, the advanced imaging you pursue when risk factors warrant it — is what determines whether you stay healthy or become one of the patients on my table who says "but my score was zero."

Prevention works best before the calcium rises. Before the symptoms appear. Before the event that didn't have to happen.

Measure what matters. Act early. Stay ahead.

Your arteries will thank you for decades.

[Mike Solana @micsolana]

listen up, we have to vote for the man with the nazi tattoo so he can stop the man landing rockets and curing the blind from making any more money, otherwise we’ll get fascism

you see how stupid you sound, yes?

[Leslye ♥️ Texas @LMozisek]

As someone who’s been singing the National Anthem at rodeo events for over 20 years, I’ll just say….
There’s a way it was intended to be sung, without your own spin. This was 💯the way! Bravo!

[Erick Erickson @EWErickson]

One of the greatest speeches of the late 20th century, given on the 40th anniversary of one of the most spectacular days in human history.

[Fox News @FoxNews]

Just weeks after winning the Kentucky Derby, Golden Tempo has won big again.

The colt captured the 158th Belmont Stakes on Saturday at Saratoga, after his team chose to skip the Preakness Stakes and give him extra time to rest rather than pursue horse racing's Triple Crown.

[Tanya Haught @tanyahaught]

@iowahawkblog A saying that never gets old. Also. Accurate

[Tanya Haught @tanyahaught]

@juliegirltweets 😳

[Bill Ackman @BillAckman]

On this Memorial Day, I am reminded how eternally grateful I am to those who sacrificed their lives to preserve our independence and our democracy. The ultimate sacrifice to people they will never know.

We are incredibly fortunate to live in this amazing country at this remarkable time in history. We are the luckiest people of the last many thousands of years. Let’s keep our difficulties in perspective and profoundly thank and remember those that made now possible.

[Karol Markowicz @karol]

We live among monsters.

[Chamath Palihapitiya @chamath]

Key to winning:

Choose to be positive and grateful. Then, just keep at it. Time is the great compounder and will do the rest.

So many people just don’t have the discipline to stay positive and grateful. Then time compounds the bitterness instead.

[Tanya Haught @tanyahaught]

@ZubyMusic Welcome to ATX!!!

[Karun Pal @karunpal]

The older I get, the more I believe happiness lives in the ordinary. Pets. Plants. A quiet morning coffee. Blue sky. Cotton clouds. Birds singing. The gentle breeze through the trees. A clean, cosy house. Good food. Good hearted simple poeple. So much of life’s beauty is quiet, gentle, and already here. And somehow, one of the sweetest feelings is knowing I get to wake up and meet it all again tomorrow.

[Tanya Haught @tanyahaught]

@SecRubio @RyanSaavedra 👏👏👏