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A recent study in Journal of the American College of Cardiology: Cardiovascular Imaging provides insights into the advantages of maintaining strong cardiovascular health (CVH). The findings reported that individuals with high CVH scores reduce their risk of cardiovascular disease (CVD) and live for longer periods without any detectable coronary artery calcium (CAC).

The study used the data from the Multi-Ethnic Study of Atherosclerosis (MESA). The researchers followed over 3,400 adults with no CAC at the start and tracked them for up to 10 years. The goal was to see how long participants could maintain their zero-CAC status, depending on whether they had high, intermediate, or low CVH at the beginning of the study. People with better heart health at baseline were significantly more likely to stay free of CAC for longer.

Women with high CVH lived an average of 6.6 years without CAC compared to 5.6 years for those with low CVH. For men, the difference was also notable, 6.4 years versus 5.5 years. Younger participants aged 45–64 years with high CVH saw the biggest advantage, maintaining zero CAC for an average of 7.4 years versus 5.9 years for those with poor CVH. However, this benefit diminished in older adults (65–84 years), where the difference was minimal (5.1 years versus 4.9 years).

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Key highlights
  • High cardiovascular health was linked with more years lived without coronary artery calcium.
  • Women and men with better CVH lived around a year longer with zero CAC compared to those with low CVH.
  • The strongest benefits were seen in participants aged 45–64 years.
  • In older adults, CVH levels had a lesser impact on the time lived without CAC.
Source

Shah NS, Huang X, Cameron NA, et al. Association of Cardiovascular Health and Time Lived With Zero Coronary Artery Calcium. JACC Cardiovasc Imaging. Published online July 15, 2025. https://doi.org/10.1016/j.jcmg.2025.05.022 

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Coronary Artery Calcium and Heart Disease
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Study shows strong cardiovascular health helps adults stay free of coronary artery calcium longer, with greatest benefit seen in younger individuals.

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