Hmm, I can’t say for sure, as I’m not an expert in this field and haven’t done enough research yet, so I’m still at the surface level of things.
However, one of the commenters on this article, Tom Lang—a retired health and wellness coach—emphasized the importance of living a healthy lifestyle. He recommended eating nutritious food, engaging in regular vigorous exercise (any activity that raises your heart rate), and keeping stress levels low. According to him, his clients have had zero heart problems—including no plaque detected during scans—even with very high LDL levels.
I hope this helps :)