just goes to show you, ya can't outrun genetics, sometimes watching your diet and exercising is just not enough, stuff happens - the remarkable thing is that now a cardiac catheterization can an outpatient procedure, unless it happens to you out of the blue, then get on your high horse and get to a hospital - know the signs, pay attention to the signs (this is the way to keep it an outpatient procedure, in by 8am, home by 6pm, in most cases).
been there - at age 60...healthy as could be, except for a wee problem with a blocked artery...doctors kept sending me home until they finally were forced to take a closer look, and duh - there it was! those stents do the bloody trick, though, i must say...love mine!
I dread the day when my number comes up as I have a terrible reaction to the IV contrast used in the procedure. I'm old, take my statin, control my other risk factors and keep my eye on the horizon. But with my medical luck...
Additionally, it's a very sobering reality that one can appear quite healthy, live a health promoting lifestyle, and still get coronary artery disease. Genes and age overshadow all other risk factors. And some risk factors are simply unknown. Past viral and bacterial infections, clinically apparent or not, can damage coronary endothelium and lead to plaque and eventual clinical disease. Gut microbiome, etc, etc. Do what you can, but don't count on it...... (and do what you can to pick your genes wisely and slow down time..... )