A study from the University of Edinburgh finds that greater muscle density in the chest and back is associated with a lower risk of having a heart attack or dying in the decade after medical scanning. Researchers analysed routine heart scan data from 1,722 people, most of whom were in their fifties and had experienced chest pain. Using artificial intelligence to assess the scans, they report that people with higher muscle density in areas such as the back (including portions of pectoral muscles and intercostal muscles between the ribs) were less likely to experience a heart attack or die over the follow-up period. The association remains after accounting for other potential risk factors, including age, sex, and the extent of calcium build-up in the arteries. The findings suggest that muscle composition—not muscle size—may be relevant to cardiovascular health. While the study does not prove cause-and-effect, it adds to broader evidence that exercise supports heart health. The authors note that further research is needed to clarify how strength and other types of exercise might influence muscle density and subsequent heart outcomes.