Add one more likely culprit to the long list of known cardiovascular risk factors including red meat, butter, smoking and stress: microplastics. In a study released Wednesday in the New England Journal of Medicine, an international team of physicians and researchers showed that surgical patients who had a build-up of micro and nanoplastics in their arterial plaque had a 2.1 times greater risk of nonfatal heart attack, nonfatal stroke or death from any cause in the three years post surgery than those who did not.