Here is what I think I know about this: (My cite: A friend from years ago who had a PhD in biochemistry and did some research in the field, I think, who explained this to me.)
When an unsaturated fat molecule gains two extra hydrogens to become a saturated fat, it can do so in a cis or a trans configuration. When this is done naturally, it is done by enzymes that are very specific in their workings, always producing cis fats.
But when fats are saturated artificially, in the process invented by Crisco in the late 19th century, they put corn oil into an industrial-size pressure cooker with hydrogen gas and pressurized it until the H saturated the fats. This was where the molecules would randomly become cis saturated fats or trans saturated fats.
And after that was when people started dying of clogged arteries. An entire several generations of people, in America in particular, were poisoned by Crisco and all the copycat products. Eventually, it was understood that hydrogenated fats were killing people, and we were all taught to avoid the same.
It was only later (relatively recently, sort-of) that we all learned that it was trans fat specifically that clog your arteries. And we learned that “partially saturated” fats were just about as bad.
Thus, for example, a certain other friend told me that he went back to using butter instead of margarine, as it was really the partially hydrogenated oil in margarine, not the saturated fat in butter, that was killing people.
I decided to believe that, and now I too use butter instead of margarine. I now believe that it is not, and never was, saturated fat, per se, that is bad for you. Just the trans fat fraction thereof.
I believe now that products like Crisco are now made in a way that either prevents trans fats, or they are somehow filtered out at some point in the process, so these kinds of products no longer contain (much) trans fat.
The problem with trans fat is, first, it is solid-ish at room temperature, and sticky, so it clogs arteries. Worse, because it does not naturally occur (much), and because our bodies use very specific enzymes to metabolize such stuff, we have no enzymes for metabolizing (“burning off”) trans fat. We have no mechanism for getting rid of the stuff. So it just keeps accumulating in our bodies until it kills us.