Concierge Medicine
What Is Preventive Cardiology in Concierge Medicine?
Haute MD Editorial Team
Preventive cardiology in concierge medicine is a structured program of early cardiovascular risk identification and intervention — built around advanced lipid testing, coronary calcium scoring, blood pressure optimization, metabolic management, and lifestyle protocols — designed to prevent heart attack and stroke decades before they would otherwise occur.
What preventive cardiology evaluates
Advanced lipid panels (ApoB, Lp(a), lipid subfractions), inflammatory markers (hs-CRP), coronary calcium scoring, blood pressure trends, glucose and insulin sensitivity, and family history.
Common interventions
Aggressive LDL and ApoB lowering (often with statins, ezetimibe, or PCSK9 inhibitors when warranted), blood pressure optimization, metabolic intervention, and structured lifestyle protocols.
Why it matters
Cardiovascular disease remains the leading cause of preventable death. Early identification of subclinical disease — particularly through CAC scoring and ApoB — enables intervention well before symptoms appear.
Frequently Asked Questions
What is the most important preventive cardiology test?
Coronary calcium scoring and ApoB are among the highest-impact, evidence-based tests in modern preventive cardiology.
Do I need to see a cardiologist?
Many concierge primary care physicians manage preventive cardiology directly, referring to cardiology for high-risk findings or complex cases.
Can prevention reverse heart disease?
Aggressive lipid lowering and lifestyle intervention can stabilize and partially regress plaque in many patients.
When should I start preventive cardiology?
Risk stratification can begin in your 30s; CAC scoring is typically valuable starting in the 40s, earlier with family history.
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Dr. Alexander Golberg — Concierge & Longevity Medicine — New York, NY
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