Preventive Cardiology Programme
Find the disease while it is still silent — then stop it. A structured, cardiologist-designed pathway from unknown risk to a controlled, monitored plan.
Heart attacks are not sudden. Only the symptoms are.
Atherosclerosis begins in the twenties. By the time a plaque ruptures and produces the crushing chest pain that brings someone to my cath lab, the artery has been quietly narrowing for two or three decades.
Preventive cardiology is the discipline of finding that process early — and it is a genuinely different skill from treating a blockage. It relies on risk stratification, the right tests at the right age, honest lifestyle work, and sometimes medication started years before anyone feels unwell.
This programme is that discipline, delivered systematically instead of accidentally.
Who this is for
- Anyone over 30 who has never had a formal risk assessment
- Family history of heart attack, stroke or sudden death
- Known high blood pressure, diabetes, or abnormal lipids
- Borderline reports that nobody has explained
- Post-heart attack, post-stent or post-bypass — preventing the second event
- Women approaching or past menopause
- Anyone told "your reports are normal" who still does not feel reassured
Five phases, sixteen weeks, then maintenance.
Phase 1 · Baseline (Week 1)
A structured history — personal, family, occupational and dietary — plus every existing report you have. We calculate your 10-year and lifetime cardiovascular risk using validated scores, adjusted for South Asian ethnicity, and identify which risk factors are driving your number.
Phase 2 · The right tests (Weeks 2–3)
Not every test helps. We tell you which ones change management for someone with your profile — typically a full lipid panel with ApoB, Lp(a) once in a lifetime, HbA1c, hs-CRP, renal function, thyroid, and where appropriate a coronary artery calcium score, CIMT or stress evaluation.
Phase 3 · Translation (Week 3)
You receive a written report in plain English: what each number means, what is normal for the lab but not optimal for you, what is fixed (age, genes, ethnicity), what is fixable, and what needs your treating physician's attention now.
Phase 4 · The roadmap (Weeks 4–16)
A 12-week sequenced plan. Two or three changes at a time, never twelve. Diet built around your actual kitchen, movement matched to your joints and schedule, sleep and stress addressed as cardiovascular risk factors, and a clear list of questions to take to your doctor about medication.
Phase 5 · Review and hold (Ongoing)
Quarterly re-testing where indicated, dashboard review, and course correction. Prevention is not a twelve-week project — it is a maintained state. This is the phase that most programmes skip and where most of the benefit lives.
Ten levers. Most people are only ever told about two.
ApoB & LDL-C
ApoB counts the actual number of atherogenic particles. It predicts risk better than LDL cholesterol alone, and is routinely ignored in India.
Lipoprotein(a)
Genetically determined, measured once in a lifetime, raised in roughly one in five people — and almost never tested. It changes how aggressive we need to be.
Blood pressure
Measured properly, at home, over days — not once in a clinic corridor. The single highest-yield modifiable risk factor worldwide.
Glycaemic status
HbA1c and fasting insulin. Insulin resistance damages arteries years before anyone earns the label 'diabetic'.
Inflammation (hs-CRP)
Plaque rupture is an inflammatory event. Residual inflammatory risk explains events in people whose cholesterol looks controlled.
Coronary calcium score
A five-minute CT that shows whether plaque exists right now. A zero score in the right patient is the most reassuring number in cardiology.
Central adiposity
Waist-to-height ratio matters more than BMI for South Asians, who carry visceral fat at lower body weights.
Sleep & apnoea
Untreated sleep apnoea drives hypertension, arrhythmia and sudden death. Snoring plus daytime fatigue is a cardiac symptom.
Chronic stress
Not a soft factor. Sustained sympathetic overdrive raises blood pressure, glucose and inflammatory markers measurably.
Never on our advice alone. We do not start, stop or change prescriptions. What we do is give you a clear, evidence-referenced list of questions to raise with your prescribing doctor — for example, whether your LDL target should be lower given your calcium score.
Tests are ordered through your local laboratory and paid directly to them — we take no commission and have no lab partnerships. A typical first-round panel in India runs between ₹3,000 and ₹8,000; a calcium score CT, where indicated, adds roughly ₹4,000–₹10,000 depending on the city.
That is excellent news and it changes the plan — usually toward less aggressive medication and a longer re-screening interval. It does not mean ‘do nothing’: a zero score with a high Lp(a) still needs attention, because the score reflects today, not your trajectory.
It is the ideal age. Risk-factor control started in the thirties produces far greater lifetime benefit than the same control started at fifty, because arterial damage is cumulative. The programme for a low-risk 32-year-old is short and mostly reassurance — which is worth having.
Yes, and we prefer it. Many members share our written report with their treating doctor. At VIP level we will correspond with your physician directly, with your consent.
Find out where you actually stand.
The free risk check is the entry point to the programme. It takes three minutes.
Complete Health. Better Life.
Doctor-led preventive cardiology and lifestyle membership. Founded by Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D. — Senior Interventional Cardiologist, Hyderabad.
Emergency: call 108 — do not use this website.
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