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🗺️ PDF Prevention Guide · $37

Your Annual Cardiac Prevention Blueprint

The complete, evidence-based prevention framework Dr. Nyange uses in a comprehensive preventive cardiology consultation — every lab test, screening schedule, lifestyle target, and age-specific priority organized into one comprehensive reference.

✓ 7 pages✓ Complete lab panel✓ Screening schedule✓ Lifestyle evidence tiers✓ PDF download
$37
One-time purchase · Instant PDF download
  • Complete cardiovascular lab panel — 11 tests with targets and action thresholds
  • Screening schedule — CAC, ABI, echocardiogram, sleep study, ECG, stress test
  • Lifestyle prevention tiers — ranked by strength of cardiovascular outcome evidence
  • Age-specific prevention priorities from 20s through 70s+
  • ASCVD risk calculator guidance
  • Coronary calcium score — who needs it and how to interpret it
Get Prevention Blueprint — $37
🔒 Secure📚 Instant download💳 One-time
Your complete prevention reference

80% of premature cardiovascular disease is preventable — if you know what to do

Preventive cardiology has become a specialty precisely because prevention is not obvious, not simple, and not well-communicated in standard medical practice. Most patients have never heard of a coronary calcium score. Many do not know their Lp(a). Few have been told their 10-year ASCVD risk score or what it means for their medication decisions.

This is the guide that closes those gaps. It is the framework Dr. Nyange uses in a comprehensive preventive cardiology consultation — organized so you can review it annually, identify what has been done and what has not, and arrive at appointments prepared to have the right conversations.

By the numbers

What’s inside

80%
Preventable
Estimated proportion of premature cardiovascular disease preventable with appropriate screening and treatment
11
Lab Tests
Covered in the complete cardiovascular screening panel with targets, frequency, and action thresholds
5
Age Groups
Prevention priorities organized for 20s through 70s+ — tailored to each life stage

“Preventive cardiology is not about waiting for disease to appear — it is about systematically identifying and modifying the conditions that allow disease to develop. The patients who never have a heart attack are not lucky. They are managed. This guide is the framework for that management.”

CN
Dr. Christabel Nyange, MD, MPH, FACC
Founder, ElinMed · Board-Certified Cardiologist
FAQ

Common Questions

What is an ASCVD risk score and do I need one?
The 10-year ASCVD (Atherosclerotic Cardiovascular Disease) risk score estimates your probability of having a heart attack or stroke in the next 10 years based on age, sex, race, blood pressure, cholesterol, smoking status, and diabetes. It is calculated using the AHA/ACC Pooled Cohort Equations and is available at tools.acc.org/ASCVD-Risk-Estimator-Plus. Patients with 10-year risk 7.5-20% (intermediate risk) are the most important group — statin therapy decisions, CAC scoring, and aspirin discussions are driven by where you fall in this range.
What is a coronary calcium score and should I ask about it?
A coronary calcium score (CAC) uses a low-radiation CT scan to quantify calcium in coronary arteries — a surrogate for total plaque burden. It takes 10-15 minutes and requires no contrast. CAC = 0 in an intermediate-risk patient essentially rules out significant atherosclerosis and allows deferral of statin therapy with close monitoring. CAC > 100 or in the 75th percentile for age/sex strongly supports statin initiation. It is most useful when you are in the "borderline" risk zone and the decision is genuinely uncertain. The blueprint covers who should ask about it.
How often should I have a comprehensive cardiovascular assessment?
For low-risk adults: basic screening (blood pressure, lipids, glucose) every 3-5 years from age 20, increasing to every 1-3 years after 40. For intermediate-to-high risk patients or those on cardiac medications: annual comprehensive labs, annual blood pressure monitoring, and a formal cardiology risk review every 1-2 years. The blueprint provides a complete schedule organized by test type — so you can track what has been done and what is due at your next appointment.

Prevention is a plan, not a hope.

The complete annual cardiac prevention reference — everything in one guide.

Get Prevention Blueprint — $37
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