Heart Disease FAQs

Heart disease develops from a combination of lifestyle factors, medical conditions, and genetic risk. The most common causes are modifiable and include high blood pressure, elevated cholesterol, insulin resistance, smoking, excess weight, and physical inactivity. Early screening and preventive care play a critical role in reducing risk.

Advanced cardiovascular screening is typically recommended beginning at age 40. Individuals with a strong family history or multiple risk factors may benefit from earlier evaluation. Personalized screening decisions are based on overall risk rather than age alone.

While plaque buildup cannot always be fully reversed, disease progression can often be slowed or stabilized. Lifestyle optimization, targeted medications, and appropriate supplementation can significantly reduce risk and improve long-term outcomes.

Statins, a type of medication that helps lower cholesterol, are not always required. While they play an important role for certain patients, particularly those with established cardiovascular disease, treatment decisions should be individualized. Advanced testing allows us to balance benefits and risks, especially in women and lower-risk patients.

The most impactful changes include improving nutrition quality, reducing excess carbohydrates and processed foods, maintaining a healthy body composition, managing blood pressure, staying physically active, and prioritizing sleep. Medications and supplements are added selectively based on individual risk.