|CardiaSure Advanced Assessment Program
The CardiaSure Advanced Assessment Program provides a detailed evaluation of the state of your cardiovascular system and a comprehensive basis for the design of your personalized Healthy Lifestyle Program.
The Advanced Assessment Program is for those patients who are found to have more than a minimal amount of atherosclerotic plaque or Coronary Artery Disease. This comprehensive assessment will determine the extent of your cardiovascular disease, as well as screen for many other health risks. With the Advanced Assessment Program we can gather the health information needed to create your own personalized cardiovascular prevention program and your personal pathway to optimum health.
Your CardiaSure Advanced Assessment Program can include:
High Definition Vascular CT Angiography (HDVCT)
Cardiac CT Angiography is a non-invasive procedure that produces 3-Dimensional images of the inside of an individual's coronary arteries. A contrast dye is injected into an arm vein and images are taken with a 64 Slice Vascular CT Scanner. Unlike a conventional angiography, the Cardiac CT Angiography is minimally invasive.
Conventional angiography, or Cardiac Catheterization, is the diagnostic standard for determining the presence, location and severity of coronary artery disease. While highly effective, Cardiac Catheterization is invasive, labor intensive, costly and carries a risk of complications. Approximately 30% of these procedures reveal no abnormality or an abnormality that does not require stents or surgery. This means that hundreds of thousands of Americans are unnecessarily put to the expense, discomfort and risk of conventional angiography. These limitations have led to the need for a less invasive and less expensive test.
The Cardiac CT Angiography is a simple, non-invasive test that can detect narrowing in the coronary arteries or in bypass grafts. In patients with high Calcium Scores, borderline stress test results or atypical symptoms, the Cardiac CT Angiography offers a simpler, safer and non-invasive means for determining the presence of high-grade obstruction before proceeding with more invasive treatments.
Advanced Lipid Management
The CardiaSure Advanced Lipid Management Profile goes far beyond cholesterol and LDL levels. We measure up to 20 individual determinants of cardiovascular risk in your blood including:
- LDL Sub-classes Routine cholesterol tests typically measure only the total LDL level. More advanced testing can measure 7 sub-classes of LDL present in the blood. These classes differ mainly in the size of the LDL particle. The smaller and denser your LDL particles are, the greater the likelihood of cardiovascular disease. Even if your LDL is already low enough to meet the recommended treatment guidelines, if you have predominantly small, dense LDL you are still at risk. By measuring the LDL particle size we can design a treatment program that will be much more effective at lowering your risk.
- HDL Sub-Classes HDL helps to protect your arteries by picking up cholesterol from the artery wall and returning it to the liver to be broken down and excreted. The higher your HDL level, the greater the protection. HDL levels can be broken down into 5 sub-classes. The most important sub-class of HDL is HDL-2b. Patients with low levels of HDL-2b, regardless of their total HDL level, are at higher risk. Fortunately, there are specific treatment plans designed to help raise your HDL-2b level.
- Homocysteine This amino acid metabolite can injure the inner layer of the blood vessels and high levels of homocysteine indicate elevated cardiac risk. Simple nutritional strategies can help to lower your homocysteine level.
- Lipoprotein (a) This lipid is made of LDL combined with additional protein molecules. Its function is unknown but its level is a strong indicator of risk for coronary disease and stroke. Levels of lipoprotein (a) respond to nutritional supplements and dietary measures.
- C-Reactive Protein This is a marker for systemic inflammation. Elevated levels are a predictor of heart attack and stroke.
- Insulin Levels Increased insulin levels may be associated with increased levels of inflammation. Patients with the combination of high levels of small, dense LDL and high insulin levels are up to 20 times more likely to have a heart attack than someone with large LDL particles and normal insulin levels.
Further Information on Advanced Lipid Testing at Berkeley HeartLabs
Your Advanced Assessment Program includes an evaluation of your medical history and test results with one of our Board-Certified Physicians. You'll get valuable face-to-face time and informative discussions with knowledgeable doctors, get answers to your concerns and advice that will translate into reaching optimal health.
Advanced lifestyle program options:
Princeton Longevity Center offers our Advanced Healty Lifestyle Programs to help guide you to the most effective approach to lowering your risk for heart attacks, stroke, diabetes, cancer and other life-limiting illnesses,
The CardiaSure Program is your opportunity to anticipate and prevent heart attacks, stroke and chronic illness. You'll learn the simple, easy steps that you can take to improve your nutrition and fitness so that your future years are as healthy, active and enjoyable as you want them to be.
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