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The Old Paradigm: Sick Care

Established cardiovascular guidelines focus on detecting and treating “symptomatic patients,” those who have experienced a heart attack. Very little investment has been made to prevent a first heart attack.

Today’s guidelines fail to identify the “vulnerable patient” those who are at high risk of a heart attack. Screening only for risk factors of heart disease (e.g. blood pressure and cholesterol) has resulted in many heart attack victims being considered borderline or “normal” and not high risk.

Risk factor screening is necessary but grossly insufficient for prevention of heart attack.

SHAPE begins where risk factor screening ends.


New Paradigm: Health Care


SHAPE advocates for detecting and treating “pre-symptomatic patients.”

The SHAPE Guideline calls for all apparently healthy men 45-75y and women 55-75y (except those with a very low risk factor profile) to be screened for atherosclerosis (plaque buildup in the heart and arteries). It allows for identification and treatment of the “vulnerable patient,” individuals who are at very high risk of a near future heart attack.

Heart attack is not an earthquake; it can be predicted, thereby prevented. Together, we can eradicate the suffering that heart attack inflicts upon humanity.

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Quiz & Poll
  Patient's Question
Which condition is more dangerous? (better predicts a near future heart attack)
    High blood cholesterol
    High coronary calcium
  Doctor's Question
Would you treat individuals with normal cholesterol but high coronary calcium or carotid IMT?
    No
    Yes