Preventive Cardiology

Stopping Heart Disease Before It Starts

Preventive cardiology focuses on identifying and managing risk factors before heart disease develops. Dr. Naidoo’s comprehensive approach combines risk assessment, early detection, and targeted interventions to protect your cardiovascular future.

Understanding Your Risk

Comprehensive Risk Assessment

Not all risk is visible. We evaluate:

Modifiable Risk Factors:
  • High blood pressure
  • Elevated cholesterol
  • Diabetes or prediabetes
  • Smoking
  • Excess weight
  • Physical inactivity
  • Unhealthy diet
  • Stress
  • Excessive alcohol

Non-Modifiable Factors:
  • Age
  • Gender
  • Family history
  • Ethnicity
  • Previous heart events

Understanding your unique risk profile enables personalised prevention strategies.

Screening Programmes

Early Detection Saves Lives

Dr. Naidoo offers comprehensive cardiac screening:

Basic Screening (Age 20+):
  • Blood pressure measurement
  • Cholesterol profile
  • Body mass index
  • Diabetes screening
  • Lifestyle assessment

Advanced Screening (Higher Risk):

  • Exercise stress testing
  • Coronary calcium scoring
  • Carotid ultrasound
  • Advanced lipid testing
  • Inflammatory markers (hs-CRP)
  • Genetic testing when indicated

Screening frequency depends on your risk level and age.

Risk Factor Management

Targeted Interventions

Blood Pressure Control
  • Target levels based on overall risk
  • Lifestyle modifications first
  • Medication when necessary
  • Home monitoring programmes
  • Regular adjustment and optimisation

Cholesterol Management
  • Detailed lipid analysis
  • Dietary counselling
  • Statin therapy when indicated
  • Alternative medications for statin intolerance
  • Target achievement monitoring

Diabetes Prevention & Control
  • Prediabetes identification
  • Lifestyle intervention programmes
  • Medication for diabetes prevention
  • Optimal glucose control

Cardiovascular protection strategies

Lifestyle Medicine

Exercise Prescription

Dr. Naidoo provides specific exercise recommendations:
  • Type, intensity, and duration
  • Progressive training plans
  • Safety guidelines
  • Monitoring parameters
  • Motivation strategies

Nutritional Guidance
  • Mediterranean diet principles
  • South African diet adaptations
  • Portion control strategies
  • Reading food labels
  • Practical meal planning

Weight Management
  • Realistic goal setting
  • Sustainable approaches
  • Medical support when needed
  • Bariatric surgery evaluation
  • Long-term maintenance strategies

Smoking Cessation Support

Breaking Free from Tobacco

Comprehensive cessation programme:
  • Motivation counselling
  • Nicotine replacement therapy
  • Prescription medications
  • Behavioural support
  • Relapse prevention
  • Follow-up encouragement

Stopping smoking is the single most powerful thing you can do for your heart.

Family Screening

Family history increases risk for relatives:

  • Screening recommendations for family members
  • Genetic counselling when appropriate
  • Familial hypercholesterolaemia detection
  • Cascade screening programmes
  • Early intervention strategies

Identifying family risk enables proactive protection across generations.
FAQs

Quick Answers to Common Questions

Basic screening (blood pressure, cholesterol) should begin at age 20, repeated every 4-6 years if normal. Earlier screening is recommended with family history of premature heart disease. After 40 (men) or 50 (women), more comprehensive assessment is advised. Dr. Naidoo tailors screening based on individual risk.

While family history increases risk, it's not destiny. Aggressive risk factor modification can significantly reduce your chances of developing heart disease. Studies show lifestyle changes and appropriate medical therapy can offset much of the inherited risk. Early awareness enables early action.

The Mediterranean diet consistently shows cardiovascular benefits: abundant fruits, vegetables, whole grains, legumes, nuts, olive oil, moderate fish and poultry, limited red meat and processed foods. Dr. Naidoo helps adapt these principles to South African cuisine and personal preferences.

Guidelines recommend 150 minutes of moderate-intensity exercise weekly (30 minutes, 5 days) or 75 minutes of vigorous exercise. This can be broken into shorter sessions. Strength training twice weekly adds benefit. Dr. Naidoo provides personalised exercise prescriptions based on your fitness and health status.

Most people obtain sufficient nutrients from a balanced diet. However, specific supplements may benefit certain individuals: omega-3 for high triglycerides, vitamin D for deficiency, or CoQ10 with statins. Dr. Naidoo advises on evidence-based supplementation rather than unnecessary products.

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