Executive physical
One day, a complete workup, and a results consultation the same afternoon
Preventive cardiology
Risk measured properly, then reduced deliberately, decades before an event.
Overview
A standard lipid panel was designed in an era before we could measure particle count cheaply. Preventive cardiology at Aurelia starts with apolipoprotein B, adds a once-in-a-lifetime lipoprotein(a), and uses a coronary artery calcium score to convert an abstract percentage into something you can see.
The programme is run jointly by your primary physician and Dr. Elliot Vance, so treatment decisions are made once rather than negotiated between two records.
What is included
Advanced lipid assessment
ApoB, lipoprotein(a), non-HDL cholesterol and, where useful, an NMR particle profile.
Coronary artery calcium score
A low-dose CT at a partner imaging centre, read with you rather than posted to you.
Blood pressure phenotyping
Twenty-four hour ambulatory monitoring to separate white-coat readings from true hypertension.
Metabolic assessment
Fasting insulin, HbA1c, uric acid and liver imaging where fatty liver is suspected.
Treatment and titration
Statin, ezetimibe, bempedoic acid or PCSK9 inhibition where indicated, with follow-up lipids at 8 to 12 weeks.
Family cascade screening
Where familial hypercholesterolaemia or elevated Lp(a) is found, we help arrange testing for first-degree relatives.
How it actually runs
- 01
Baseline and history
Full cardiovascular history including the age at which relatives had events, which is often the strongest single input.
- 02
Measure properly
ApoB and Lp(a) drawn with your next fasting panel; ambulatory blood pressure fitted the same week.
- 03
Image if it changes the decision
A calcium score is ordered when the result would actually move treatment, not reflexively.
- 04
Set a target
An explicit ApoB target written into your plan, with the medication and lifestyle changes needed to reach it.
- 05
Re-measure and adjust
Repeat lipids at 8 to 12 weeks after any change, then annually once you are at target.
Who you will see
Dr. Elliot Vance, MD, FACC
Preventive cardiology
Lipidology, coronary calcium scoring, hypertension phenotyping
Sofia Bergström, MS, RDN, CSSD
Registered dietitian nutritionist
Cardiometabolic nutrition, body composition, sports nutrition
Provider credentials shown on this demonstration website are illustrative samples and do not describe real clinicians.
Questions about preventive cardiology
Something not covered here? The membership team answers by phone on weekdays.
All questionsApoB counts the atherogenic particles directly. Two people with identical LDL can carry very different particle numbers, and the particle number tracks risk more closely.
The dose is roughly comparable to a mammogram. We order it when the result would change what we prescribe, and not otherwise.
Diet and exercise move it very little; it is largely genetic. The response is to lower every other risk factor further, and to screen first-degree relatives.
Not for prevention. If you develop symptoms or structural disease we refer, and Dr. Vance stays involved in the plan.
Related programmes
Nutrition coaching
A registered dietitian, a six-visit arc, and changes that survive a travel week
Concierge primary care
Same-day access, 45-minute visits, one physician who knows your history