Providing independent clinical excellence since 2005
With continued advancements in imaging, pharmacology, and personalised medicine, the SCVC cardiometabolic clinic is positioned to lead the way in preventative cardiology. The integration of real-time metabolic assessments, cutting-edge lipid profiling, and targeted pharmacotherapy represents a paradigm shift in how cardiovascular risk is managed.
Stress is an unavoidable part of modern life. We encounter it at work, at home, in traffic, and even while reading the news. Although we often discuss stress casually, its impact on the human body is profound—particularly on the cardiovascular system. In this article, we will explore how stress affects the heart and blood vessels, drawing on clinical insights, expanding scientific knowledge, and practical stress-management strategies. By the end, you will see why stress is a critical factor in any heart health strategy, along with steps you can take to mitigate its harmful effects.
Detecting coronary calcification on CT has been known as a sign of having coronary artery disease for over 30 years, but now the thinking has changed, and it might be logical to conclude that, if you have non calcified coronary artery disease, the best you can hope for is a strategy that calcifies your plaque!
Recognition that significant coronary artery disease exists without calcification led to the wider user of contrast-enhanced CT scans to detect both calcified and noncalcified plaques. Even more advanced scans identify not only the non calcified plaques, but also areas of inflammation (using data processing to measure FAI), that a non-contrast CT (such as a CAC scan) would otherwise miss. Sequential CAC to follow up disease progression quickly established that an increase in CAC with age was inevitable in most patients and not linked to clinical course, so is not widely practiced.
Is is increasingly obvious that not everyone with raised coronary inflammation and elevated risk of heart attack simply has a raised LDL Cholesterol- in fact there appears to be a mixed bag of risk factors associated with high coronary artery inflammation, including raised LDL, raised LP (a), raised Homocysteine, hypertension and dysregulated glucose. Our metabolic health assessment is therefore designed to offer a comprehensive dive into known contributory causes, the latest and most controversial of which is 'glucose dysregulation', the principle topic of this article.
Ultimately, the approach to cardiac CT screening is highly individualized, reflecting the diverse presentations and risk factors among patients. By employing a sophisticated pre-consultation process, cardiologists can tailor their assessment and management plans to best suit each patient's unique needs, enhancing the precision and effectiveness of cardiac care.
Since 2016, cardiologists have been utilising the HeartFlow Analysis in conjunction with cardiac CT scans to enhance the accuracy and predictive value of noninvasive coronary imaging. This technology allows many patients to avoid unnecessary invasive angiography, reducing the associated risks and stress.
Written by Dr Edward Leatham, Consultant Cardiologist: Groundbreaking research from Oxford University reveals it is possible to detect and quantify ‘coronary inflammation’ – invisible to the human eye on conventional CT images, but detectable using artificial intelligence techniques.