Personalised risk assessment using the latest evidence-based approaches.
A personalised review of blood pressure, cholesterol, diabetes risk, family history, lifestyle, exercise and relevant test results.
Risk is more than one number.
People seek assessment because of a family history, high cholesterol or blood pressure, diabetes, smoking, a concerning result, exercise plans or simply a wish to look after long-term cardiovascular health. Some arrive with supplement lists, wearable data or private screening results and want to know which findings matter.
A consultation brings these factors together. Standard risk calculators can be useful, but they must be interpreted alongside age, ethnicity, family history, symptoms, medication and personal priorities. The aim is to identify actions with a meaningful evidence base, avoid false reassurance and limit testing that is unlikely to change management.
Information commonly reviewed
- Blood pressure at home and in clinic
- Cholesterol, diabetes markers and other relevant blood results
- Lipoprotein(a) and hs-CRP when clinically appropriate
- Smoking, family history, ethnicity and personal risk factors
- Exercise habits, fitness goals and symptoms
- Weight, sleep and alcohol where relevant
- Previous ECGs, imaging or exercise-test results
- ECG, echocardiography or exercise testing when clinically appropriate
- CT coronary calcium scoring or CT coronary angiography when clinically appropriate
- Supplements and non-prescription health products
Support for becoming more active safely.
Starting exercise
Most people benefit from greater activity. Assessment is most useful when there are symptoms, known disease, a strong family history or uncertainty about how to start.
Endurance training
Dr Bhuva’s research examined the effects of first-time marathon training on cardiovascular age, blood pressure and arterial stiffness.
Data and devices
Wearable trends can support a conversation about training and symptoms, but abnormalities may need discussion, interpretation in context or further exploration.
Prevention questions.
Do I need a scan for a heart check?
Not necessarily. The value of an ECG, echocardiogram, calcium score, CT or other test depends on your symptoms, baseline risk and whether the result would change management.
Can supplements replace cholesterol or blood-pressure treatment?
Supplements vary in evidence, dose and quality and may interact with medicines. They should not be assumed to provide the same benefit as established treatment.
Can you advise before marathon training?
Yes, particularly if you have symptoms, known heart disease, abnormal results or a strong family history. No assessment can remove all exercise risk, but it can help identify concerns and plan proportionately.
Arrange a cardiovascular-risk review.
Bring recent blood tests, home blood-pressure readings and a medication or supplement list.