The Atma Approach

Heart Attack
Prevention

Most first heart attacks happen in people who were "fine" last visit.

Why an LDL target is one lever — not a full look at whether plaque is quiet or about to rupture.

By Dr. Neela Sandal

The short answer: When heart attack prevention care stops at lowering LDL, it can miss root causes such as particle number, insulin, smoking leftovers, and a raw artery lining. The Atma Approach is to find and treat those causes.

How Does Mainstream Medicine Treat Heart Attack Prevention?

Mainstream medicine's approach to heart attack prevention is lower the LDL and hope.

Stress test if your chest hurts. If it doesn't, see you in a year. Family died at 54? "That's genetics." The plaque that is already inflamed does not need your chest to hurt to be there.

Sound like your last doctor's appointment?

What Does Mainstream Medicine Miss About Heart Attack Prevention?

Commonly missed root causes of heart attack prevention include particle number, insulin, smoking leftovers, and a raw artery lining.

Most first heart attacks happen in people who were "fine" last visit. Particle number, insulin, smoking leftovers, and a lining that is already raw write the clot. An LDL target is one lever. It is not a full look at whether plaque is quiet or about to rupture.

The Atma Approach looks at you as a unique person. What would actually clot your coronary artery?

Has your doctor ever talked to you about these commonly missed root causes?

Commonly Missed Root Causes

•High ApoB and small inflamed particles the standard panel underplays
•Insulin resistance and visceral fat driving coronary inflammation
•Lp(a) and family timing that deserved imaging and a tighter plan yesterday
•Smoking, vaping, and air-of-the-job dust still hitting endothelium
•Sleep apnea and high nighttime pressure shearing plaque
•A "normal" stress test used as a hall pass while plaque load was never imaged
•A prevention visit that starts and ends with one statin decision

How Can Atma Clinic Help With Heart Attack Prevention?

Atma's doctors and nurse practitioners, certified in Advanced Functional and Integrative Medicine, work to find and treat the root cause of your heart attack prevention rather than only managing symptoms.

We've helped hundreds of patients minimize — or entirely eliminate — their "your LDL is close enough" prevention visit, and solve the underlying root problem.

At Atma, our Medical Doctors (MDs) and Nurse Practitioners (NPs) go through intensive training to become certified in Advanced Functional and Integrative Medicine. They're certified and ready to get to the root of your issue.

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