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Science-backed cardiovascular wellness

Heart Health

Track blood pressure, cholesterol, and lifestyle markers with tools that map directly to the 2019 ACC/AHA primary prevention guidelines.

Why heart health is more preventable than most people think

Cardiovascular disease remains the leading cause of death worldwide, but the picture is far less fatalistic than the headline suggests. The INTERHEART study, a case-control study of 24,767 heart attacks across 52 countries, identified nine modifiable risk factors that account for roughly 90% of population-attributable heart attack risk: abnormal lipids, smoking, hypertension, diabetes, abdominal obesity, psychosocial stress, low fruit and vegetable intake, alcohol, and physical inactivity. Most of these are responsive to lifestyle changes within months, not decades. Our Heart Health goal page gathers the calculators that map to each of these factors, with concise guidance on what to prioritize first.

The four numbers that move the needle most

If you fix only four things, you cut most of your modifiable cardiovascular risk: blood pressure under 130/80, LDL under 100 mg/dL (or under 70 for higher-risk individuals), A1C under 5.7%, and a smoking status of "never" or "former." Those four metrics together drive the majority of the Pooled Cohort Equation output, and all four respond meaningfully to lifestyle change within 8-12 weeks. Beyond these, the biggest secondary levers are 150 minutes of weekly aerobic exercise, a Mediterranean-style eating pattern, and 7-9 hours of sleep per night.

What this page is, and is not

This page is a curated entry point to the calculators, articles, and lifestyle guidance relevant to cardiovascular prevention. It is not a substitute for clinical care. If you have existing cardiovascular disease, a strong family history, multiple risk factors, or any concerning symptoms (chest pain, exertional shortness of breath, palpitations, syncope), please work directly with your physician. The tools here are designed to inform shared decision-making, not replace it.

Recommended tools for heart health

A curated selection of calculators for this goal.

A simple weekly heart-health checklist

  • Move daily. 30 minutes of moderate aerobic activity (brisk walk, cycling, swimming) most days, plus 2 strength sessions per week.
  • Eat Mediterranean. Olive oil, fish twice a week, 5+ servings of vegetables and fruit, legumes 3+ times, nuts daily, minimal ultra-processed food.
  • Sleep 7-9 hours. Poor sleep raises BP, insulin resistance, and inflammation, independent of other risk factors.
  • Don't smoke. Smoking cessation drops cardiovascular risk within months; risk approaches that of a never-smoker after 10-15 years.
  • Limit alcohol. If you drink, stay under 2 drinks/day for men, 1 for women. Lower is better; none is fine.
  • Track BP at home. Morning and evening, validated upper-arm cuff. Bring 1-2 weeks of readings to your appointment.
  • Know your numbers. Lipid panel, A1C, and (if appropriate) eGFR annually, more often if any are abnormal.

Frequently asked questions

Stop smoking if you smoke. If you don't smoke, the biggest lever is usually lifestyle. Mediterranean-style eating, 150 minutes/week of activity, 7-9h sleep, and getting BP under 130/80.
LDL drives plaque formation and is the primary medication target. HDL helps clear cholesterol; higher is generally better, but extremely high HDL from genetics is not always protective. The TG/HDL ratio is a quick proxy for insulin resistance.
Statin therapy is recommended for most adults with a 10-year ASCVD risk of 7.5% or higher, established cardiovascular disease, LDL ≥190, or diabetes with additional risk factors. Discuss with your clinician, particularly for borderline cases (5-20% risk), where a coronary calcium score can refine the decision.
The 2017 ACC/AHA target is below 130/80 mmHg for most adults. SPRINT showed that targeting systolic below 120 in high-risk patients reduced events and death, but at the cost of more medication and slightly more hypotension episodes.
Recent evidence, including WHO statements and Mendelian randomization studies, suggests the apparent cardiovascular benefit of moderate drinking was overstated. Even moderate intake is linked to elevated cancer and atrial fibrillation risk. If you don't drink, don't start for heart health.