Heart Disease & Preventive Cardiology
Medical Diagnosis: Coronary Artery Disease (CAD) / Atherosclerosis / Chronic Heart Failure
Coronary artery disease is driven by endothelial inflammation and arterial plaque. Our preventive cardiology program stabilizes plaque, improves ejection fraction, and reverses cardiovascular risk.
Angina Free Rate
84% in 90 Days
ApoB Reduction Target
< 60 mg/dL
Exercise Capacity
+45% in 12 Weeks
Specialist OPD
Dr. Hitender Sheoran
Personalized diagnostic deep-dive & doctor-guided lifestyle reversal protocols for Heart Disease & Preventive Cardiology.
Book Consultation NowOverview & Pathophysiology
Cardiovascular disease remains the leading cause of premature mortality across North India. At Haryana Hospital, our non-invasive chronic cardiology program is designed for patients with established coronary artery disease, post-angioplasty recovery, angina, dyslipidemia, or high calcium scores. We utilize cutting-edge lipid subfraction profiling (ApoB, Lp(a), hs-CRP), non-invasive myocardial perfusion assessments, guided cardiac exercise rehabilitation, and intensive endothelial anti-inflammatory nutrition to halt plaque progression and optimize cardiac reserve without surgical intervention.
Recognizing Symptoms & Early Warning Signs
Do not ignore silent microvascular and functional indicators
Exertional Chest Tightness (Angina)
Pressure, squeezing, or heaviness in center of chest during walking or stair climbing.
Discomfort Radiating to Left Arm, Neck or Jaw
Referred cardiac pain triggered by physical exertion or emotional stress.
Unexplained Shortness of Breath (Dyspnea)
Panting or breathless feeling while doing routine household chores.
Excessive Fatigue & Exercise Intolerance
Inability to walk 500 meters without needing a rest stop.
Ankle & Leg Swelling (Edema)
Fluid retention in lower extremities indicating sluggish venous return.
Primary Underlying Causes
- Vascular endothelial injury and oxidized LDL particle infiltration into arterial intima
- Systemic vascular inflammation indicated by high hs-CRP
- High Lipoprotein(a) [Lp(a)] and Apolipoprotein B (ApoB) particle concentration
- Chronic uncontrolled hypertension creating arterial shear trauma
- Insulin resistance causing glycation of vascular proteins
- Tobacco smoke, particulate air pollution (PM2.5), and sedentary habits
Modifiable & Genetic Risk Factors
Diagnostics Available at Haryana Hospital
Calibrated in-house pathology and imaging suites for root-cause profiling
High-Resolution 2D Digital Echocardiography & Color Doppler
Same DayEvaluates ejection fraction (EF), regional wall motion, and diastolic function.
Comprehensive Advanced Lipid Profile (ApoB, Lp(a), ApoA1, Triglyceride:HDL)
Same DayAccurately quantifies atherogenic particle burden beyond basic cholesterol.
High-Sensitivity C-Reactive Protein (hs-CRP) & Homocysteine
Same DayMeasures vascular inflammatory tone and thrombosis risk.
Computerized Treadmill Stress Test (TMT / Stress ECG)
Same DayDetects exercise-induced myocardial ischemia and functional cardiovascular capacity.
Multi-Tier Treatment & Reversal Protocol
Stepwise clinical roadmap from acute stabilization to lifelong drug-free control
Atherosclerotic Quenching
Aggressively reduce vascular inflammation and prevent acute plaque rupture.
- Optimize evidence-based medical therapy (Statins/Ezetimibe, Beta-blockers, ACEi/ARBs)
- Maintain target ApoB < 60 mg/dL and hs-CRP < 1.0 mg/L
- Correct high homocysteine with bioactive methylcobalamin and methylfolate
Functional Capacity Rebuilding
Stimulate natural collateral vessel formation and improve cardiac output.
- Supervised heart rate-monitored Zone 2 exercise therapy
- Prescription plant-dominant Mediterranean cardiac diet
- Breathing techniques to enhance heart rate variability (HRV)
Arterial Preservation
Maintain regression of soft lipid-rich plaques and lifelong cardiovascular fitness.
- Semi-annual non-invasive stress evaluations and lipid particle scans
- Continuous metabolic health optimization
- Strict lifestyle maintenance with dedicated cardiac nurse navigator
Condition-Specific Clinical Nutrition Guide
Foods to eat vs Foods to strictly avoid for Heart Disease & Preventive Cardiology
Recommended Therapeutic Foods (Eat Freely):
- Extra virgin olive oil and cold-pressed mustard oil in controlled amounts
- Walnuts, almonds, chia seeds, and ground flaxseeds
- High-fiber legumes (black chana, rajma, mung beans)
- Oatmeal, barley, and whole wheat bran (beta-glucan lowers LDL)
- Garlic, onions, and cruciferous vegetables (sulfur compounds for vascular dilation)
- Pomegranate and berries (flavonoids that protect LDL from oxidation)
Foods to Strictly Avoid (Inflammatory / Glycemic):
- Vanaspati, hydrogenated fats, and bakery shortening (deadly trans fats)
- Deep fried items (bhujia, pakoras, puri) and reheated frying oils
- Processed and red meats high in saturated fats and TMAO precursors
- Refined sugars, pastries, and sweetened canned drinks
- Excess table salt and salted appetizers
Breakfast: Steel-cut oats cooked with almond milk, topped with ground flaxseeds and pomegranate seeds. Mid-Morning: Handful of raw walnuts + green tea. Lunch: 2 multigrain rotis with methi-chana dal, bowl of raw vegetable salad with lemon dressing, and fat-free curd. Evening: Steamed corn or roasted makhana. Dinner: Grilled vegetable skewers with paneer/tofu and warm garlic-tomato broth.
Evidence-Based Lifestyle Guidelines
Heart-Healthy Mediterranean-Indian Nutrition
Prioritize whole grains, walnuts, flaxseeds, olive/mustard oil in moderation, and antioxidant-rich berries and greens.
Science: Supplies polyphenols and alpha-linolenic acid that suppress vascular cell adhesion molecules (VCAM-1).
Structured 150-Minute Weekly Aerobic Exercise
Engage in 30 minutes of moderate continuous walking 5 days a week at a conversational pace.
Science: Promotes coronary collateral angiogenesis and enhances vascular shear stress.
Complete Smoke & Pollution Protection
Eliminate all tobacco products; use indoor HEPA filtration during severe winter smog periods.
Science: PM2.5 particles directly enter bloodstream, triggering acute vascular platelet aggregation.
Clinical Advisory from Dr. Hitender Sheoran
Chief Medical Director & Senior Consultant Physician
“Heart disease does not appear overnight; it is the culmination of decades of silent vascular inflammation. Through intensive lipid lowering, endothelial nutrition, and supervised cardiac exercise, we can arrest plaque progression and help you live a long, active life without constant fear.”
Frequently Asked Questions About Heart Disease & Preventive Cardiology
Clear answers from our senior chronic care clinical board
Yes, intensive medical therapy combined with lifestyle intervention (as proven in the landmark COURAGE and ISCHEMIA trials) can stabilize plaques, reduce angina, and promote regression of soft atheroma in stable coronary artery disease.
Related Chronic Conditions Often Managed Together
High Blood Pressure (Hypertension)
Hypertension is a silent, progressive chronic condition where the force of blood against arterial walls remains persistently elevated (>= 130/80 mmHg), accelerating arterial stiffening, stroke, heart failure, and renal decline.
Metabolic & EndocrineType 2 Diabetes & Prediabetes
Type 2 Diabetes is primarily a disease of progressive insulin resistance and hepatic glucose overproduction. Our clinical reversal protocol restores beta-cell sensitivity and safely achieves HbA1c remission.
Metabolic & EndocrineObesity & Metabolic Syndrome
Obesity is a complex hormonal and metabolic disorder driven by insulin resistance, leptin signaling failure, and chronic inflammation. Our medical weight loss protocol resets metabolism safely.
CardiovascularHigh Cholesterol & Dyslipidemia
Dyslipidemia is an imbalance of atherogenic lipids in the bloodstream. We utilize advanced Apolipoprotein-B (ApoB) mapping and metabolic lipid balancing to eliminate arterial plaque risk.
Book Your Heart Disease & Preventive Cardiology Evaluation
Schedule an in-clinic consultation in Hisar or a structured video tele-consultation
Book Chronic Disease Consultation
Consult with Senior Specialist Dr. Hitender Sheoran