Secondary Prevention of a Heart Attack

Women and Endothelial Dysfunction

Secondary prevention refers to implementing the lifestyle and behavioral changes after a diagnosis of heart disease has been made. Secondary prevention is designed to halt further atherosclerosis development and prevent a second heart attack.
It also means undergoing interventions such as revascularization treatments—angioplasty, stenting, bypass surgery—when needed, and taking cholesterol-lowering drugs after a heart attack has occurred.

Unfortunately, for more than 50% of people, the first symptom of asymptomatic coronary artery disease is sudden death or a heart attack.*
500,000 seemingly healthy people have heart attacks annually in the United States.
250,000 die within an hour of the incident.

*Murabito et al Circulation 1993

Heart attacks are not like earthquakes . . .
They can be predicted and prevented with EndoPAT testing.
EndoPAT is the ultimate functional assessor of cardiovascular risk factors.

The Role of EndoPAT Testing In Secondary Prevention

Even with a person’s best efforts at prevention through lifestyle changes and medications, the coronary arteries may become dangerously obstructed with the build-up of dangerous plaques.
When this occurs, a revascularization procedure might be recommended—such as angioplasty or bypass surgery—to prevent the plaque from worsening and causing a heart attack.
Although revascularization procedures can significantly improve coronary blood flow, they do not cure underlying endothelial dysfunction, nor do they change an EndoScore.
In order to see positive changes to overall health and the health of the endothelium following a revascularization procedure, you will have to follow through with any prescribed medical therapy—statin drug, daily aspirin, beta-blocker—and continue to make a variety of positive lifestyle changes that will benefit the heart and endothelium. Within a matter of months, EndoScores will start improving.