Fishtown Medicine Library
Heart Health & Risk
Protecting your most important engine.
The Heart Attack We Caught Seven Years Early
A 39-year-old patient case showing why three numbers - ApoB, Lp(a), and LDL particle number - revealed a high cardiovascular risk that a standard cholesterol panel and a zero coronary calcium score had completely missed.
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Stroke Prevention: What the 2024 Guideline Actually Changes
About 80% of strokes are preventable. What the 2024 AHA/ASA guideline updated, what to ask your doctor, and how we work it into primary care in Philadelphia.
The 'Widowmaker' Genetic Risk Factor
You can have normal LDL and still be at high risk for a heart attack. Dr. Ash tests for Lipoprotein(a), the genetic 'heart attack' marker that standard panels miss.
The Cholesterol Test Thats Often Missing from Standard Panels
Why your 'normal' cholesterol might be misleading. Dr. Ash uses ApoB, Lp(a), and Cleerly AI to catch heart disease decades before a heart attack.
ED: The Vascular Warning Sign
ED is not just a sexual issue. It is the earliest warning sign of cardiovascular risk. Learn how to treat the root cause, not just the symptom.
Lp(a): The Genetic Heart Risk
You can have perfect cholesterol and still be at risk. Learn the science of Lipoprotein(a), the genetic particle that standard blood tests miss.