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Cardiolucent

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Cardiovascular Risk Assessment and Management

Assessments & Care Plans

A cardiovascular risk assessment estimates your probability of a major cardiac event — heart attack, stroke, or cardiovascular death — over the next 5 to 10 years, then turns that estimate into a concrete plan. Dr. Kedan combines validated risk calculators with advanced inputs that standard scores miss: coronary calcium scoring, ApoB, Lp(a), hs-CRP, vascular imaging, and detailed family history. The result is a personalized risk profile, not a population average, and a written management plan that drives every decision.

What's Included

  • Risk scoring with multiple validated tools (ASCVD, MESA, others as appropriate)
  • Coronary calcium scoring to refine borderline-risk decisions
  • Advanced lipid analysis including ApoB, LDL-P, and Lp(a)
  • Inflammatory biomarkers (hs-CRP) and metabolic markers
  • Vascular imaging — carotid ultrasound, POCUS — as indicated
  • Detailed family history analysis and genetic risk factor evaluation
  • Written risk reduction plan with target values and follow-up intervals

How This Helps You

You replace guesswork with a defensible number that drives concrete decisions: whether to add a medication, intensify lifestyle work, or simply monitor. Borderline patients especially benefit — coronary calcium scoring and advanced biomarkers can either reassure you that aggressive treatment isn't yet warranted or reveal hidden disease that changes the plan entirely. The plan is reassessed annually so it tracks your current biology, not the version of you from three years ago.

Who This Is For

  • Most adults over 40, and earlier with family history of premature heart disease
  • Patients with hypertension, diabetes or prediabetes, or smoking history
  • People with high cholesterol or known elevated Lp(a)
  • Patients with autoimmune disease or chronic inflammation
  • Anyone with a recent borderline lipid panel or ambiguous cardiac test result
  • High-performing patients who feel well but want a precise baseline to plan against
  • Patients with strong family history who want to know whether early intervention is justified

What to Expect at Your Visit

The initial visit runs 60+ minutes and includes a thorough history, focused exam, in-office POCUS, EKG, and same-day echocardiogram when indicated, plus labs and imaging orders tailored to your risk profile. A follow-up integrates the data into a written plan with specific lipid, blood pressure, metabolic, and lifestyle targets. Most patients are reassessed annually, with selected biomarkers and imaging repeated on a longer interval.

Why Cardiolucent

Risk scores are only useful when paired with continuity — the same physician watching the same trends and adjusting therapy based on real biology rather than a snapshot. Dr. Kedan personally handles every visit and is directly reachable between them, which matters when a new lab result, medication change, or family event should update your risk profile. When advanced imaging or intervention is warranted, the Cedars-Sinai affiliation provides a coordinated pathway.

Common Questions

Frequently Asked Questions

What does a cardiovascular risk assessment actually measure?
It estimates your probability of a major cardiac event — heart attack, stroke, or cardiovascular death — over the next 5 to 10 years. Dr. Kedan combines validated calculators with advanced inputs that standard risk scores miss: coronary calcium scoring, ApoB, Lp(a), hs-CRP, vascular imaging, and family history. The result is a personalized risk profile, not a population average.
Who should have a formal cardiovascular risk assessment?
Most adults over 40, and earlier for anyone with a family history of premature heart disease, high cholesterol, hypertension, diabetes or prediabetes, smoking history, or autoimmune disease. It's also a smart baseline for high-performing patients who feel well but want a defensible number to plan against. The earlier you have an accurate baseline, the more useful the next decade of decisions become.
What is a coronary calcium score and do I need one?
A coronary calcium score is a low-dose CT scan that detects calcified plaque in the heart's arteries. It's one of the most accurate ways to refine risk in patients who fall into ambiguous categories — it can either reassure you that aggressive treatment isn't yet warranted or reveal hidden disease that changes the plan. Dr. Kedan recommends it selectively based on your other risk factors.
How are inflammatory markers like hs-CRP used?
High-sensitivity C-reactive protein (hs-CRP) reflects vascular inflammation, an important driver of plaque progression that's independent of cholesterol. Elevated hs-CRP can push borderline patients toward earlier treatment and helps explain risk in patients with seemingly normal lipids. It's interpreted alongside Lp(a), ApoB, and imaging — never in isolation.
Does family history really matter that much?
Yes — premature heart disease in a parent or sibling (before 55 in men, 65 in women) is one of the strongest independent risk factors and is frequently underweighted by standard calculators. A careful family history can also point to genetic conditions like familial hypercholesterolemia or elevated Lp(a) that require earlier, more aggressive intervention. Dr. Kedan takes a detailed family history at the first visit and revisits it as your relatives' health evolves.
What does the risk reduction plan include?
The plan is written and specific. It typically combines blood pressure and lipid targets, metabolic and weight goals, exercise prescription, sleep and stress recommendations, and any medications justified by your risk level. Each item has a target value and a follow-up interval so progress is measurable rather than aspirational.
How often should risk be reassessed?
Most patients are reassessed annually, with selected biomarkers and imaging repeated on a longer interval. After major changes — a new medication, weight loss, a new diagnosis — risk is re-scored sooner. The goal is to make sure the plan keeps reflecting your current biology, not the version of you from three years ago.
Can I reduce my risk without medication?
For many patients, meaningful risk reduction is possible through nutrition, exercise, sleep, and weight changes alone. For patients with high genetic risk, elevated Lp(a), or established disease, lifestyle is necessary but rarely sufficient and medication adds substantial protection. Dr. Kedan builds a plan that uses both — and is explicit about how much risk each piece is buying you.
How do I get started?
Schedule a consultation with Dr. Kedan to build your baseline. The first visit covers history, examination, in-office imaging, and lab orders; the follow-up integrates the results into a written plan. Call (310) 304-5555 or use the contact form to get on the calendar.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.