💥No symptoms… does not mean no risk
Cardiovascular disease often begins silently without symptoms
But in reality, fat (LDL) is accumulating in your arteries every day
👉 And at some point… a “heart attack” or “stroke” may occur unexpectedly
🧠 Heart disease can be prevented “before getting sick”
The new approach in medicine does not wait for disease to occur before treating, but rather “identifies risk” and “stops disease at the source”
At BCM we use the approach
Precision Cardiovascular Prevention
to provide precise, personalized heart care
🔬 Why get a Precision assessment?
- Know your true level of risk
- Detect plaque before symptoms appear
- Create a personalized treatment plan
- Not everyone needs the same treatment
🧪 Key tests
✔Advanced Lipid Profile
- LDL / HDL / Total Cholesterol
- ApoB > measures the “number of atherogenic lipid particles”
- Lp(a) > genetic risk
- hs-CRP > vascular inflammation
✔Coronary Artery Calcium (CAC Score) and Carotid artery ultrasound (Doppler Ultrasound Carotid artery)
- Detect plaque “before symptoms”
- Helps decide when to start medication
✔ Cardiovascular risk assessment
- 10-year ASCVD risk analysis
- Plan personalized treatment
📊 Treatment targets (Personalized Target)
We will set an LDL target tailored to you
General risk → < 100
High risk → < 70
Very high risk → < 55
The higher the risk, the tighter the control
💊 Precision treatment
- Lifestyle modification
- Lipid-lowering medication (Statin)
- Add-on medications
- Advanced therapies (PCSK9 / Inclisiran)
Tailor the risk to the individual
👨⚕️ Who should be screened
- Children aged 9–11 should be tested once. If normal, test again after age 19, then every 5 years until age 35; after that, yearly testing is recommended.
- Those with comorbidities such as diabetes, hypertension, kidney disease, liver disease, thyroid disease, etc.
- Family history of high cholesterol, coronary artery disease, or ischemic stroke
- High-fat diet, physical inactivity, overweight/obesity
- People who want a “deeper assessment than standard tests”
⚠️ High-risk groups who should not wait
- LDL ≥ 190 (likely genetic)
- Triglycerides ≥ 500
- Previous cardiovascular event
🏥 Comprehensive care, all in one place
- Risk assessment clinic
- Specialist physicians — internists with expertise in the field
- Initial assessment of heart and brain arterial risk with CT Coronary Artery Calcium Score and Doppler Carotid Ultrasound
- Behavior modification program — meet dietitians, specialist nurses and physiotherapists for personalized exercise advice
💡 Because the heart… has no advance warning signs
Knowing early = preventable
Early treatment reduces lifelong risk
📞 Schedule an in-depth heart screeningDepartment of Cardiovascular Prevention
Bangkok Hospital Chiang Mai