Preventive Cardiology & Longevity in Singapore
Prevent Heart Disease Before It Starts
A proactive, evidence-based approach to cardiovascular risk reduction, metabolic health, and longevity.
Introduction
The majority of heart attacks and strokes are caused by atherosclerosis — the gradual build-up of fatty plaques within artery walls. This process often begins decades before symptoms appear. By the time chest pain, breathlessness, or a cardiac event occurs, the disease is frequently advanced.
Preventive cardiology aims to identify and address cardiovascular risk factors early, before irreversible damage has occurred. With the right combination of assessment, lifestyle modification, and medical therapy, it is possible to significantly reduce — and in some cases reverse — the progression of coronary artery disease.
Cardiovascular Risk Assessment
Dr MacDonald provides a thorough cardiovascular risk evaluation using a combination of clinical assessment, advanced blood biomarkers, and imaging. This is tailored to your needs. This goes beyond a standard health screen and includes:
Standard and advanced lipid profiling (including LDL cholesterol, ApoB, Lipoprotein(a), and triglycerides). Blood pressure assessment and ambulatory monitoring. Metabolic markers including HbA1c, fasting glucose, and insulin resistance indices. Coronary artery calcium scoring. CT coronary angiography for direct visualisation of coronary plaque. Carotid intima-media thickness and plaque assessment.
These investigations provide a comprehensive picture of your current cardiovascular risk and form the foundation for a personalised prevention strategy.
Coronary Plaque Management & Reversal
The goal is not simply to manage symptoms, but to alter the trajectory of the disease itself — slowing progression and, in the right patients, achieving measurable plaque regression.
Weight & Metabolic Health
This includes medical assessment of metabolic health, personalised dietary and exercise guidance, and, where appropriate, pharmacological support. The focus is on sustainable improvements that reduce cardiovascular risk and improve quality of life.
Longevity & Healthspan
Increasingly, patients are seeking not only to prevent disease but to optimise their long-term health and functional capacity. Dr MacDonald works with motivated patients who want to take a proactive approach to ageing well — combining cardiovascular risk management with attention to physical fitness, metabolic resilience, and overall vitality.
This is not about unproven anti-ageing interventions. It is about applying the strongest available evidence to help patients live longer, healthier, more active lives.