Health. Vitality. Longevity.
Dr. Dian J. Ginsberg • Dr. Lauren U. Ta • Dr. John Ott • Dr. Vik Rajan

A comprehensive wellness practice for all ages and genders

Cardiac Health

Heart attacks and stroke account for more death and disability than all cancers, accidents and AIDS combined. Unfortunately, for more than 50% of people, the first symptom of coronary artery disease is sudden death or a heart attack.* 250,000 die annually within an hour of the initial incident. Relying solely on traditional risk factors, such as a simple cholesterol number, to identify those at risk for this sudden death has proven to be unsuccessful.

As part of our interventional wellness strategy to prevent disease and extend longevity, we offer scientifically proven testing to help with early detection and the latest treatments to minimize your risk.

*Murabito et. al. Circulation 1993

What is Endothelial Dysfunction?

The earliest indicator of cardiovascular disease is endothelial dysfunction. The lining cells of your blood vessel walls are called the endothelium. If the endothelial cells are damaged from smoking, fat-laden foods, not enough exercise and/or excessive stress, what develops is known as endothelial dysfunction. Chronic inflammation compounds this condition.

The presence of endothelial dysfunction in the blood vessels that supply the heart and brain is highly predictive that you are at increased risk for a stroke, cardiovascular event or heart attack.

If endothelial stressors are allowed to persist, the walls of the arteries begin to lose their elasticity and become hard and thick. This reduces the supply of nutrient- and oxygen-rich blood to the tissues, including the heart and brain.

We now know that atherosclerosis, the buildup of plaques within the walls of the arteries, is caused when the endothelial cells that line the miles of blood vessels in your body become dysfunctional. Many leading cardiac researchers now believe that endothelial dysfunction is a disease itself, and the atherosclerotic plaques are manifestations or symptoms. By the time even small plaques are seen, the disease could be well progressed.

This novel way of looking at heart disease and stroke calls for new and innovative ways to diagnose early blood vessel inflammation and dysfunction.

Our Program

Our physicians have designed an innovative program to screen and help reverse risks for these debilitating diseases. Utilizing a comprehensive medical history, blood work including the Lipoprotein Particle Profile for evaluating cholesterol and inflammation and non-invasive testing including the EndoPat and Carotid Doppler, a risk and treatment profile is generated and implemented. Medical and nutritional interventions as well as appropriate pharmaceutical grade supplementation are all integral components of this program to maximize health and minimize disease.

Initial Visit

Consultation with physician including complete medical history and exam.

Lab Visit

Return to office fasting after 10 pm prior evening for lab draw including Lipoprotein Particle Profile™ or LPP™. This advanced cholesterol testing measures both the density and number of lipoprotein particles as well as inflammatory markers – a more precise indicator of heart attack risk than traditional HDL/LDL ratios. Upon leaving blood draw the EndoPAT and Carotid Doppler will be scheduled


  • Patient should be fasting for 4 hours. For patients scheduled in the afternoon, light breakfast only without fruit or fruit juice.
  • No alcohol the evening before the test.
  • No caffeinated beverages (coffee, tea, chocolate, etc.) for 12-24 hours.
  • Take all medications except short acting nitrates: L-Arginine, Nitric Oxide, and the like.
  • No high doses of Vitamin C.
  • Wear loose clothing or short sleeves that can be rolled up.
  • You will be asked to remove jewelry for the test so you might consider leaving these items at home.
  • Finger nails should be trimmed to no longer than the end of their fingers. Female patients may want to schedule close to their nail appointments.
  • Do not schedule any blood work done on the day of the EndoPAT test prior to the test.

This noninvasive test requires only 2 fingers to be placed in a small probe for approximately 15 minutes.

Carotid Doppler

The carotid arteries are the main blood vessels in your neck that bring blood to your brain. Inflammation and plaque (or blockage) in this region could be deadly. Using sound waves that bounce off your vessels and your blood cells at different rates, movement of blood through your vessels can be seen. This ultrasound probe placed gently on your neck will tell how much blood is flowing through the artery and to what degree the artery has narrowed.

Final Visit

Consultation with physician and our nutritionist/wellness counselors. After medical review and recommendations are made, dietary alterations and pharmaceutical supplementation will be clearly outlined. Follow up testing and counseling are all available if necessary.

Call 281-220-2069 to schedule your visit


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