PREVENTIVE CARDIOLOGY
Heart disease is largely preventable. Dr. Tiffany Di Pietro specializes in identifying and treating cardiovascular risk before symptoms appear — using advanced lipid testing, state-of-the-art imaging, and precision medicine tailored to you.
Diagnostic Tests Offered In Our Office
Why Preventive Cardiology
Most heart attacks are preventable
Coronary artery disease develops silently over decades. By the time symptoms appear, significant damage may already be done. Dr. Di Pietro’s approach is to find disease early — when intervention is most effective — through advanced diagnostics, precision lipid management, and personalized treatment plans built around your unique biology. As a triple board-certified cardiologist, Dr. Di Pietro combines the depth of a specialist with the continuity of a concierge physician, so nothing falls through the cracks.
80%
of heart attacks may be preventable with early intervention
50%
of people who die from heart disease had no prior symptoms
#1
killer of men and women in the United States
3×
board certifications including cardiology & echocardiography
Our Approach
Three Pillars of Heart Disease Prevention
01
Know Your Risk
Comprehensive cardiovascular risk assessment goes far beyond cholesterol. We evaluate your full lipid profile, inflammation markers, genetics, lifestyle, family history, and imaging to build a complete picture of your heart health today and in the years ahead.
02
Find It Early
Using advanced non-invasive imaging — coronary CT angiography, carotid ultrasound, echocardiography — we can detect plaque buildup and arterial changes years before they cause symptoms, giving us time to act.
03
Treat It Precisely
Prevention is not one-size-fits-all. Dr. Di Pietro creates individualized treatment plans — advanced lipid-lowering therapy, anti-inflammatory strategies, lifestyle medicine, and targeted medications — adjusted over time as your health evolves.
Lipid Management
Advanced Lipid Testing & Precision Cholesterol Care
Standard cholesterol panels tell only part of the story. Dr. Di Pietro uses advanced lipid panels that reveal the full picture of cardiovascular risk — and crafts treatment strategies that go well beyond telling patients to “watch their diet.”
Advanced Lipid Panel Testing
Beyond LDL and HDL, we measure LDL particle number and size, apolipoprotein B (ApoB), Lp(a), sdLDL, and oxidized LDL — the markers that most accurately predict cardiovascular risk in high-risk patients and those with a family history.
Statin & Non-Statin Therapy
For patients who cannot tolerate statins or need additional LDL reduction, Dr. Di Pietro is experienced in ezetimibe, PCSK9 inhibitors (Repatha, Praluent), bempedoic acid, and inclisiran — therapies that can dramatically lower cardiovascular risk.
Lipoprotein(a) [Lp(a)] Evaluation
Lp(a) is an inherited, largely treatment-resistant risk factor found in up to 20% of the population. It significantly elevates heart attack and stroke risk and is missed by standard labs. We screen for it and adjust therapy accordingly.
Inflammation & Metabolic Markers
High-sensitivity CRP, homocysteine, insulin resistance markers, and metabolic panel assessment help identify hidden drivers of plaque progression beyond lipids — and guide anti-inflammatory and lifestyle-based interventions.
Coronary Artery Disease
Early Detection of CAD — Before Symptoms
Coronary artery disease is the leading cause of heart attack in the United States. It develops over decades as plaque accumulates in the arterial walls — often without any warning. Dr. Di Pietro uses a comprehensive suite of diagnostic tools to detect it early and intervene before a cardiac event occurs.
Whether you have risk factors like high cholesterol, hypertension, diabetes, or a family history of heart disease — or simply want peace of mind — early screening is the most powerful tool available.
● Coronary CT Angiography (CCTA)
A non-invasive CT scan that identifies both calcified and non-calcified plaque in the coronary arteries — detecting disease years before symptoms develop and enabling early, targeted intervention.
● Echocardiogram
A cardiac ultrasound providing real-time images of heart structure and function — assessing wall motion, valve function, chamber size, and ejection fraction to detect early signs of disease.
● Carotid Intima-Media Thickness (CIMT)
Ultrasound measurement of carotid artery wall thickness — a surrogate marker for systemic atherosclerosis and an early indicator of subclinical cardiovascular disease.
● VO2 Max Testing (PNOE)
Performed in-office, VO2 max is one of the strongest independent predictors of cardiovascular mortality. Results guide personalized exercise and nutrition prescriptions as a cornerstone of precision prevention.
● Resting & Exercise EKG
Evaluates the heart’s electrical activity at rest and under exertion to detect arrhythmias, ischemia, and other abnormalities that may indicate underlying coronary disease.
Treatment & Management
When CAD Is Found, We Have a Plan
Early detection is only valuable when paired with effective treatment. Dr. Di Pietro works closely with each patient to develop an individualized strategy that combines the latest evidence-based therapies with lifestyle medicine and close follow-up.
💊
Precision Pharmacotherapy
High-intensity statins, PCSK9 inhibitors, antiplatelet therapy, beta-blockers, and other guideline-directed medical therapy tailored to your risk profile, tolerance, and comorbidities.
📊
Serial Monitoring & Imaging
Regular repeat testing tracks plaque regression or stability over time, confirming that therapy is working and allowing adjustments before problems progress.
🫀
Anti-Inflammatory Strategies
Emerging evidence supports targeting residual inflammatory risk with agents like colchicine, omega-3 fatty acids, and GLP-1 receptor agonists — therapies Dr. Di Pietro incorporates when appropriate.
🤝
Specialist Coordination
When interventional procedures are needed, Dr. Di Pietro coordinates directly with interventional cardiologists and cardiac surgeons — ensuring seamless, high-quality care at every step.
🥗
Lifestyle Medicine
Personalized nutrition counseling, exercise prescription, stress management, sleep optimization, and smoking cessation — the foundation of any effective prevention program.
FREQUENTLY ASKED QUESTIONS
Dr. Di Pietro is always very helpful and will go out of her way to make sure I get the care needed. She is always accessible by phone should I have any questions, and she will follow up with me personally to make sure I am recovering well. Their office is very comfortable and has a home like feel. Much better than the normal doctor's office atmosphere. By far, the best doctor I have ever had!
PREVENTIVE
CARDIOLOGY
Preventive Cardiology, Metabolic Health & Cardiac Longevity All Under One Roof
CONCIERGE
INTERNAL MEDICINE
Patient-focused care, 24/7 in a comfortable environment
AESTHETICS
Personalized aesthetic care in a trusted medical setting
