Most Heart Disease
Doesn’t Start With
Symptoms.
It starts a decade earlier.
Dr. Francesco Lo Monaco is a preventive cardiologist who has practised across Italy, the UK, and the United States — and built longevity medicine programmes on three continents. His work focuses on identifying cardiovascular risk before it becomes disease.
Why This Perspective Is Different
Most cardiologists practise inside one system. Dr. Lo Monaco has worked clinically inside the NHS, Italy’s SSN, and American medicine.
This perspective changes everything. It reveals where prevention fails, where systems break down, and why most heart disease is detected too late not because the science is missing, but because the system is.
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Italy — SSN
Servizio Sanitario Nazionale
Trained within Italy’s universal public system. Deep understanding of a coverage model under fiscal pressure and where it excels at long-term prevention.
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United Kingdom — NHS
National Health Service
Built his clinical career within the NHS. Intimate knowledge of its strengths, its waiting-list crisis, and its structural prevention gap.
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United States
American Medicine
Worked with US healthcare institutions. First-hand experience of the world’s most expensive system — and its paradoxical outcomes in prevention.
Where Would You Like to Start?
For Patients
Advanced Cardiovascular Prevention
Advanced cardiovascular screening and preventive cardiology at The National Heart Clinic, Harley Street, London. A prevention-first approach, not just managing disease once it arrives.
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Heart Saviour
Most heart attacks are not sudden.
They are the result of a decade of mixed signals. Heart Saviour lays out the case for acting earlier covering cardiovascular risk, metabolic health, imaging, lifestyle, and the interventions that actually change outcomes.
Too often, we only listen to the heart when it whispers through illness. This book is built around a simple idea: if you identify risk early, you change outcomes.
Coming Soon
The Practical Path: A Physician’s Case For Incremental Reform of American Healthcare
Trusted by Patients.
Recognised Internationally.
Winner — European Awards in Medicine
Winner — European Awards in Medicine Patient Care & Cardiology — 2022, 2024 & 2025
Articles & Essays
Short essays and clinical insights on cardiovascular risk, prevention, and longevity.
28 Feb · 8 min
The Silent Decade
The heart attack that arrives without warning almost never does. Behind most acute cardiac events is a decade of quiet, measurable, actionable risk.
Read
The Cardiovascular Research
That Actually Matters.
Every two weeks: the cardiovascular research that matters, translated clearly. No sponsorships. No noise. Written by a cardiologist who has seen three systems from the inside.
Ready to Take Control of Your Heart Health?
Private consultations at The National Heart Clinic, Harley Street. Available in person and by video for international patients.