Dr. Francesco
Lo Monaco
One cardiologist. Three systems. One conclusion.
Most cardiovascular disease is preventable. The science has known this for decades. What has lagged behind is the system, and the culture of medicine that waits for illness before it acts. Dr. Francesco Lo Monaco has spent twenty years working inside that gap.
Training & Formation
Dr. Lo Monaco completed his medical training at the Università di Pavia before pursuing advanced fellowships at Harvard Medical School and New York Medical College. This transatlantic formation gave him something relatively rare in cardiology: deep fluency in both European preventive medicine traditions and the evidence-based protocols driving American cardiovascular research.
His clinical career has since taken him inside three distinct healthcare systems, each teaching him something di erent about where prevention succeeds, where it breaks down, and why the same risk factors produce different outcomes depending on when and where they are caught.
“Most of my patients come to me after being told
everything is fine. My job is to find what fine is hiding.”
Today he practices as a preventive and longevity cardiologist at The National Heart Clinic on Harley Street, London, seeing patients in person and consulting with international patients via video. He also consults with American healthcare organizations and holds an unrestricted U.S. medical license.
Clinical Perspective
Preventive cardiology works quietly, years upstream of the events it prevents. Dr. Lo Monaco has built his practice around the conviction that standard cardiovascular risk assessment misses a signi cant proportion of patients who will eventually have a cardiac event.
His approach draws on advanced imaging, metabolic and in ammatory biomarkers, hormonal pro ling, and lifestyle architecture, tools that exist in the research literature but rarely reach routine clinical practice. The question he asks at every consultation is not whether a patient is sick, but whether they are on a trajectory that leads there.
🇮🇹
Italy – 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.
🇬🇧
United Kingdom – National
Health Service
Built his clinical career within the NHS. Intimate knowledge of its strengths, its waiting-list crisis, and its structural prevention gap
🇺🇸
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.
Credentials At A Glance
MEDICAL TRAINING
Università di Pavia
FELLOWSHIPS
Harvard Medical School • New York Medical College
CURRENT PRACTICE
National Heart Clinic, Harley Street, London
U.S. LICENSE
Unrestricted, consults with U.S. institutions
YEARS IN PRACTICE
20+
HEALTHCARE SYSTEMS
Work & Collaboration
Beyond clinical practice, Dr. Lo Monaco is the author of Heart Savior, a comprehensive guide to advanced cardiovascular prevention, and The Practical Path, a physician’s case for incremental reform of American healthcare. Drawing on clinical experience across European and U.S. systems, both books reflect a career built at the intersection of medicine, policy, and prevention. He speaks internationally on preventive cardiology, longevity medicine, and healthcare system design, and welcomes speaking engagements, institutional partnerships, and strategic collaborations.