Comprehensive Cardiac Care,
All Delivered Virtually

High blood pressure affects nearly half of American adults, yet most cases remain uncontrolled. Unmanaged hypertension dramatically increases the risk of stroke, heart attack, kidney failure, and dementia.

At ElinMed, Dr. Nyange takes a comprehensive approach — evaluating the root causes of your hypertension, reviewing your current medications for effectiveness and side effects, and creating a customized treatment plan that fits your lifestyle.

What's Included

• Detailed blood pressure history and pattern analysis
• Review of all current medications and side effects
• Evidence-based treatment protocol adjustments
• Lifestyle counseling (diet, exercise, stress, sleep)
• Lab work coordination (BMP, CBC, lipids, urinalysis)
• Home blood pressure monitoring guidance
• Target blood pressure goal setting

Cholesterol management goes far beyond simply knowing your LDL number. Dr. Nyange performs a nuanced analysis of your complete lipid profile, cardiovascular risk factors, and family history to create a truly personalized strategy.

Whether you're managing high cholesterol with lifestyle changes, need medication optimization, or have concerns about statin side effects — ElinMed provides expert, evidence-based guidance.

What's Included

• Full lipid panel review (LDL, HDL, TG, non-HDL)
• Cardiovascular risk score calculation (ASCVD)
• Medication optimization including statin alternatives
• Dietary counseling (Mediterranean, DASH approaches)
• Discussion of advanced lipid testing when appropriate
• Monitoring plan for medication adjustments

Heart palpitations — fluttering, pounding, or racing sensations — can range from benign to life-threatening. Dr. Nyange provides thorough evaluation to distinguish between harmless irregularities and conditions requiring treatment.

Conditions Managed

• Atrial fibrillation (AFib) and atrial flutter
• Premature atrial and ventricular contractions (PACs/PVCs)
• Supraventricular tachycardia (SVT)
• Sinus tachycardia from anxiety, thyroid, or anemia

Diagnostic Tools Coordinated

• ECG interpretation and review
• Holter monitor and event recorder analysis
• Echocardiogram referral and results review
• Lab work to rule out secondary causes

Living with heart failure requires careful, ongoing management to maintain quality of life and prevent hospitalizations. Dr. Nyange provides comprehensive virtual heart failure care — monitoring symptoms, adjusting medications, and coordinating with your care team.

Management Includes

• Fluid status assessment and diuretic management
• Guideline-directed medical therapy (GDMT) optimization
• Symptom monitoring and escalation planning
• Daily weight and vitals review guidance
• Coordination with in-person cardiology as needed
• Patient and family education on self-management

The best time to address heart disease is before symptoms appear. Dr. Nyange's preventive cardiology service is ideal for patients with family history of heart disease, multiple risk factors, or anyone who wants to proactively protect their cardiovascular health.

Risk Assessment Includes

• Comprehensive cardiovascular risk evaluation
• Advanced lipid testing when appropriate
• Metabolic syndrome and insulin resistance screening
• Hypertension and diabetes prevention strategies
• Family history analysis and genetic counseling guidance
• Exercise prescription and cardiac fitness assessment

Heart disease is the leading cause of death in women, yet women's cardiac symptoms and risk factors are often different — and under-recognized. Dr. Nyange brings specialized expertise in sex-specific cardiovascular care.

Women-Specific Conditions & Topics

• Perimenopause and menopause-related cardiovascular risk
• Pregnancy-related cardiac conditions (preeclampsia, PERIPARTUM cardiomyopathy)
• Spontaneous coronary artery dissection (SCAD)
• Microvascular angina and Takotsubo syndrome
• Autoimmune conditions affecting the heart
• Hormone therapy and cardiovascular risk assessment

Facing a new diagnosis or major cardiac procedure? A second opinion from an independent cardiologist can provide clarity, peace of mind, and potentially reveal alternative treatment approaches.

What's Included

• Complete review of your medical records and test results
• One comprehensive virtual consultation
• Written summary of Dr. Nyange's findings and recommendations
• Discussion of alternative treatment options
• Guidance on questions to ask your current provider

Have ECG, Holter monitor, or event recorder results that need expert interpretation? Dr. Nyange — board-certified in both cardiovascular disease and echocardiography — provides professional review and clear explanation of findings.

• 12-lead ECG interpretation
• 24–48 hour Holter monitor review
• Event recorder and loop recorder analysis
• Clear, written explanation of findings
• Recommendations for further workup if needed

Before any elective surgery, your surgeon may require cardiac clearance to assess perioperative risk. Dr. Nyange provides thorough pre-operative cardiovascular evaluation and documentation.

• Cardiovascular risk stratification by surgery type
• Review of current cardiac medications and management
• Recommendations for perioperative medication adjustments
• Coordination of any additional testing needed
• Clearance letter provided to your surgical team