Community Health Enrichment

Title: Don't have a heart attack or stroke

Purpose: To eliminate as many heart attacks and strokes in the community (

Target audience: Adults who are likely to suffer from a heart attack or stroke within the next ten years. These are those with at least one or more of these conditions: 1) 50 and older, 2) diabetes, 3) high blood pressure, 4) high cholesterol, 5) family history of heart attack or stroke, 6) previous stenting or heart bypass, 7) previous heart attack or stroke.

Outline: A large cardiovascular healthcare industry (includes community hospitals) has grown and prospered treating heart attacks and strokes which for the last two decades have been largely preventable or at least delayable by 10, 20 or 30 years through advances in early detection and medical therapy. Optimal medical treatment includes medications that are covered by every insurance and that are safe and proven highly effective.

In 2012, a national Million Hearts Initiative was launched to prevent 1,000,000 heart attacks and strokes in just 5 years. The total economic burden of heart attack and stroke is estimated at $500 billion annually and growing. It could have succeeded but unfortunately, the public will was not there and it did no succeed. There are several reasons for its failure. There are two that I can help fixed - one (which is what we are doing here) is to educate the public that they can remain healthy and don’t have to suffer a heart attack or stroke before the age of 80 or 90 and the second is to mentor healthcare providers how to stop atherosclerosis by successfully treating most high risk patients to their optimal treatment goals. We developed a method and published our performance data in 2006 and 2017

Hopefully, together, we can ignite a movement that starts here in our community and that can spread throughout our state and beyond.

This is a two part series of lively presentation and discussion of 45 minutes each. The Part 1 is a PowerPoint presentation about atherosclerosis, heart attack, stroke, the evolution of effective treatment over the past three decades and the current and already available revolutionary approach to manage atherosclerosis. The separate second part is a discussion, question and answer session about a documentary called "The Widowmaker". It is available from Netflix. You need to watch it before you attend the Part 2 to get the most out of this second and last meeting.

What audience can hope to gain by attending: Possessing the knowledge that these two sessions will impart can save your life or someone in your family and also save money. Consult your own healthcare provider and ask if you are at high risk and if your medical treatment is optimal. If not, make the needed adjustments.

Part 1: Some keys slides:

AHA Statistics Oct2017

Everyday, several jumbo-jet loads of Americans crash to their death prematurely impacting the lives of their family and creating a huge economic burden for the nation. And why are we not talking about it? It should be a headline everyday.


After two decades of decline, death from heart disease is on the rise since 2011. It shouldn’t be.

ACC President 2004-2

In 2004, the President of the American College of Cardiology, Dr. Michael Wolk, already posed an important questions to its tens of thousands of its international members: So, why aren’t all cardiologist preventive? We should be but we are not all even now, twelve years later.

Lost Decade in Prevention

There is harm is not doing more for our patients. 

2015 ACC President Dr. Williams

In 2015, the president of try American College of Cardiology, Dr. Kim Williams, said “It is time to turn off the faucet instead of just mopping the floor.” 

As a CMS Million Hearts Model champion, I gave a webinar to other CMS selected practitioners and the above slide was last slide.  We began turning off the faucet in our practice in 2001 with surprising consequences.

Stop Both Heart Attack and Stroke

The same treatment that prevents heart attacks also prevents strokes.

Economic Cost $1T

Current economic burden of cardiovascular disease - $500 billion. Current spending on healthcare in $1 for every $5 spent in the country - nearly 20% of the GDP. This is not sustainable. The projected economic burden of heart attacks and strokes by 2035. They are both largely preventable.


A safe 30 second test costing $50 to $100 can detect plaques in the coronary arteries many years or even decades earlier before a $5,000 nuclear stress test can and before a heart attack or sudden cardiac death. Optimal medical therapy can stop plaque progression that leads to 790,000 heart attacks and 795,000 strokes a year. Here in the Princeton area, people have access to specialized care that even famous celebrities who died suddenly may not have.

Part 2: The Widowmaker - a 5-star rated Netflix documentary. Click to preview:

For physicians and nurse practitioners: Dr.deGoma can also provide mentoring to interested healthcare providers to help them provide more optimal preventive medical treatment to their patients. Learn about our PaKS approach and ACCEPT system.

N. J. Preventive Cardiology & Cholesterol Clinic, PC  © 2005     Eliminating most heart attacks and strokes in our community  is for the common good.     Disclaimer