BlueRipple Health

Education

Each entry analyzes one piece of research behind cardiovascular prevention — what it found, why it matters, and how much weight it deserves. We rate every source for evidence strength and clinical significance.

136 analyses

International Study of Comparative Health Effectiveness With Medical and Invasive Approaches (ISCHEMIA)

ACC Clinical Trials, 2023 · Clinical review

95

Revolutionizing Cardiovascular Health in Young Adults: Advancements in Preventing Subclinical Atherosclerosis for a Heart-Healthy Future

ACC Expert Analysis, 2024 · Clinical review

70

Familial Hypercholesterolemia: Screening, Diagnosis, and Treatment

AFP, 2024 · Clinical review

70

Nutritional Health Perspective of Natto: A Critical Review

Afzaal et al., 2022 · Narrative review

45

The Use of Sex-Specific Factors in the Assessment of Women's Cardiovascular Risk

Agarwala et al., 2020 · Narrative review

55

Assessment of myocardial viability by cardiac magnetic resonance imaging

Al-Sabeq et al., 2019 · Narrative review

60

Improved Performance of PET Myocardial Perfusion Imaging Compared to SPECT in the Evaluation of Suspected CAD

Alam et al., 2023 · Narrative review

55

Emerging Trends in Atherosclerosis: Time to Address Atherosclerosis From a Younger Age

Almohtasib et al., 2024 · Review article

72

Familial Hypercholesterolemia: Screening, Diagnosis, and Treatment

American Family Physician, 2024 · Clinical review

75

Lipoprotein(a) and cardiovascular and valvular diseases: A genetic epidemiological perspective

Arsenault and Kamstrup, 2022 · Narrative review

75

Lipoprotein(a): truly a direct prothrombotic factor in cardiovascular disease?

Boffa & Koschinsky, 2016 · Review

82

Lipoprotein(a) and cardiovascular disease

Boffa & Koschinsky, 2024 · Review

90

Dairy products and inflammation: A review of the clinical evidence

Bordoni et al., 2017 · Systematic review

75

Prescription omega-3 fatty acid products containing highly purified eicosapentaenoic acid (EPA)

Brinton and Mason, 2017 · Narrative review

50

Coronary CT angiography: a guide to examination, interpretation, and clinical indications

Cademartiri et al., 2021 · Expert review

50

Dual-Source Photon-Counting Computed Tomography — Part I: Clinical Overview of Cardiac CT and Coronary CT Angiography Applications

Cademartiri et al., 2023 · Narrative review

50

Coronary Artery Calcium Score: the "Mammogram" of the Heart?

Cainzos-Achirica et al., 2018 · Narrative review

50

Right heart catheterisation: indications and interpretation

Callan and Clark, 2016 · Narrative review

55

Cardiac MRI at low field strengths

Campbell-Washburn et al., 2024 · Narrative review

50

Quantitative Stress First-Pass Perfusion Cardiac MRI: State of the Art

Catania et al., 2025 · Review

85

Coronary artery calcium score as a predictor for incident stroke: Systematic review and meta-analysis

Chaikriangkrai et al., 2017 · Systematic Review and Meta-Analysis

85

Nattokinase: a promising alternative in prevention and treatment of cardiovascular diseases

Chen et al., 2018 · Narrative review

45

PET-based imaging of ischemic heart disease

Chen et al., 2019 · Narrative review

55

Right Heart Catheterization-Related Complications: A Review of the Literature and Best Practices

Chen et al., 2020 · Literature review

50

Is cardiac magnetic resonance imaging assessment of myocardial viability useful for predicting which patients with impaired ventricles might benefit from revascularization?

Child and Das, 2012 · Structured evidence review

55

CT angiography of peripheral arterial occlusive disease

Chin and Rubin, 2006 · Narrative review

50

Importance of right heart catheterization in advanced heart failure management

Cochran et al., 2022 · Narrative review

50

Interpretation of the evidence for the efficacy and safety of statin therapy

Collins et al., 2016 · Review of randomized controlled trials

90

Exercise Training for Blood Pressure: A Systematic Review and Meta-analysis

Cornelissen and Smart, 2013 · Systematic review and meta-analysis

85

Alcohol Consumption and Hypertension

Cushman, 2001 · Narrative review

60

Right heart catheterization for the diagnosis of pulmonary hypertension: controversies and practical issues

D'Alto et al., 2018 · Narrative review

55

Lp(a) lipoprotein in cardiovascular disease

Dahlén, 1994 · Review

72

Intravascular ultrasound imaging–guided versus coronary angiography–guided percutaneous coronary intervention: a systematic review and meta-analysis

Darmoch et al., 2020 · Systematic review and meta-analysis

85

Apolipoprotein B: Bridging the Gap Between Evidence and Clinical Practice

De Oliveira-Gomes et al., 2024 · Narrative review

88

Myocardial perfusion PET/CT to evaluate known and suspected coronary artery disease

Di Carli and Murthy, 2011 · Narrative review

55

MR imaging of coronary arteries and plaques

Dweck et al., 2016 · Narrative review

55

Lipoprotein(a): An independent, genetic, and causal factor for cardiovascular disease and acute myocardial infarction

Enas et al., 2019 · Narrative review

70

Development & Approval Process | Drugs

FDA CDER, 2022 · Government educational resource

90

ApoB-containing lipoproteins as the causal driver of atherosclerosis (EAS Consensus)

Ference et al., 2020 · Systematic review / consensus

95

Omega-3 fatty acid formulations in cardiovascular disease: dietary supplements are not substitutes for prescription products

Fialkow, 2016 · Narrative review

58

Cardiac CT, MRI, and PET in 2023: Exploration of Key Articles across Imaging and Multidisciplinary Journals

Flynn et al., 2024 · Narrative review

50

Proprotein convertase subtilisin/kexin type 9 inhibitors: clinical efficacy and safety

Furtado and Giugliano, 2020 · Narrative review

65

New Strategies for Lowering Low Density Lipoprotein Cholesterol for Cardiovascular Disease Prevention

Gaine et al., 2022 · Narrative review

58

Apolipoprotein B compared with low-density lipoprotein cholesterol in the atherosclerotic cardiovascular diseases risk assessment

Galimberti et al., 2023 · Review

60

Coronary Calcium Score and Cardiovascular Risk

Greenland et al., 2018 · State-of-the-Art Review

92

Standardization of the Right Heart Catheterization and the Emerging Role of Advanced Hemodynamics in Heart Failure

Grinstein et al., 2023 · Narrative review

55

Cardiac PET imaging for coronary artery disease and heart failure: an overview

Guduguntla and Weinberg, 2025 · Narrative review

52

Foam Cells in Atherosclerosis: Novel Insights Into Its Origins, Consequences, and Molecular Mechanisms

Gui et al., 2022 · Review article

78

Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials

He et al., 2013 · Systematic review and meta-analysis

88

The role of immune cells in different stages of atherosclerosis

He et al., 2024 · Review article

82

18F labeled myocardial perfusion PET: New precision in cardiac imaging

Higuchi et al., 2025 · Narrative review

48

Omega-6 and total polyunsaturated fat for the primary and secondary prevention of cardiovascular disease

Hooper et al., 2019 · Systematic review

72

Reduction in saturated fat intake for cardiovascular disease

Hooper et al., 2020 · Systematic review and meta-analysis

75

Nattokinase - uses and benefits

Hristova, 2023 · Narrative review

35

The role of APOE4 in Alzheimer's disease: strategies for future therapeutic interventions

Hunsberger et al., 2019 · Narrative review

65

Effect of omega-3 fatty acids on cardiovascular outcomes: A systematic review and meta-analysis

Khan et al., 2021 · Systematic review and meta-analysis

70

Overview of Exercise Stress Testing

Kharabsheh et al., 2006 · Review article

70

Reciprocal relationships between insulin resistance and endothelial dysfunction: molecular and pathophysiological mechanisms

Kim et al., 2006 · Narrative review

75

Antiatherosclerotic effects of CSL112 mediated by enhanced cholesterol efflux capacity

Kingwell et al., 2022 · Narrative review

55

Right heart catheterization in patients with advanced heart failure: when to perform? How to interpret?

Kittleson et al., 2021 · Narrative review

70

The clinical utility of apoB versus LDL-C/non-HDL-C

Kohli-Lynch et al., 2020 · Systematic review

85

Contemporary cardiac MRI in chronic coronary artery disease

Kolentinis et al., 2020 · Narrative review

60

Cardiac magnetic resonance and computed tomography angiography for clinical imaging of stable coronary artery disease

Korosoglou et al., 2014 · Narrative review

60

Oxidized phospholipid modification of lipoprotein(a): Epidemiology, biochemistry and pathophysiology

Koschinsky & Boffa, 2022 · Review

85

The biotechnological potential of fibrinolytic enzymes in the dissolution of endogenous blood thrombi

Kotb, 2014 · Narrative review

55

Human Genetics and the Causal Role of Lipoprotein(a) for Various Diseases

Kronenberg, 2016 · Review

88

Advances in the assessment of coronary artery disease activity with PET/CT and CTA

Kwiecinski et al., 2023 · Narrative review

60

Diagnostic and prognostic value of cardiac magnetic resonance imaging in assessing myocardial viability

Kwong and Korlakunta, 2008 · Narrative review

60

Mechanisms modulating foam cell formation in the arterial intima: exploring new therapeutic opportunities in atherosclerosis

La Chica Lhoëst et al., 2024 · Review article

82

Nattokinase Supplementation and Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Li et al., 2023 · Systematic review and meta-analysis

72

Pathobiology of Lp(a) in calcific aortic valve disease

Mathieu et al., 2017 · Narrative review

65

Primary prevention of atherosclerotic cardiovascular disease in women

McKibben et al., 2015 · Narrative review

60

Multi-Ethnic Study of Atherosclerosis (MESA): Overview and Protocol

MESA Study, 2024 · Study description

95

The importance of LDL-C lowering in atherosclerotic cardiovascular disease prevention: Lower for longer is better

Mhaimeed et al., 2024 · Review article

88

Natto and its active ingredient nattokinase: a potent and safe thrombolytic agent

Milner and Makise, 2002 · Narrative review

20

Effects of statins on mitochondrial pathways

Mollazadeh et al., 2021 · Narrative review

65

Cardiac magnetic resonance imaging to guide complex revascularization in stable coronary artery disease

Morton et al., 2010 · Narrative review

55

(n-3) fatty acids and cardiovascular health: are effects of EPA and DHA shared or complementary?

Mozaffarian and Wu, 2012 · Narrative review

60

Health effects of trans-fatty acids: experimental and observational evidence

Mozaffarian et al., 2009 · Narrative review and meta-analysis

80

Intravascular ultrasound-guided versus angiography-guided percutaneous coronary intervention in unprotected left main coronary artery disease: A systematic review

Mrevlje et al., 2024 · Systematic review

70

Coronary CT Angiography in Challenging Patients: High Heart Rate and Atrial Fibrillation

Mushtaq et al., 2019 · Narrative review

50

Myocardial perfusion PET/CT to evaluate known and suspected coronary artery disease

Naya and Di Carli, 2010 · Narrative review

55

The Role of Cardiac PET in Diagnosis and Prognosis of Ischemic Heart Disease: Optimal Modality Across Different Patient Populations

Nayfeh et al., 2023 · Narrative review

50

Potential benefits of eicosapentaenoic acid on atherosclerotic plaques

Nelson et al., 2017 · Narrative review

50

Lipoprotein(a): What to know about elevated levels

NHLBI, 2024 · Research feature

78

Lipoprotein(a) and cardiovascular disease

Nordestgaard & Langsted, 2024 · Review article

92

Coronary CT angiography derived fractional flow reserve: the game changer in noninvasive testing

Nørgaard et al., 2017 · Narrative review

55

"Treasure Your Exceptions" — Studying Human Extreme Phenotypes to Illuminate Metabolic Health and Disease

O'Rahilly, 2021 · Narrative review / award lecture

85

An Update on Coronary Artery Calcium Interpretation at Chest and Cardiac CT

Obisesan et al., 2021 · Narrative review

82

Statin use and risk of dementia or Alzheimer's disease: a systematic review and meta-analysis of observational studies

Olmastroni et al., 2022 · Systematic review and meta-analysis

68

A Systematic Review and Meta-Analysis of the Association Between Polycystic Ovary Syndrome and Coronary Artery Calcification

Osibogun et al., 2022 · Systematic review and meta-analysis

72

Causes and Consequences of Hypertriglyceridemia

Packard, Borén, and Taskinen, 2020 · Review

65

A Clinician's Guide to Healthy Eating for Cardiovascular Disease Prevention

Pallazola et al., 2019 · Narrative review

60

Clinical and Procedural Outcomes of IVUS-Guided vs. Angiography-Guided CTO-PCI: A Systematic Review and Meta-Analysis

Panuccio et al., 2023 · Systematic review and meta-analysis

62

Cardiovascular damage resulting from chronic excessive endurance exercise

Patil et al., 2012 · Narrative review

50

Cardiac CT and MRI radiomics: systematic review of the literature and radiomics quality score assessment

Ponsiglione et al., 2022 · Systematic review

58

Cardiac magnetic resonance imaging: a 'one-stop-shop' evaluation of myocardial dysfunction

Poon et al., 2002 · Narrative review

45

Computed Tomography for Coronary Artery Calcification Scoring: Mammogram for the Heart

Qazi et al., 2016 · Narrative review

55

Comprehensive review of artifacts in cardiac MRI and their mitigation

Rafiee et al., 2024 · Narrative review

50

Practical guidance for hemodynamic assessment by right heart catheterization in management of heart failure

Rajagopalan et al., 2024 · Expert review

60

Mediterranean-style diet for the primary and secondary prevention of cardiovascular disease

Rees et al., 2019 · Systematic review

65

PCSK9 inhibitors – past, present and future

Reiner, 2015 · Editorial review

45

A Test in Context: High-Sensitivity C-Reactive Protein

Ridker, 2016 · Review article

90

Risk stratification by the 'EPA+DHA level' and the 'EPA/AA ratio'

Rupp et al., 2004 · Narrative review

45

Atherosclerotic plaque stabilization and regression: a review of clinical evidence

Sarraju & Nissen, 2024 · Review article

90

Cardiac MRI and ischemic heart disease: role in diagnosis and risk stratification

Sawlani and Collins, 2016 · Narrative review

55

Cardiac PET imaging for the detection and monitoring of coronary artery disease and microvascular health

Schindler et al., 2010 · Narrative review

65

Intra-procedural arrhythmia during cardiac catheterization: A systematic review of literature

Shaik et al., 2020 · Systematic review

70

Effects of High-Intensity Interval Training versus Moderate-Intensity Continuous Training on Cardiovascular Outcomes in Patients with Cardiovascular Disease

Shao et al., 2023 · Systematic review and meta-analysis

78

JUPITER to Earth: A statin helps people with normal LDL-C and high hs-CRP, but what does it mean?

Shishehbor and Hazen, 2009 · Critical review

65

Lower extremity CT angiography in peripheral arterial disease: from the established approach to evolving technical developments

Shwaiki et al., 2021 · Narrative review

55

Discordance analysis and the Gordian Knot of LDL and non-HDL cholesterol versus apoB

Sniderman et al., 2014 · Review

65

Apolipoprotein B Particles and Cardiovascular Disease: A Narrative Review

Sniderman et al., 2019 · Review

65

ApoB vs LDL-C and Non-HDL-C as the Primary Measure of ApoB Lipoprotein-Related Risk: The Debate Is Over

Sniderman et al., 2021 · Expert review / viewpoint

75

ApoB vs LDL-C and Non-HDL-C as the Primary Measure of ApoB Lipoprotein-Related Risk: The Debate Is Over

Sniderman et al., 2022 · Review

95

Apolipoprotein B particles and cardiovascular disease: a narrative review

Sniderman et al., 2023 · Narrative review

75

Apolipoprotein B is a better target for therapy than LDL cholesterol

Sniderman, 2008 · Review / opinion

45

Targeted Treatment against Lipoprotein(a): The Coming Breakthrough in Lipid Lowering Therapy

Sosnowska et al., 2022 · Narrative review

65

Coronary Artery Disease (StatPearls CME)

StatPearls CAD, 2024 · Continuing medical education

82

Coronary Artery Disease (StatPearls)

StatPearls, 2024 · StatPearls article

80

Ruminant and industrially produced trans fatty acids: health aspects

Stender, Astrup, and Dyerberg, 2008 · Review

70

Coronary artery calcium score: Current status of clinical application and how to handle the results

Suzuki et al., 2022 · Narrative review

55

Nattokinase for prevention of thrombosis

Tai and Sweet, 2006 · Narrative review

40

Systematic review and network meta-analysis on the efficacy of evolocumab and other therapies for the management of lipid levels in hyperlipidemia

Toth et al., 2017 · Systematic review and meta-analysis

65

Emerging RNA therapeutics to lower blood levels of Lp(a)

Tsimikas et al., 2021 · Narrative review

70

A Test in Context: Lipoprotein(a): diagnosis, prognosis, controversies, and emerging therapies

Tsimikas, 2017 · Narrative review

75

Cardiovascular CT, MRI, and PET/CT in 2021: Review of Key Articles

Tzimas et al., 2022 · Review

55

Four people who should see a preventive cardiologist

UTSW Preventive Cardiology, 2017 · Patient education

72

PET-determined myocardial perfusion and flow in coronary artery disease characterization

Valenta and Schindler, 2024 · Review

55

Diagnostic and therapeutic strategies for arrhythmogenic right ventricular dysplasia/cardiomyopathy

Wang et al., 2018 · Review article

88

Nattokinase: An oral antithrombotic agent for the prevention of cardiovascular disease

Weng et al., 2017 · Narrative review

55

Cardiac magnetic resonance imaging in patients with coronary disease

Wu and Kwong, 2008 · Review

55

Nattokinase as a functional food ingredient: therapeutic applications and mechanisms in age-related diseases

Wu et al., 2024 · Narrative review

55

Treatment of endothelial cell dysfunction in atherosclerosis: a new perspective integrating traditional and modern approaches

Yang et al., 2025 · Review article

80

Eicosapentaenoic Acid for Cardiovascular Events Reduction — Systematic Review and Network Meta-Analysis of Randomized Controlled Trials

Yokoyama et al., 2022 · Systematic review and meta-analysis

72

Sudden cardiac death

Zipes & Wellens, 1998 · Review article

90