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Cardiovascular Risk Assessment in Las Vegas

Know what your heart is actually doing, in a single day, before it tells you the hard way.

Heart disease remains the leading cause of death in the United States, and the clinical reality is uncomfortable: most people who experience a first cardiac event had no prior symptoms. Not because the disease arrived suddenly, but because no one looked for it with the right tools.

At Elite Medical Associates, our cardiovascular risk assessment is designed to identify what standard primary care routinely misses: subclinical arterial disease, silent structural changes, and hemodynamic patterns that only become visible under the right conditions.

This is a same-day, direct-access cardiac testing program, built for people who want a real answer, not a six-week referral queue.

Whether you are visiting Las Vegas from out of state or live locally, the assessment is available on a self-pay, open-access basis.

  • What you get, in one visit: A complete cardiac testing workup (imaging, structural, and functional testing) and a written review of every result. No insurance runaround. No membership required. No referral required.
  • Optional add-on: A pre-test or post-test physician consultation with Dr. Sharma, for patients who want clinical interpretation, a personalized prevention roadmap, or help deciding which tests are right for them.
A young woman with long, wavy blonde hair wearing a cream-colored sweater smiles at the camera in a bright, minimalist room, embodying the importance of routine heart disease screening and overall cardiovascular wellness.

Designed for:

  • Adults aged 18 and older, because coronary disease no longer waits until your 50s
  • Patients in their 30s and 40s with a family history of heart disease, MI, or sudden cardiac death, who want a true anatomic baseline a decade before conventional guidelines would look
  • Executives, athletes, and high-performers who want a real baseline of cardiac health, not a statistical estimate
  • Patients with elevated cholesterol, ApoB, Lp(a), insulin resistance, or borderline risk scores who need clarity
  • Visitors to Las Vegas who want a comprehensive cardiac workup on a travel-friendly timeline
  • Anyone whose primary care has told them “your numbers look fine” and who still wants to know for certain

Not a fit for: Acute cardiac symptoms (chest pain, shortness of breath, palpitations, syncope). Please call 911 or go to the nearest emergency department.

Why Most People Find Out Too Late

Standard primary care uses population-level risk calculators (Framingham, ASCVD, and now PREVENT) to estimate your 10-year odds of an event. These tools are useful, but they are statistical averages, not a look at your actual arteries.
A person with a “low” risk score can have meaningful coronary plaque. A person with a “high” risk score can have clean arteries. Until you image the artery wall itself and measure how the heart behaves under load, you are guessing.
The 2026 ACC/AHA/Multisociety Dyslipidemia Guideline now formalizes what preventive cardiology has argued for years: coronary artery calcium (CAC) scoring, ApoB, and Lp(a) belong in the decision-making pathway for anyone at intermediate or uncertain risk. Our protocol goes further, because risk reclassification is the entire point of this visit.

Heart Attacks Are No Longer a Disease of Older Adults

For decades, cardiovascular screening was framed as something to start in your 50s. That framing is now clinically obsolete.

The national data is clear, and it is moving in the wrong direction:

Preventive cardiologists at Harvard, Brigham and Women’s Hospital, and other major centers have been publicly warning for years that the demographic is shifting. In their own words, what used to be “incredibly rare” in patients under 40 is no longer rare.

What this means clinically:

The traditional approach, which tells a 35-year-old with normal cholesterol and no symptoms to “check back in your 50s,” is based on a disease epidemiology that no longer exists. Atherosclerosis is now measurable with non-invasive imaging, and it is measurable a decade or more before conventional guidelines would have anyone look. That is why our assessment is open to any adult 18 and over. For patients in their 30s and 40s, screening now, when plaque is either absent, minimal, or soft and reversible, is the single most powerful intervention available. You cannot treat what has not been identified.

A clean scan in your 30s or 40s is also valuable. It reclassifies your risk downward, de-escalates pharmacologic intensity, and gives you a real baseline to compare against five or ten years from now.

Heart Disease Screening in Las Vegas: A Direct-Access Testing Program

We practice preventive cardiology as a discipline, not a checkbox. The testing protocol was designed by Dr. Manoj Sharma, DO, board-certified in Internal Medicine, Chair of Internal Medicine at Sunrise Hospital (Nevada’s largest hospital), founder of Nevada’s first ECMO program, and President of Elite Medical Associates. Dr. Sharma built his cardiac practice in the ICU, watching preventable disease arrive as crisis. That is the lens this testing program is built through.

A doctor uses a stethoscope to listen to a patient's chest during a heart disease screening in an office setting.

How the program is structured:

A physician-to-physician coordination letter is available on request for your home cardiologist or internist, so your care continues seamlessly after you leave.

Heart Scan Las Vegas — Functional Testing

The foundation of the assessment. Three tests that answer distinct questions about how your heart performs electrically, structurally, and under physiological demand.

EKG (included)

Answers: Rhythm, conduction patterns, prior silent injury.
Catches arrhythmias and conduction blocks before symptoms appear.

Echocardiogram

Answers: Valve function, pump performance, early structural remodeling. Reveals pre-disease structural changes years before symptoms force a diagnosis. Real-time visualization of your heart in motion.

Cardiac Stress Test

Answers: Blood pressure response, exercise capacity, stress-induced EKG changes. Shows how your cardiovascular system behaves when life demands more, and reveals changes invisible at rest.

CAC Score

Answers: Calcified plaque burden, risk reclassification.

  • Reclassifies risk in approximately 50% of intermediate-risk patients
  • Low-radiation, validated first-line screening tool
  • Important limitation: detects only calcified plaque. A CAC of 0 can still mean plaque is present. Soft, non-calcified plaque is often the most dangerous type. That is where CCTA adds clarity for the right patient.

CCTA (CT Coronary Angiography)

Answers: Actual plaque in the artery wall, actual luminal narrowing, plaque morphology.
Directly visualizes your coronary arteries, both calcified and non-calcified plaque, non-invasively.

Radiation in context: A modern CCTA delivers approximately 4 mSv, equivalent to roughly one to two years of natural background radiation. The average American already receives 3.1 mSv per year from soil, radon, cosmic rays, and food. Our cardiac CT uses dose-reduction technology.

Coronary Calcium Score and CCTA: Seeing the Artery Wall

Two distinct imaging tools that answer different questions about what is happening inside your arteries. One quantifies calcified plaque burden. The other visualizes the artery wall directly, including soft plaque that the CAC Score cannot see.

Cardiac Risk Assessment: Advanced and Add-On Components

When you want deeper answers. These components are added based on your clinical picture, for patients where standard CCTA raises further questions, or where vascular risk beyond the heart warrants assessment.

CCTA with AI Plaque Analysis

Detailed mapping of plaque composition beyond standard CCTA. Identifies high-risk plaque morphology (low attenuation, positive remodeling, spotty calcification, napkin-ring sign) that informs treatment intensity and follow-up urgency.

CCTA-FFR

Determines whether a narrowing actually limits blood flow. The physiological question that previously required a catheterization lab, answered non-invasively, avoiding unnecessary invasive procedures.

Carotid Ultrasound

Screens the neck arteries supplying the brain. Added when clinically indicated, particularly in patients with known plaque elsewhere, stroke family history, or elevated ApoB/Lp(a).

AAA Ultrasound

Screens for abdominal aortic aneurysm based on your risk profile: age, smoking history, family history.

Visiting Las Vegas for Your Assessment

Our goal is to make testing and screening more accessible and more convenient, particularly for patients who are not getting what they need locally. For many patients, the fastest path to a complete answer is a single coordinated trip.

Las Vegas is one of the most accessible cities in the country. Harry Reid International Airport (LAS) has direct flights from nearly every major US metro, and our Centennial office is a short drive from the airport, the Strip, and Summerlin.

A doctor wearing a white coat and stethoscope reviews documents about hereditary cancer testing and discusses them with a seated patient at a desk.

For out-of-town patients, we offer:

We can also accept referred imaging and outside test results in advance, which often shortens the visit and reduces cost.

A Note on Second Opinions

A stand-alone second-opinion review of existing cardiac imaging, stress test results, CAC score, or CCTA, without a full in-person workup, is available. This is frequently used by patients who have been told they need a procedure and want an independent read before committing.

 

Scheduling and Financial Policy

All services are provided on a self-pay, fee-for-service basis.

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Transparent Pricing

A complete itemized cost overview is provided before your visit is confirmed. Consultation, imaging, and any add-on components are listed separately. You will know exactly what you are paying for before anything is scheduled. No bundled surprises.

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Insurance

We do not bill insurance directly. Detailed itemized documentation (with ICD-10 and CPT coding) is provided on request for submission to your carrier for potential out-of-network reimbursement. HSA and FSA funds are generally applicable. Confirm eligibility with your plan administrator before your visit.

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Booking Window

We recommend booking at least two weeks in advance, particularly for out-of-town patients who need to coordinate travel. A valid credit card is required to hold your visit date.

Why Elite Medical Associates

This assessment is open-access. No membership required.

  • Book testing directly, no referral, no annual commitment
  • Testing protocol designed by a physician who trained his clinical judgment in the cardiac ICU, not a marketing team
  • Same-day testing, written review of every result
  • Optional pre- or post-test physician consultation for patients who want clinical interpretation and a personalized plan
  • Travel-friendly for national and international patients
  • Membership is available for patients who want ongoing one-on-one longevity and preventive care, but is entirely optional

Frequently Asked Questions

No. This is a direct-access, self-pay testing program. You can book directly.

No. This testing is available to any adult 18 and over, and patients in their 30s and 40s are increasingly the right patient for this workup, not the wrong one. The incidence of heart attacks in adults under 50 has risen over the past two decades, and the vast majority of young adults hospitalized with MI had at least one identifiable risk factor beforehand. Screening a decade before conventional guidelines would look is how you catch disease when it is still soft, minimal, or reversible. A clean scan in your 30s or 40s also has real value: it reclassifies your risk downward and gives you a personal baseline to compare against later.

Yes, and arguably this is exactly the population this assessment is designed for. Most first cardiac events occur in people who had no prior symptoms. The goal is to detect subclinical disease before it presents as a crisis.

The core program is testing only. You complete your imaging and functional testing and receive a written review of each result. If you want clinical interpretation, a personalized prevention plan, or help deciding which tests are right for you, you can add a pre-test or post-test physician consultation with Dr. Sharma.

It depends on what you want out of the visit. If you already know which tests you want and just need the data, the testing-only pathway is appropriate. If you want a physician to interpret findings in the context of your personal, family, and genetic history, or to build an evidence-based prevention plan, the consultation add-on is worth it. Many patients add a post-test consultation so they leave Las Vegas with both the data and a plan.

For most patients, yes. Core testing is designed to be completed in a single visit. Complex cases, or patients who add multiple advanced components, may need a short second-day visit.

We do not bill insurance directly. We provide fully itemized documentation with appropriate diagnosis and procedure codes so you can submit for out-of-network reimbursement. Many patients use HSA or FSA funds.

Send them in advance. We will incorporate them into your assessment, avoid duplicate testing, and adjust the plan and cost accordingly.

On request, we provide a formal physician-to-physician letter summarizing findings, interpretation, and recommended next steps. We want your care to continue seamlessly after you leave Las Vegas.

Heart disease risk refers to the probability that you will develop a heart-related condition (such as atherosclerotic cardiovascular disease or heart failure) within a defined time window. Calculators like ASCVD and PREVENT estimate this probability from age, blood pressure, lipids, smoking status, and diabetes. These are population averages. They do not look at your actual arteries, which is why direct imaging often changes the answer.

Risk scoring combines your clinical variables into a 10-year or lifetime probability of a cardiovascular event. A low score lowers concern but does not rule out disease. A high score raises concern but does not confirm disease. Imaging (CAC, CCTA), advanced lipids (ApoB, Lp(a)), and structural testing refine a statistical estimate into a personal answer.

There is no single normal range. Lower is better, but individual context matters: family history, genetics, inflammation markers, and imaging findings can all shift what “normal” means for you. The goal of this assessment is to replace a generic score with a personal answer.

Ready to Know?

Whether you live locally or are flying in from out of state, the cardiovascular risk assessment at Elite Medical Associates is built to give you a real answer on a timeline that respects your life.

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