Heart disease remains the leading killer for both men and women in the U.S.and is largely preventable if caught and treated early. Naturopathic doctors (NDs) excel at preventing and treating cardiovascular disease because they focus on identifying the underlying causes of disease and empowering patients to make enduring lifestyle changes to restore and maintain health.

Root causes of heart disease often show up as warning signs in other body systems.

A study investigating the effects of lifestyle changes in patients with atherosclerosis (the buildup of fatty, cholesterol-rich plaque in the arteries) found that after only one year of following lifestyle recommendations, about 80 percent of participants were able to bring about plaque regression and avoid surgery without the use of lipid-lowering agents.

Key focuses for prevention and treatment

While treatment approaches are individualized to each patient, here are six key focuses for how naturopathic doctors aim to prevent and treat heart disease:

  • Comprehensive intake to identify risk factors and underlying causes
  • Targeted labs for a clear picture of what’s happening inside your body
  • Manage vital signs and symptoms with medications as needed
  • Optimize gastrointestinal function
  • Address endothelial dysfunction
  • Motivate physical activity

Comprehensive intake to identify risk factors and underlying causes

Root causes of heart disease often show up as warning signs in other body systems, and many times they are the result of chronic inflammation in the body.

Chronic inflammation can arise from poor diet, sedentary lifestyle, stress, autoimmune disease, food allergies, and many other sources.

Inside arteries, inflammation helps kick off atherosclerosis, which narrows the arteries and increases the risk they’ll become blocked. This can lead to heart attacks and certain types of strokes.

Naturopathic doctors spend between one and two hours with patients in an initial appointment, and a good portion of this time is dedicated to identifying sources of inflammation. Trained to be “inflammation hunters,” NDs perform a methodical review of your major bodily systems (skin, digestion, joints, respiratory, etc.). They will also ask detailed questions about your diet and physical activity, and discuss your main stressors and coping strategies.

NDs will also ask detailed questions about your diet and physical activity, and discuss the main stressors in your life and coping strategies.

Naturopathic doctors look carefully for conditions such as insomnia, fatigue, and depression because they are all serious risks for both heart disease and heart attack. These conditions deplete vital neurotransmitters, such as serotonin, that are essential for good endothelial (blood vessel) health. Your doctor will individualize treatment with an emphasis on natural agents, such as clinical nutrition, botanical medicine, and counseling. Naturopathic doctors avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs) if possible. NSAIDs such as ibuprofen have been associated with heart attacks and heart failure.

Targeted labs for a clear picture of what’s happening inside your body.

Naturopathic doctors will match diagnostic lab tests to findings from your intake in order to help determine what is causing your symptoms. They will be individualized and may include the following:

  • Lipid panel that includes oxidized LDL (the primary type of cholesterol found in plaque), inflammatory markers, autoimmune markers, and lipoprotein particle analysis
  • Full glucose panel
  • Comprehensive neurotransmitter profile

Management of vital signs and symptoms with medications as needed

Naturopathic doctors follow the Therapeutic Order, a set of guidelines for clinical decision making that prioritizes minimally invasive therapies to support the body to repair itself. Because of this, NDs lead with natural treatments. However, they are also trained to use pharmacological drugs when necessary.

Optimizing gastrointestinal function.

The gastrointestinal (GI) tract is a common source of inflammation in the body. Gut flora are living microorganisms that provide a wall of protection between your digestive tract and your bloodstream. When the flora in your digestive tract are not in balance, you risk developing localized inflammation. This can lead to alterations in intestinal permeability (leaky gut) which can contribute to heart disease.

If their state license permits, NDs can prescribe medications such as diuretics, beta-blockers, and ACE inhibitors as a bridge to manage symptoms of chronic inflammation or cardiovascular disease, like hypertension, until the body repairs itself. If not, they will refer patients to and collaborate with conventional medical colleagues Naturopathic doctors will help balance the potential unwanted side effects of these medications with natural protocols. The goal is to reduce or eliminate reliance on medications in the long-term by addressing the root cause(s) of heart disease.

Naturopathic doctors help repair the GI tract using their extensive training in diet and clinical nutrition.

Restoring proper PH, balancing flora, correcting leaky gut and constipation – linked with a higher risk of dying from cardiovascular disease – are focal points of naturopathic GI treatment.

Addressing endothelial dysfunction

The endothelium is the inner lining of your blood vessels. It is considered one of the largest organs in your body and plays an important role in maintaining good heart health. If the endothelium is not functioning optimally, you have an increased risk of arterial inflammation and plaque build-up, which can lead to heart attack or stroke. Endothelial dysfunction is caused by lifestyle factors including tobacco use, obesity, age, hypertension, hyperlipidemia, physical inactivity, and poor diet.

Motivating physical activity

Exercise is linked to improvements in numerous cardiovascular risk factors such as obesity, depression, inflammation, and diabetes. Naturopathic doctors believe it is their duty to inspire patients to exercise, rather than just give them guidelines. Because of the extra time they spend getting to know you, they are often able to give you creative and personalized recommendations for sustainable physical activity. A focus of naturopathic medicine is empowering patients to make lifestyle changes in order to achieve optimal health. Your doctor will work with you to restore normal endothelial function using a combination of lifestyle modification, botanical medicine (e.g. hawthorne, Phyllanthus), and/or clinical nutrients.

There are many causes of cardiovascular disease.By taking a whole person natural medicine approach you can greatly reduce many of the risk factors associated with heart disease.

A service for consumers from the American Association of Naturopathic Physicians (AANP) and the Institute for Natural Medicine (INM).  The AANP and the INM would like to acknowledge Decker Weiss, NMD, FASA, for his contributions to the content of this FAQ. Some of the content for the FAQ appeared in an article by Dr. Weiss in Naturopathic Doctor News and Review.