Preventive Cardiology and the Future of Personalized Heart Health Care with Cardiologist, Dr. Tracy Paeschke
In this week’s episode of Roots of Healing, Dr. Siri Chand Khalsa sits down with Dr. Tracy Paeschke, a board-certified cardiologist and health coach whose work is devoted to helping people understand their cardiovascular risk before a crisis occurs. Through her integrative cardiology practice, Dr. Paeschke blends advanced lab testing, wearable technology, cardiac imaging, and the pillars of lifestyle medicine to create a more personalized and preventive model of heart care.
Together, they explore the limitations of conventional cardiology, the importance of looking beyond standard lipid panels, and the ways that inflammation, sleep, stress, toxins, blood sugar, movement, and family history all shape heart health. Dr. Paeschke shares why she stepped away from a more traditional model of medicine and how she now helps patients build sustainable, individualized strategies for prevention and health span.
This conversation also opens into deeper questions around women in medicine, burnout, identity, and what it means to practice in alignment with one’s values. The episode highlights the empowering truth that while genetics matter, they do not tell the whole story. Through daily choices, better data, and a more integrative understanding of the body, people can often reduce risk, improve vitality, and create a longer, healthier future.
Whether you are concerned about your heart health, living with a family history of cardiovascular disease, interested in lifestyle medicine, or simply curious about a more thoughtful and personalized approach to prevention, this episode offers grounded insight, hope, and practical wisdom.
If you’re inspired by our exploration on Roots of Healing, a physician-led podcast uplifting the wisdom and lived experience of integrative and lifestyle medicine doctors, subscribe to receive new episodes weekly.
🔑 KEY TOPICS & TAKEAWAYS
* Preventive cardiology: Why Dr. Paeschke shifted from treating heart attacks and heart failure to focusing on prevention before catastrophic events occur.
* Integrative heart care: How she combines conventional cardiology with functional medicine, lifestyle medicine, and health coaching.
* Advanced cardiovascular testing: Looking beyond the standard lipid panel with ApoB, Lp(a), LDL particle size, CRP, myeloperoxidase, and oxidized LDL.
* Cardiac imaging: The value of calcium scoring, CCTA, and newer technologies that can assess plaque and coronary artery disease more clearly.
* Wearables and health tracking: How continuous glucose monitors, sleep tracking, heart rate variability, and blood pressure monitoring can reveal meaningful patterns.
* Lifestyle medicine: The essential role of plant-forward nutrition, movement, sleep, stress reduction, avoidance of harmful substances, and social connection.
* Genetics vs. epigenetics: Why family history matters, but does not necessarily determine destiny.
* Lp(a) awareness: Understanding lipoprotein(a) as an underrecognized and often genetically driven cardiovascular risk factor.
* Women in medicine: How corporate medicine and legacy systems often fail to support women physicians and values-based practice.
* Health span: Why the goal is not simply to live longer, but to live well, with vitality and function.
⏱ CHAPTERS
00:00 — Introduction and Welcome
00:37 — What Integrative Cardiology Looks Like
02:00 — Why Prevention Matters More Than Crisis Care
03:40 — Personalized Risk Assessment and Advanced Lipid Testing
05:35 — Imaging, Calcium Scores, CCTA, and AI in Cardiology
07:00 — Wearables, Glucose Monitoring, Sleep Apnea, and Blood Pressure Tracking
08:11 — Personalized Medicine and the Shift Away from One-Size-Fits-All Care
09:18 — Leaving Corporate Medicine and Finding Alignment
12:25 — EMRs, Venture Capital, and the Changing Landscape of Medicine
13:05 — Women in Medicine and Systems Not Built for Women
15:40 — Insurance, Burnout, and the Value of Integrative Care
18:01 — Genetics, Epigenetics, and Reframing Family History
21:41 — Agency, Hope, and the Power of Lifestyle Change
23:14 — Dean Ornish, Plant-Based Nutrition, and Reversing Disease
25:00 — Coaching Through Real-Life Food and Family Challenges
27:27 — The Pillars of Lifestyle Medicine
27:57 — Toxins, Environmental Exposures, and the Yuka App
30:15 — Journaling, Daily Habits, and Tracking Lifestyle Patterns
32:48 — Small Changes That Create Long-Term Transformation
36:06 — Heart Rate Variability and What Wearables Can Teach Us
38:33 — The Body as a Temple and the Systems View of Health
41:44 — Inflammation, Cholesterol, and the Bigger Picture of Cardiovascular Disease
42:44 — Lp(a): What It Is and Why It Matters
48:38 — Health Span, Hospice Wisdom, and Why Prevention Is Worth It
51:00 — Meeting People Where They Are
53:55 — A Day in the Life: Teen Twins, Pets, and Real Life
55:00 — Where to Find Dr. Tracy Paeschke
57:33 — Closing Reflections
ABOUT TODAY’S GUEST
Tracy Paeschke, MD
Cardiology • Health Coaching • Integrative & Preventive Heart Care
Dr. Tracy Paeschke is a board-certified cardiologist and health coach with over 25 years of experience dedicated to helping people with heart disease. After years of diagnosing and treating heart conditions, she now concentrates on proactive, preventive care. In her integrative cardiology practice in Monument, Colorado, and through telehealth across multiple states, she combines advanced lab testing, wearable technology, and cutting-edge cardiac imaging to deliver a personalized assessment of each client’s cardiovascular risk. She works closely with each individual to develop a customized treatment plan, tailored to their unique needs and goals. She is passionate about empowering people to prevent and even reverse heart disease through personalized medicine, enabling them to lead long, healthy, and fulfilling lives.
Dr. Paeschke approaches heart health through the pillars of Lifestyle Medicine and enjoys discussing both the latest tools for assessing risk and the ways that plant-forward nutrition and sustainable lifestyle change can meaningfully lower that risk.
She is also a mother of teenaged twins, shares a home full of beloved pets, and is an avid non-fiction reader.
🌐 FIND DR. TRACY PAESCHKE
Website: https://hearthealth.care/ [https://hearthealth.care/]
Facebook: https://www.facebook.com/hearthealthprevandwell [https://www.facebook.com/hearthealthprevandwell]
Instagram: https://www.instagram.com/_heart.health_/ [https://www.instagram.com/_heart.health_/]
LinkedIn: https://www.linkedin.com/in/drtracypaeschke/ [https://www.linkedin.com/in/drtracypaeschke/]
YouTube: https://www.youtube.com/@hearthealth_/ [https://www.youtube.com/@hearthealth_/]
Podcast: https://podfollow.com/heart-health-prevention-and-wellness [https://podfollow.com/heart-health-prevention-and-wellness]
🎁 FREE RESOURCE
Free health consultation available through her website.
Free ebook: https://hearthealth.ck.page/hypertensionebook [https://hearthealth.ck.page/hypertensionebook]
🌐 CONNECT WITH YOUR HOST
Dr. Siri Chand Khalsa, MD MS
Lifestyle & Integrative Medicine Physician • Culinary Medicine • Ayurveda
* Website: drsirichand.com [https://drsirichand.com/]
* Instagram: @doctorsirichand [https://www.instagram.com/doctorsirichand/]
* Culinary Medicine Blog: drsirichand.com/blog [https://drsirichand.com/blog]
Community: https://vishuddha.com [https://vishuddha.com/]
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KEYWORDS
preventive cardiology, integrative cardiology, heart disease prevention, lifestyle medicine, lipoprotein(a), Lp(a), ApoB, cardiovascular risk, wearable technology, continuous glucose monitor, heart rate variability, plant-forward nutrition, personalized medicine, women in medicine, physician burnout, inflammation, cardiac imaging, calcium score, CCTA, health coaching, telehealth cardiology, Roots of Healing, Dr. Tracy Paeschke, Dr. Siri Chand Khalsa