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Heart disease rarely arrives without warning. Breathlessness on familiar stairs, a tightness that comes with effort and eases with rest, swelling in the ankles by evening: each is easy to explain away, and each is worth a conversation with a doctor. Our cardiology team sees these patterns every week, and the patients who do best are almost always the ones who mentioned them early. Screening is quick, painless and tells us a great deal. From there, small and sustainable changes to diet, movement and sleep do more for long-term heart health than any single intervention.