Dr Ali KhavandiConsultant Cardiologist

Lifestyle & Longevity Cardiology

The Cardiologist's Kitchen

The Cardiologist's Kitchen.

Diet and lifestyle are not adjuncts to cardiovascular medicine. They are its foundation.

Tailored dietary, lifestyle, and weight management for hypertension, high cholesterol, atrial fibrillation, and cardiovascular risk — underpinned by active NIHR-supported research and two decades of clinical practice.

The founding philosophy

How the Cardiologist's Kitchen began.

The Cardiologist's Kitchen began as a clinical project. I was seeing the same pattern repeatedly — patients with cardiovascular risk factors, on medications, being managed according to guidelines — but with no real engagement with the thing that could change their trajectory most fundamentally: what they eat and how they live.

The irony of being an interventional cardiologist is that you see, in stark clinical detail, the end result of decades of preventable cardiovascular risk. Every heart attack I treat in the catheter lab is, in most cases, a preventable event. That knowledge shapes everything I do outside it.

The Cardiologist's Kitchen was recognised with a Health Foundation Innovation Award in 2016–17. The BBC Horizon documentary featured my work on diet and cardiovascular health. The Observer has published regular articles and recipes from my clinical practice. NIHR now funds active research into coronary plaque regression through dietary intervention.

But the most important audience has always been the patient in front of me. The one who has been told their cholesterol is high, handed a statin prescription, and sent home — without a single word about what to eat.

What I treat

Conditions where lifestyle intervention has the strongest evidence.

Hypertension

Dietary sodium, the DASH pattern, weight, alcohol, and exercise — evidence-based lifestyle intervention can reduce blood pressure substantially, and in some patients eliminate the need for medication.

High cholesterol

Diet composition, plant sterols, fibre, saturated fat — and how to think about all of this in the context of your total cardiovascular risk rather than a threshold number.

Atrial fibrillation

Weight loss, alcohol reduction, exercise, and sleep apnoea treatment have robust evidence for reducing AF burden. I integrate lifestyle management into every AF management plan.

Cardiovascular risk reduction

For those with established disease or elevated risk — a structured, individualised programme combining dietary change, exercise prescription, weight management, and targeted supplementation.

Weight and cardiometabolic health

Weight is not a cosmetic issue. Central adiposity, insulin resistance, and cardiometabolic syndrome are profoundly cardiovascular. I approach weight management as a clinical priority.

Post-procedure recovery

Following a stent, ablation, or cardiac surgery — a structured recovery and lifestyle programme that reduces the risk of recurrent events and supports long-term cardiac function.

The research

Underpinned by active clinical research.

This is not wellness coaching dressed in medical language. Every recommendation I make is anchored in peer-reviewed evidence — and where the evidence is genuinely uncertain, I say so.

My research programme — funded by NIHR — is actively investigating whether structured dietary and lifestyle intervention can produce measurable regression of coronary artery plaque. Alongside this, I am researching the role of diet and exercise in AF management, and the mechanisms and treatment of microvascular angina.

Coronary plaque regression

Dietary and lifestyle-driven regression of coronary artery disease — active RCT.

NIHR grant

Atrial fibrillation & lifestyle

The role of diet and exercise in AF burden reduction and rhythm control.

Ongoing

Microvascular angina

Mechanisms, diagnosis, and lifestyle management of microvascular angina.

Clinical research

What to expect

A lifestyle cardiology consultation is not a diet plan.

A lifestyle cardiology consultation begins with a thorough clinical assessment — your cardiovascular risk, your current diet and activity, your metabolic markers, and your personal goals and constraints. The output is a detailed, written, individually tailored programme — not a generic handout.

It will include specific dietary guidance grounded in your clinical picture — not a one-size-fits-all approach. An exercise prescription matched to your fitness level and cardiac status. A supplementation review — what the evidence supports, what it does not. And a realistic plan for sustainable change.

Follow-up appointments track your progress, adjust the programme, and monitor your response. This is a clinical relationship — not a one-off consultation. For patients who are ready for a structured, supervised programme, CardioFIT takes this further — medically led exercise and dietary intervention in 10-week cycles.

Most of my patients are surprised to learn how dramatically diet can move their cardiovascular risk markers. Not because the evidence is obscure — it is not. But because no one has ever sat down with them and explained it properly.