Prevention in Practice: Building What Actually Works

In this episode of The Heart of Prevention, Dr. Keerthana Pakanati is joined by Dr. Neha Pagidipati (Duke University) and Misha Nazrollahzadeh (Joyce Health) to explore what it takes to translate cardiovascular prevention from guidelines into real-world practice.

The conversation focuses on building effective prevention clinics, including essential team structures, scalable care models, and the role of interdisciplinary members such as dietitians, pharmacists, APPs, and health coaches. Guests also discuss what tools are truly moving the needle in 2026—from AI and remote monitoring to nutrition platforms—and where enthusiasm may be outpacing evidence.

Additional topics include common reasons prevention programs fail, how to demonstrate value to health systems, and the evolving role of nutrition care in the GLP-1 era. The episode closes with rapid-fire insights on indispensable team members and high-impact patient tools, along with reflections on the future of scalable prevention.

A practical, implementation-focused discussion for clinicians and leaders aiming to build prevention programs that actually work.

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