Preventive medicine is the branch of medicine that aims to prevent diseases, delay their development or mitigate their consequences before they become a serious problem. It embodies the shift from reactive, reparative medicine to a proactive, predictive approach. In our cardiology practice under the direction of Dr. Raphael Bruno, the Preventive medicine is not a niche service, but the fundamental philosophy that guides everything we do. We want to be your partner in protecting your health in the long term and actively maintaining your quality of life.
The philosophy of preventive medicine: acting instead of reacting
Traditional medicine often only becomes active when symptoms appear and a disease is already manifest. The Preventive medicine starts much earlier. Its principle is that it is easier, more effective and far better for the patient to stay healthy than to treat a disease that has already developed. This approach requires a change in thinking - away from passively waiting for symptoms to appear and towards actively taking responsibility for one's own health.
The modern Preventive medicine is based on scientific evidence. It identifies individual risk factors, uses state-of-the-art diagnostics for early detection and provides specific, personalized recommendations to minimize these risks. It is the most intelligent investment in your personal future.
Preventive medicine: from primary to secondary prevention
The Preventive medicine can be divided into three stages, which start at different points in the potential course of the disease. In our practice, we offer you measures from all relevant areas.
Level of prevention | Goal | Target group | Exemplary measure in our practice |
Primary prevention | Prevent diseases before they develop. | Healthy people without known relevant diseases. | Advice on heart-healthy nutrition, vaccinations, motivation to exercise regularly. |
Secondary prevention | Recognize diseases at an early stage and stop their progression. | People with known risk factors (e.g. high blood pressure) or in the early stages of a disease. | Screening examinations (heart check-up), consistent adjustment of blood pressure and cholesterol. |
Tertiary prevention | Alleviate the consequences of an existing illness, avoid complications and relapses. | Patients with a manifest disease (e.g. after a heart attack). | Regular check-ups, optimization of medication, support with rehabilitation. |
Preventive medicine in our cardiology practice: our focus
As a specialist cardiology practice, our focus is naturally on the prevention of cardiovascular diseases. These are still the most common cause of health problems and loss of quality of life in old age. Targeted cardiovascular Preventive medicine is therefore the greatest lever for a long and healthy life.
Our focus on preventive medicine:
Your personal check-up: the heart of preventive medicine
The most important instrument of the Preventive medicine is the preventive medical examination, also known as a check-up. It is a detailed assessment of your health at a time when you still feel healthy.
A comprehensive cardiology check-up with us typically includes
Based on these results, we create your personal risk profile and derive specific recommendations for you.
Preventive medicine and lifestyle: the most effective tools
The most effective instruments of Preventive medicine are often in our own hands. No medication can completely replace the positive effects of a healthy lifestyle. A central part of our preventive medical advice is therefore supporting the implementation of lifestyle changes.
The four pillars of a preventive lifestyle are:

Frequently asked questions about preventive medicine
Here you will find answers to frequently asked questions in the context of preventive medicine.
Who should have a preventive medical examination?
Basically anyone who wants to actively invest in their health. A comprehensive check-up is particularly recommended for all people aged 40 and over, as well as for younger people who have specific risk factors (e.g. smoking, obesity, family history of heart disease).
At what age is preventive medicine most important?
Preventive medicine is important at any age, but the focus changes. At a young age, the focus is on establishing healthy habits. In middle age (from around 35-40), early detection of risk factors such as high blood pressure and diabetes becomes crucial. In old age, the focus is on preventing complications of existing diseases.
What is the difference between prevention and early detection?
The terms are often used interchangeably, but describe different aspects of the Preventive medicine. Prevention (primary prevention) aims to prevent diseases from developing in the first place (e.g. through vaccinations or lifestyle advice). Early detection (secondary prevention) aims to detect diseases at a very early, as yet asymptomatic stage so that they can be treated more effectively (e.g. a colonoscopy or heart check-up).
I've been healthy all my life. Why go for preventive care now?
Many of the most serious cardiovascular diseases develop completely unnoticed over decades. The fact that you feel healthy today is wonderful, but no guarantee for the future. The Preventive medicine gives you the chance to keep it that way by uncovering „hidden“ risks before they become noticeable.
Isn't it enough if I eat healthily and exercise?
A healthy lifestyle is the most important foundation, but unfortunately it is not a complete insurance policy. Many risk factors, in particular genetic lipometabolic disorders or a tendency to high blood pressure, can occur even in very healthy people. A preventive medical examination supplements your own efforts with medical safety.
How long does a check-up take?
You should plan around 90 minutes for a comprehensive cardiac check-up, which includes all the important components from a consultation and laboratory to ECG and ultrasound. This time is one of the best investments you can make for your health.
What happens if something is found during the examination?
An abnormal finding in a screening examination is an opportunity. It allows us to start treatment long before the disease has led to serious or irreversible damage. Any therapy is much more effective and gentle in the early stages.
My doctor has calculated a „risk score“ for me. What is that?
Risk scores (e.g. the ESC score) are scientific calculation models that are used in the Preventive medicine can be used. Based on your individual values (age, gender, blood pressure, cholesterol, smoking status), they calculate the statistical probability of suffering a serious cardiovascular event in the next 10 years. This helps to objectively assess the urgency of preventive measures.
Can preventive medicine guarantee that I won't fall ill?
No, medicine cannot give such a guarantee. But the Preventive medicine can demonstrably and significantly reduce your personal risk of contracting the most common and dangerous diseases of civilization. It gives you back control over the controllable parts of your health.
Invest in your most important asset: your health
The decision for Preventive medicine is a decision for a long, healthy and self-determined life. In our practice, we support you with professional excellence and personal advice to help you achieve your health goals. Don't wait for symptoms - take action. Make an appointment for your personal check-up.
Opening hours:
Tuesday: 08:00 - 17:00
Wednesday: 08:00 - 12:00
Thursday: 08:00 - 17:00
Friday: 08:00 - 13:00
Appointments by arrangement.