The Longevity Reality Radar

Heart & cardiovascular

Heart and blood-vessel disease, from one-time editing of a cholesterol gene to diet-based nitric oxide. The entries differ sharply in how much outcome data exists.

3 approaches: 1 available now, 2 in human trials. Grades from A to D describe the human evidence; how we rate.

ApproachStageEvidenceOne-line verdictReviewed
Restoring nitric oxide — dietary nitrate (beets/leafy greens), sunlight, exerciseHeart & cardiovascularEstablished, for blood pressure onlyBblood pressure RCTsLowers systolic blood pressure by about 3 to 5 mmHg in randomised trials, but there is no outcome data showing it prevents heart attacks, deaths or plaque.Sep 2026
Lipoprotein(a) lowering (pelacarsen / olpasiran)Heart & cardiovascularPhase 3, outcome trialsBsurrogate RCTsCuts Lp(a) by 80 to 98% in trials, but outcome trials have not yet shown that this prevents heart attacks or strokes.Jul 2026
PCSK9 base editing (Verve VERVE-102)Heart & cardiovascularPhase 1Csmall Phase 1One infusion durably lowered LDL in a small Phase 1, but there is no heart-attack outcome data and the long-term safety of a permanent edit is not established.Jul 2026

Other topics

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