Patients from across the country and around the world come to Melbourne, Florida, to visit the Center for Antiaging Aesthetic and Rejuvenation Medicine. Renowned triple board-certified physician Yale (Yoel) R. Smith, MD, brings nearly 40 years of extensive medical experience to his integrative and functional medicine physician role.
After medical school, Dr. Smith worked as a medical researcher for five years. He then completed a surgery residency followed by a four-year anesthesiology residency. Dr. Smith worked for 27 years throughout Israel and the United States, including as a professor at several universities.
Dr. Smith still holds a lifetime license to practice medicine in Israel and is board-certified in anesthesiology, integrative medicine and antiaging and precision medicine in the United States. Dr. Smith is the only triple board-certified doctor with nearly 40 years of diverse medical experience in the entire Brevard County area.
Dr. Smith specializes in many aspects of integrative and functional medicine, including antiaging, revitalization, and illness prevention. He helps patients de-age internally and externally by uncovering the root cause of illness and poor health and treating the problems at their source.
The practice offers extensive testing services to help patients detect health issues, prevent chronic disease, and maximize quality of life.
The Center For Antiaging Aesthetic and Rejuvenation Medicine offers revolutionary technology, like the Cleerly test, which helps to prevent heart attacks; ZRT cortisol testing; Great Plains Laboratory LLC toxic mold tests; and genetic tests for cancer and Alzheimer’s disease.
The Center for Antiaging Aesthetic and Rejuvenation Medicine is conveniently located in the Suntree neighborhood in Melbourne, Florida. Book your appointment by phone or through the online scheduler now.
That’s because multiple factors in addition to cholesterol are required to determine the underlying cause of Heart Attack.2
Finally, a blood test for the
leading cause of Heart Attacks:
Unstable Cardiac Lesion Rupture.
The PULS (Protein Unstable Lesion Signature) Test measures the most clinically-significant protein biomarkers that measure the body's immune system response to arterial injury.3
These injuries lead to the formation and progression of cardiac lesions which may become unstable and rupture, leading to cardiac event.
PULS Comprehensive Cardiac Profile
Unstable Cardiac Lesions form within the artery wall over time, often without any signs or symptoms, through a process of continuous arterial injury and repair.4,5
Healthy artery wall VS. Artery wall with Unstable Cardiac Lesion in danger of rupturing
An unstable lesion begins to form when oxidized or damaged lipids bind and aggregate on the arterial surface, causing an injury.
The body responds to a signal from the arterial injury by sending white blood cells (Chemotaxis) to repair and clean up the damage. Smooth muscle cells also proliferate in response to the injury. However, if the injury continues, instead of healing the injury, the white blood cells transform into lipid-laden foam cells, which perpetuate lesion growth.
STIMULATION OF NEW BLOOD CELLSGrowth factors are then released and continue to stimulate the generation of new capillaries through a process called angiogenesis, which provides the growing lesion with an adequate blood supply.
CELL ADHESION & PLATELET AGGREGATION
Expression of adhesion molecules and chemokines (MCP-1 and others) participate in platelet aggregation, lymphocyte and monocyte adhesion, further activating the lesion injury.
A physical change occurs in the smooth muscle cells, and the process of cell death (apoptosis) produces excessive amounts of callogen, elastin and proteoglycans transforming the lesion into a fibrous plaque comprised of lipid core and a thin fibrous cap, resulting in an unstable lesion or vulnerable plaque.
The PULS Test can provide your physician with valuable information that can be used to determine the most appropriate course of action according to clinical guidelines.
Your personalized 5-Year Cardiac Profile of Unstable Cardiac Lesion Rupture (Heart Attack).
Your “Heart Age” which shows your Cardiac Score relative to your Age and Gender group.
Recommended lifestyle modifications that may help maintain or improve your current cardiac health.
Puls (Protein Unstable Lipid Signature) Package
The Puls testing package will include the following:
An initial consultation with Dr. Smith for 60 minutes to review your complete medical history with a detailed cardiovascular history and co-morbidities to have the PULS testing to be performed.
Your blood will be drawn in our office and will be sent off to the PULS testing laboratory located in California by Federal Express Overnight. Results are usually available to Dr. Smith within 7-10 business days. Once the results are back they will be initially reviewed by Dr. Smith and a follow-up appointment will be made within 1 week. If results are in the extremely abnormal and in the dangerous range an appointment will be made earlier and a referral to the patients cardiologist or a cardiologist of Dr. Smith’s choosing will be done.
NOTE THAT THIS DOES NOT INCLUDE THE COST OF THE PULS TESTING ITSELF. MOST INSURANCE COMPANIES INCLUDING MEDICARE WILL PAY FOR THIS TEST. SPECIAL PRICING IS AVAILABLE FOR PATIENTS WHOSE INSURANCE WILL NOT PAY FOR THE TEST OR WHOM WANT TO PAY OUT OF THEIR POCKET. ARRANGEMENTS WILL BE MADE WITH PULS COMPANY IN ADVANCE.
Take the first step towards better heart health. Call us at 321.421.7111.
1.) Sachdeva, et al. Lipid levels in patients hospitalized with coronary artery disease: An analysis of 136,905 hospitalizations in Get With The Guidelines. AHJ. 2009; 157; Issue 1
2.) Kromhout, et al. Prevention of Coronary Heart Disease by Diet and Lifestyle. Circulation. 2002; 105: 893-898
3.) Nolan, et al. Analytical performance validation of a coronary heart disease risk assessment multi-analyte proteomic test. Expert Opin Med Diagn. 2013 Mar;7; Issue 2:127-36.
4.) Stary, et al. A Definition of Advanced Types of Atherosclerotic Lesions and a Histological Classification of Atherosclerosis. Circulation.1995; 92: 1355-1374
5.) van der Wal, Becker. Atherosclerotic plaque rupture – pathologic basis of plaque stability and instability. Cardiovascular Research. 1999 Feb 1; 41; Issue 2.