FREE TOOLS
The new metrics we offer in our cardiometabolic clinic.
Three patient tools we offer to our patients to encourage engagement and N-of-1 tracking — plus a clinician lipid target calculator for GPs and shared-care colleagues. All free, all browser-based, no account needed.
These are educational tools. They do not replace medical advice or a formal cardiovascular assessment.

FOR PATIENTS & FAMILIES
Three checks that move the needle on cardiovascular risk
Blood pressure, visceral fat and skeletal muscle strength are three of the most modifiable drivers of long-term heart and metabolic health. Each tool below gives you a single, validated measurement you can repeat at home and bring to your next consultation.
PILLAR 1 - BLOOD PRESSURE
MyBP
HOME BLOOD PRESSURE SUMMARY
Enter a week of morning and evening readings — get a clean, GP-ready summary with your true home average, diurnal pattern and trend. One-off blood pressure readings in clinic miss the picture entirely. NICE recommends home blood pressure monitoring for anyone being investigated for hypertension — but the arithmetic is fiddly, and a few rules need to be applied before the readings mean anything. What MyBP does MyBP applies those rules for you. It drops the first reading of each session (per NICE guidance, the first reading is usually artificially high), separates morning and evening averages, flags any meaningful morning surge, and produces a clean printable summary you can take to your GP or upload before your SCVC appointment. What you need A validated upper-arm BP monitor and 4–7 days of twice-daily readings. The tool also generates a printable recording sheet if you prefer to write readings down first and enter them later.
Free · No login · Printable PDF
PILLAR 4 - VISCERAL FAT
Healthy Waist Calculator
WAIST-TO-HEIGHT RATIO & VAT SCREENING
A tape measure tells you more about cardiovascular risk than the bathroom scales. Find your waist-to-height ratio and see where you sit on the VAT trap scale. BMI cannot tell muscle from fat, and total body weight tells you nothing about visceral adipose tissue (VAT) — the metabolically active fat wrapped around your liver and abdominal organs. VAT is what drives insulin resistance, raises ApoB, distorts the lipid profile and ultimately feeds the four pillars of cardiovascular risk. Why waist-to-height ratio Waist-to-height ratio (WHtR) is the simplest, most reproducible bedside surrogate for VAT and outperforms BMI in predicting cardiometabolic risk across every age and ethnicity studied. The threshold is intuitive: keep your waist to less than half your height. What you'll get Enter your waist and height (inches or centimetres). The tool returns your WHtR with a clear green/amber/red zone, sex-specific commentary, and the option to email yourself a personalised PDF report. You can repeat the measurement monthly to track progress.
Free · Optional emailed PDF
STRENGTH TEST
Sit-to-Stand & Grip
LOWER-BODY STRENGTH & WHOLE-BODY STRENGTH MARKER
Two simple tests that together predict mobility, fall risk and cardiovascular mortality. The best home benchmark for tracking strength on a weight-loss journey. If you're losing weight — particularly on a GLP-1 — strength matters more than the number on the scales. Skeletal muscle contains fat and glycogen, both of which fall with weight loss; the scales drop, but what you need to protect is the contractile tissue underneath. Tracking strength tells you whether you're keeping it. Dynapenia, not just sarcopenia Sarcopenia describes loss of muscle mass; dynapenia describes loss of muscle strength — and dynapenia is the stronger predictor of falls, disability and mortality. The 30-second sit-to-stand is the gold-standard field test for dynapenia: it's used in NHS frailty pathways, validated against laboratory power testing, and needs nothing more than a dining chair and a timer. Why add grip strength Grip is a remarkable signal. It correlates with upper-body strength, with whole-body strength, and population studies (PURE, UK Biobank) show it independently predicts cardiovascular events and all-cause mortality. One reading on a £25 hand dynamometer rounds out the picture. What you'll get Count your sit-to-stand reps with the on-screen timer. Add weight and height to unlock a leg-power estimate (watts per kilogram), then optionally add a grip reading. Both scores map against published age- and sex-banded reference ranges, with a PDF export to track over time.
Free · 30 seconds · PDF report
FOR GPS & CLINICIANS
Integrated cardiovascular risk in one screen
A free SCVC calculator for primary care, shared-care colleagues and SCVC faculty — combining ESC SCORE2, NICE-recommended QRISK3, CAC, CAD-RADS and SCVC FAI tiers into a single integrated risk view.
FOR GPS & CLINICIANS
SCORE2 + CVRisk1–7 Risk Calculator
INPUTS SUPPORTED
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SCORE2 core (age, sex, BP, smoking, non-HDL)
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QRISK3 score (from SystmOne / EMIS)
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Agatston / CAC centile / CAC-DRS
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CAD-RADS 2.0 with P-grade and modifiers
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SCVC FAI tier (CaRi-Heart, ORFAN/CRISP-CT methodology)
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Lp(a), FH, premature family history, VAT-years
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ESC clinical overrides (FH+ASCVD, CKD, organ damage, etc.)
A single screen that takes ESC SCORE2 inputs, layers in QRISK3 (the NICE NG238 primary-prevention score used in UK general practice), and integrates CT findings — CAC, CAC-DRS, CAD-RADS plaque grade and modifiers, plus SCVC FAI tiers from CaRi-Heart — to produce an integrated risk tier and ESC/EAS lipid target.
Built for the consultation room. Live update as you tick modifiers (Lp(a), family history, VAT-years, fitness, FH, CKD), with a clear base-tier vs nudge-adjusted result and full clinical reference document available alongside.
Aligned to ESC/EAS 2019 / 2026 ACC-AHA lipid targets, SCORE2 UK (low CVD-risk region), and SCVC CVRisk1–7 with CT sub-criteria v1.0 (April 2026).
For use by clinicians. Not standalone clinical guidance.
Join Dr Leatham’s mission to prevent heart disease and improve your healthspan
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DR LEATHAM'S CARDIOMETABOLIC TOOLKIT
The products that support
better health outcomes
Carefully selected devices and tools I recommend to my patients for monitoring metabolic health, body composition, and cardiovascular wellness.
The VAT Trap series represents everything Dr Leatham learned from 35 years of clinical practice — from the emergency interventions that saved lives to the preventive strategies that stopped disease before it started.
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BODY COMPOSITION
HUME Body Pod Smart Scale
Medical-grade body compsition analysis with visceral fat tracking. The most accurate consumer scale for understanding metabolic health
Clinically Validated

BODY COMPOSITION
Renpho Smart Scale
Affordable body compsition tracking with excellent app integration. Great for patients starting their metabolic health journey.
Best Value

GLUCOSE MONITORING
Abbott Lingo CGM
Continuous glucose monitoring for metabolic awareness. Understand how food impacrs your blood sugar in real time.
Game Changer
Disclosure
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