Microvascular Lifestyle Health Programmes
The tailored lifestyle health programme for microvascular dysfunction patients
Introducing Vitality-CMD, a lifestyle health programmes purpose-built for individuals living with CMD, or INOCA. Evidence-informed. Clinician-referred. Designed to complement medical care.
41%
of non-obstructive angiography patients have CMD(1)
5×
increased MACE risk vs normal microvascular function(2)
Gap
in tailored lifestyle health programmes for CMD — until now
Coronary Microvascular Dysfunction ·INOCA · Microvascular Angina
Vitality-CMD · Microvascular Lifestyle Health
One programme. Purpose-built for individuals living with CMD.
Science-based, fully virtual, personalised one-to-one support. Designed specifically for individuals living with CMD, INOCA, and ANOCA. Get the benefits of a programme built around you.
3
Months · structured support
8
Science-based modalities
9
Private 1:1 Sessions
1:1 Programme | Virtual · Flexible · Personal
Vitality-CMD
3 months · Start when you’re ready.
Founding member rate
€400 / month · £350 / month
Regular price €500/month · £425/month.
3-month total: €1,200 / £1,050
*Participants may be eligible for tax relief - see local tax laws.
What’s Included?
> 9 private 1:1 virtual sessions over 3 months
> Health Assessment - baseline and intake
> Fully personalised programme - designed around your profile
> Flexible scheduling - start when you’re ready
> 8 science-based modalities, tailored to you
> Wearable data analysis, we review any data you collect personally
> Direct messaging access between sessions
> Novara community access
> Cardiologist or GP clearance support
Available in Ireland & UK
Ready to take the next step? No commitment until clearance is confirmed. We’ll be in touch within 24 hours. Not sure - schedule a call first.
Note: Irish participants: €1,200 net after 20% tax relief with cardiologist or GP referral"
How It Works
From enquiry to programme start.
1. Register Interest
Submit your interest. We’ll follow up with you within 24 hours.
2. Clearance
We support you in obtaining cardiologist or GP clearance — a mandatory safety step.
3. Assessment
Baseline intake and assessment completed before the programme begins.
4. Begin
Your 3-month Vitality-CMD journey begins. Your medical team remains in charge.
Is This Right For You
Vitality-CMD, steps towards a new era for tailored support.
Confirmed CMD or INOCA .
Diagnosed and looking for tailored lifestyle support purpose-built for your condition.
Microvascular Angina
Diagnosed and looking for tailored lifestyle support purpose-built for your condition.
Suspected CMD, Awaiting Diagnosis
Tests appear normal but symptoms persist. You can take action.
Seeking lifestyle health to support medication
Looking for tailored, sciene-based informed lifestyle tools alongside your care.
For Healthcare Practitioners
A lifestyle health option to complement medical care.
Do you see patients with microvascular dysfunction? Vitality-CMD provides a tailored, guideline-aligned lifestyle health option for appropriate patients - always under your oversight.
Five-minute referral — we follow up with referral contacts within 24 hours
Cardiologist or GP clearance required for every participant
ESC 2024 and IACR 2025 guideline-aligned programme design
You remain the treating physician throughout
Clear scope of practice — lifestyle health only, never medical treatment
1:1 virtual format means patients can start within days of referral
Patient Eligibility
- Female patients
- Confirmed or suspected CMD / INOCA
- Angina with normal coronaries
- Stable, managed condition
- Cardiologist or GP clearance
ciaran@joinnovara.com
About Novara
Ciaran Byrne
Founder · BSc, MSc, MSc, Cert. Oxygen Advantage™ Advanced Instructor
Over fifteen years in medical devices and allied health including vascular devices — Abbott Vascular, Cook Medical, named inventor on two US patents in cardiovascular health — combined with dual postgraduate qualifications in Biomedical Science and Applied Exercise & Sport Psychology. Vitality-CMD is built on scientific rigour, clinical understanding, and the conviction that lifestyle health matters in CMD. "What was missing was a structured, evidence-informed programme designed specifically for the women living with CMD."
MSc Biomedical Science
2 US Patents
MSc Exercise & Sport Psychology
BSc Sport & Exercise Science
Oxygen Advantage™ Advanced
6 Peer Reviewed Journal Papers
Frequently Asked Questions
-
No. Vitality-CMD is an evidence-informed lifestyle health programme. It complements but never replaces your medical care. All participants require cardiologist or GP clearance prior to enrolment.
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Vitality-CMD is purpose-built for individuals living with CMD and INOCA — a population for whom no dedicated or tailored lifestyle health programme has existed until now."
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Yes — the 1:1 virtual programme has no fixed start date. Once you register interest, cardiologist or GP clearance is obtained, and your assessment is complete, your programme begins.
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Irish participants referred by a cardiologist or GP may be eligible for 20% income tax relief on programme fees under the Health Expenses Relief scheme. This reduces the net cost of the the 1:1 programme to approximately €1,440 total, and group programme to approximately €960 total. Please consult your tax advisor to confirm eligibility.
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You can still register interest. We require cardiologist or GP clearance before enrolment, and we encourage you to continue working with your medical team toward a formal diagnosis. Contact us to discuss your situation.
References
Mileva, N., et al. (2022). Journal of the American Heart Association, 11(7), e023207.
Gdowski, M. (2020). Journal of the American Heart Association. 9:e014954.
*Tax relief eligibility applies to Irish residents referred by a cardiologist or GP under the Health Expenses Relief scheme. Net cost of ~€1,200 is indicative at 20% relief on the €1,500 total. Please consult your tax advisor to confirm eligibility.
! Important: We complement, not replace, medical care.
Novara provides lifestyle health programmes, not medical treatment. Our programmes work alongside your cardiologist and GP, never instead of them. Please continue with your medical care. Individual results may vary.