What are the best conservative actions against heart attacks and stroke?

Every year, alone in Germany, 50,000 people die from heart attacks and 60,000 from strokes. Not to mention the many invalids and rehab cases who have survived. Heart and brain attacks are the biggest killer in Western countries and many of them are still relatively young. 

What can be done? Conservative measures are: Change diet, change lifestyle, take tocotrienol vitamin E and vitamin K2. 

Cardiologists are also obliged to take medication, namely cholesterol-lowering drugs (statins), anticoagulants (Marcumar and NEAK) and antihypertensives. Unfortunately, these three have considerable side effects and risks of their own. Here I will discuss other measures that are based on micronutrients and already have very good studies. A request to the cardiologists in the country - please consider these as additional measures. In detail:

1.coagulation inhibitors ("blood liquefaction").
Heart attacks occur when blood vessels become blocked, cutting off the blood supply to vital organs - especially the heart and brain. If the blood becomes more "fluid", the risk is reduced.

Standard measures are: Coagulation inhibitors such as Marcumar/Warfarin (as a collective term for Coumarin-based drugs) or NEAK (novel anticoagulants). Marcumar is based on the plant toxin coumarin, which inactivates vitamin K. This reduces blood clotting. This reduces blood clotting. However, vitamin K is also responsible for other things, particularly the storage of calcium in the bones. If vitamin K is inactivated, there is less calcium in the bones and more for deposition in blood vessels ("arteriosclerosis"). There are hardly any known side effects from NEAK, they are just more expensive. ASA ("Aspirin") is also used. However, aspirin significantly increases the risk of gastric bleeding and has no effect in healthy people, but only after a previous heart attack (study with n=20000).

Alternative preventive measures:
Vitamin E. Also reduces blood clotting by as much as 72 to 83 per cent according to a (small) study[]. Why don't we always use vitamin E first (and NEAK only if that is not enough)? One reason would be the bad press for conventional vitamin E (alpha-tocopherol). In high doses ("400 IU") this itself becomes a radical. However, the problem does not exist with the isomers from beta to delta and not with tocotrienols

2. cholesterol reduction 
This generally refers to statins. These block the production of cholesterol through the mevalonate pathway. Unfortunately, this blocks many other important metabolic products, namely muscle protein, coenzyme Q10, vitamin K2 synthesis and sex hormones. This is the cause of the frequent and severe side effects of statins, such as muscular problems.

Alternative preventive measure:
Tocotrienols lower cholesterol levels (LDL,total) by 10% to 15% (prevented by conventional alpha-tocopherol). This is less than statins achieve, but without side effects. There is a way to at least alleviate the side effects of statins: Geranylgeraniol (GG) and/or CoenzymeQ10. GG provides an intermediate product that is blocked by statins. CoenzymeQ10 is one of the blocked end products. In other countries (USA), the addition of CoQ10 to statins is already standard practice. 

3. antihypertensives 
High blood pressure is an important risk factor. Antihypertensive drugs also have many and significant side effects: Irritable cough, swollen both, digestive problems, restlessness, sleep disorders, water retention, swelling of the face, circulatory disorders, impaired potency, even impaired voice are among them.  

Alternative preventive measures are
Anti-stress measures such as meditation, rest breaks. Increase your potassium intake, e.g. through potassium-rich foods (pistachios, cabbage, potatoes, bananas), or "blood pressure salt", which contains potassium salt as well as sodium salt.  
Vitamin K2 has a vasodilatory (vasodilating) effect. This lowers blood pressure. Vitamin K is contained in natto (a soya ferment), hard cheese, sauerkraut and animal foods. And in extracts thereof.

Conservative measures summarised (tl;dr):
Better diet (less meat, less bad fats, more fish, more potassium, more omega-3). Fewer drugs (nicotine, coffee, salt, sugar, alcohol). More exercise, less stress.

Use tocotrienol vitamin E. The optimum dosage for cardiovascular health is around 250 mg (avoid alpha-Tocopherol above ~30mg). 
This lowers cholesterol somewhat and significantly inhibits blood coagulation. 

Use vitamin K2. A good supply (> 40 ug) reduces the risk of heart attacks by about half [Rotterdam Study]. The only risk (according to the BfR): It reduces the effect of the (outdated) coagulation inhibitors Marcumar/Warfarin. Do not use together.

Talk to a cardiologist.  If you take statins, take at least CoenzymeQ10, better Geranylgeraniol.

Copy-right note to the image: https://commons.wikimedia.org/wiki/File:Grafik_blutkreislauf.jpg