Existing heart disease prediction models are almost universally built on Western datasets like Cleveland, which don't reflect Pakistani patient demographics or comorbidity patterns. I sourced a real clinical dataset of heart patients in Pakistan (several hundred records, 60+ clinical variables) and built the full pipeline myself: cleaning, statistical testing, predictive modeling, patient risk segmentation, and an interactive R Shiny dashboard that turns raw clinical data into a clinical decision support tool, not just a report.