But the greatest impact would be lifestyle changes in general. You cannot just diet your way out of a heart disease.
Well, maybe this population [0] of subsistence farmers will give you a hint.
In the modern world it is an uphill battle. And there are some people with hypocholesterolemia [1] who will have arteries in near pristine condition despite living a modern (unhealthy) lifestyle.
There are two broad strategies here which can be combined:
(1) Adhering to (strict) rules which will consume your resource of willpower. A very effective one: Don't drink sugary drinks. An unconvenient one for most people: Don't eat out.
(2) Modifying your modern environment to such an extent that it resemble choices humans made before the modern lifestyle i.e. a lot of physical activity, offline times, no processed food, being outdoors (e.g. a garden). To reap the benefits from both a modern lifestyle and a lifestyle we are evolutionary adapted to, this of course will cost you money in a crowded city and (unpaid) time you would otherwise use for earning money.
[0]https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
[1]https://www.sciencedirect.com/science/article/abs/pii/B97803...