🫀 Key Cardiac Risk Markers You Shouldn’t Ignore Heart attacks in 20s & 30s are becoming frighteningly common. Fit on the outside ≠ Healthy on the inside. Here’s how to investigate early & prevent silent cardiac risk 👇 🔴 1. Lipid Profile is just the beginning Check more than just total cholesterol. ✅ LDL (bad cholesterol) ✅ HDL (good cholesterol) ✅ Triglycerides (TG) ✅ VLDL 🔍 Ideal: • TG < 100 • HDL > 50 • LDL < 100 • TG/HDL ratio < 2 🔴 2. ApoB & ApoA1 – Better than LDL 🔸ApoB = Number of artery-clogging particles 🔸ApoA1 = Protective particles ✅ Ideal ApoB < 90 ✅ ApoB/ApoA1 Ratio < 0.6 This is a stronger predictor of heart disease than LDL alone. 🔴 3. Lp(a) – The silent genetic risk 🔸Not tested in basic reports 🔸Genetically inherited 🔸Can increase heart attack risk even if other markers are normal ✅ Ideal Lp(a) < 30 mg/dL 📌 Test it once in life—even if you’re young. 🔴 4. hsCRP – Inflammation matters 🔸High-sensitivity C-Reactive Protein 🔸Marker of chronic low-grade inflammation ✅ Ideal < 1.0 mg/L 🔥 Chronic inflammation silently damages arteries. 🔴 5. Homocysteine – B12 & Heart Link 🔸Elevated in B12/folate deficiency 🔸Promotes clotting & damages blood vessels ✅ Ideal < 10 µmol/L 📌 If high, correct B12, folate, B6 levels. 🔴 6. Fasting Insulin & HOMA-IR 🔸Most missed test. Insulin resistance often starts years before diabetes. ✅ Fasting insulin < 6 ✅ HOMA-IR < 1.5 📌 Even with normal sugar, high insulin = silent metabolic risk. 🔴 7. CAC Score (Calcium Score CT) 🔸Non-invasive scan to detect early plaque in coronary arteries 🔸Score 0 = very low risk 🔸Higher scores = hidden artery blockage 📌 Highly recommended if you have family history or are >35 with risk markers. 🧠 Prevention is not just avoiding junk food. It’s about testing early and tracking the real markers of silent cardiac risk. ✅ Don’t wait for chest pain. ✅ Don’t assume fitness = health. ✅ Investigate > Guess ✅ Act early = Live longer #HeartHealth #PreventHeartAttack #MetabolicHealth

Amarjit singh Narula