Thread by @DietDrsayajirao

🫀 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