Test Detail
Understanding the Test
Test Measures
FAQ's
References
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Dr. Shreya Gupta
BDS, MDS - Oral and Maxillofacial Pathology
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Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Cardiac Risk Markers

Also known as Heart check, Cardiac biomarkers, Cardiac risk assessment, Cardiac risk profile
Cardiac Risk Markers Includes 5 testsView All
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. Overnight fasting is preferred but not mandatory.

Understanding Cardiac Risk Markers


What is Cardiac Risk Markers?

A Cardiac Risk Markers is a group of blood tests that helps assess potential health risks related to heart disease. These tests help predict your risk of heart-related problems like heart attack or stroke. It provides crucial insights into your heart’s condition, aiding in early detection and prevention of possible heart complications.

Understanding and prioritizing heart health supports overall well-being, allowing individuals to engage in daily activities without limitations or discomfort caused by heart-related symptoms. Good heart health contributes to a longer and healthier life, enabling individuals to lead an active and fulfilling lifestyle as they age. 

A healthy heart significantly reduces the risk of developing cardiovascular diseases (CVD), which encompasses a range of conditions affecting the heart and blood vessels. Some of the common CVDs include coronary artery disease (leading to heart attacks), heart failure, arrhythmias, and stroke. Cardiac risk markers are the indicators in the blood that provide valuable information about an individual’s risk of developing heart-related problems or cardiovascular diseases. These markers help identify risk factors that are associated with an increased risk of developing heart disease. Also, they help predict the chance of getting cardiovascular events such as heart attack or stroke. The presence or absence of these markers helps in assessing the overall health of the heart and blood vessels. 

A Cardiac Risk Markers test is usually recommended as a part of routine health screenings, especially for individuals with risk factors such as high blood pressure, high cholesterol, obesity, diabetes, smoking, or a family history of heart disease. Also, it can be done when an individual experiences symptoms suggestive of heart disease or cardiovascular problems, such as chest pain, shortness of breath, palpitations, or other cardiac symptoms. 

Usually, overnight fasting (8-12 hours) is preferred before undertaking a Cardiac Risk Markers test. Yet, drinking water is acceptable. Staying hydrated helps find veins easily, making the blood draw smoother. Always consult your doctor about any heart medications or supplements you are taking, as some could impact the test results. Always seek your doctor’s advice before altering any medication routine. 

Lab test results may vary across different laboratories. Abnormal test results require an expert interpretation, therefore, never try to self-medicate at home based solely on these results, and always consult a doctor for proper understanding of the test results. A Cardiac Risk Markers test can help the doctor assess an individual’s risk for heart disease, tailor treatment plans, make informed decisions about preventive measures, and monitor the effectiveness of interventions aimed at reducing the risk of cardiovascular problems. 

What is Cardiac Risk Markers used for?

A Cardiac Risk Markers test is done:

  • As a part of routine health screening. 

  • To assess the overall functioning of the heart and blood vessels.

  • To identify individuals at risk for cardiovascular problems.

  • In individuals with risk factors like family history, obesity, diabetes, high blood pressure, and prior heart attack or stroke.

  • To determine an individual's risk of developing cardiovascular events such as stroke, coronary artery disease (CAD), etc. 

  • When an individual experiences symptoms suggestive of heart disease or cardiovascular problems such as chest pain, shortness of breath, palpitations, etc. 

  • To monitor the effectiveness of treatments in individuals already diagnosed with a heart condition.

  • To evaluate the risk of future cardiovascular events and guide further treatment. 

  • In cases where individuals aim to adopt preventive measures for heart diseases due to lifestyle changes or before starting specific medications.

What does Cardiac Risk Markers measure?

Contains 5 tests

A Cardiac Risk Markers test measures the specific indicators called cardiac markers in the blood that can signify potential risks to heart health or cardiovascular problems. These markers provide valuable insights into an individual's risk of developing heart disease or experiencing cardiovascular events. 

A Cardiac Risk Markers test includes a highly sensitive C-reactive protein test which helps indicate heart disease by detecting inflammation within the body, particularly in the blood vessels. Also, it includes testing for apolipoproteins and lipoproteins which are the essential components involved in transporting lipids (fats) through the blood. They play a vital role in the metabolism, transport, and regulation of cholesterol and other fats in the body. Their involvement is key in indicating potential heart problems. 

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hsCRP (High Sensitive CRP)

An hsCRP (High Sensitive CRP) test is a state-of-the-art biochemical marker to predict potential risks of future diseases. This test is more sensitive than the standard CRP test and can also detect lower CRP levels in the blood. Its accuracy in predicting cardiovascular issues, autoimmune disorders, and other health issues makes it an excellent test to detect asymptomatic conditions with limited diagnosis.

Know more about hsCRP (High Sensitive CRP)

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Apolipoprotein - A1

An Apolipoprotein - A1 test helps check the levels of Apolipoprotein A1 in your blood. Apolipoprotein A1 is the major protein for the high-density lipid (HDL), also known as “good” cholesterol and helps in its transport. Apo A1 helps the HDL to take up cholesterol from the tissues and is bound by receptors in the liver where the cholesterol is destroyed. Assessing the levels of Apolipoprotein A1 directly reflects the high-density lipoprotein levels. In this way, apolipoprotein A can help to lower your risk for cardiovascular disease.

Know more about Apolipoprotein - A1

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Apolipoprotein B/A1 Ratio

An Apolipoprotein B/A1 Ratio test helps predict the risk of cardiovascular disease (CVD) in individuals at high risk, such as those who are obese, have a family history of heart disease, have high cholesterol, or have had similar health issues in the past. Apolipoprotein A1 is the primary protein associated with HDL cholesterol (good cholesterol), and its increased concentrations are associated with a reduced risk of cardiovascular disease. Apolipoprotein B is the primary protein associated with LDL cholesterol (bad cholesterol) and other lipid molecules. An increase in LDL cholesterol is associated with increased risk of cardiovascular disease. Therefore, an Apolipoprotein B/A1 Ratio test is a key marker of developing potential cardiovascular disease (CVD) or heart-related ailments. 

Know more about Apolipoprotein B/A1 Ratio

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Apolipoprotein - B

The Apolipoprotein B test is used to evaluate the level of Apolipoprotein B in your blood. It is a type of protein that aids in the transportation of fat and cholesterol throughout the body. Apo B serves as the primary protein component of lipoproteins such as very low-density lipoprotein (VLDL), low-density lipoprotein (LDL), and chylomicrons. It binds to LDL or “bad” cholesterol, causing plaque accumulation in the blood vessels. This can lead to the development and progression of cardiovascular disease that can be life-threatening if left untreated.

Know more about Apolipoprotein - B

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Lipoprotein A

The Lipoprotein A test measures the amount of lipoprotein A (Lp-A) particles in your blood. Lipoprotein A is a mixture of Low-density lipoprotein (LDL) and a protein called apolipoprotein a. Lp-A levels are largely determined by genetics. Lp-A levels are not significantly affected by diet, exercise, or lifestyle changes, unlike other types of cholesterol. That is why testing for Lp-A is essential, particularly for individuals with a strong family history of cardiovascular (heart or blood vessel) disease as it is considered an independent risk factor for heart attack and stroke. This test can help identify individuals who are at high risk, enabling early intervention to prevent future complications.

Know more about Lipoprotein A

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Cardiac Risk Markers


Frequently Asked Questions about Cardiac Risk Markers

Q. What is a Cardiac Risk Markers test?

A Cardiac Risk Markers test is a series of blood tests that help assess specific indicators related to heart health, such as C-reactive protein (CRP) and lipid molecules (lipoproteins and apolipoproteins).

Q. What are the tests included in a Cardiac Risk Markers test?

A Cardiac Risk Markers test includes various assessments like the high sensitive CRP (hs-CRP) test, and tests for apolipoprotein - A1, apolipoprotein - B, apolipoprotein B/A1 Ratio, and lipoprotein A levels.

Q. How frequently should I undergo a Cardiac Risk Markers test?

The frequency of a Cardiac Risk Markers test depends on your health factors such as age, family history, lifestyle habits, and existing health conditions. It's best to discuss with your doctor to decide how often you need this test based on your individual health needs and risks.

Q. What can I do if my Cardiac Risk Markers test results are abnormal?

Abnormal results might suggest an increased risk of heart disease. Measures such as lifestyle and dietary modifications, and certain medications (if prescribed by your doctor) can help manage these risks effectively.

Q. What additional tests does a doctor suggest alongside a Cardiac Risk Markers test?

If a Cardiac Risk Markers test shows certain concerns, or if you have symptoms, your doctor might suggest additional tests like chest X-ray, ECG, stress test, echocardiograms, and heart imaging tests (like angiography, cardiac MRI, PET scan, CT scan), depending on your condition.

Q. What are the warning signs and symptoms that might indicate a heart condition?

The warning signs of heart disease can vary, but some common symptoms include chest pain, palpitations, shortness of breath, irregular heartbeats, fatigue, dizziness, etc. Sometimes, symptoms might not be as obvious, so it's essential to pay attention to any unusual feelings in your chest, or sudden fatigue during daily activities. Seek medical help promptly if you experience severe or persistent symptoms.

Q. What is the major difference between heart attack and stroke?

A heart attack happens when a blockage restricts the blood flow to the heart, while a stroke occurs when there is a blockage or a burst blood vessel that affects blood flow to the brain. Both these conditions are serious and need immediate medical help.

Q. What is atherosclerosis?

Atherosclerosis is a condition where plaque (buildup of cholesterol, and other substances) inside the arteries, which can cause heart attack or stroke.
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