A much more effective approach is to think about the next 30 to 40 years. For that kind of timeframe, the goal is primary prevention—stopping the plaque from ever forming in the first place. To do that, studies show we need to get your ApoB down below 60 mg/dL or, if you only have an LDL number, below 70 mg/dL. This is the threshold at which plaque development essentially halts. This may sound aggressive compared to standard recommendations, but when you think in decades, not years, the math changes. You want to keep your arteries clean for your entire life, not just the next 10 years.
4. A Common Genetic Trait Could Triple Your Risk
There is a genetic marker that about one in five people carry that can double or even triple your risk of a heart attack, and it won’t show up on any standard cholesterol panel. This marker is called Lipoprotein(a), or Lp(a) for short. An elevated Lp(a) is probably one of the most common reasons you see otherwise healthy people in their 40s and 50s having heart attacks with no warning.
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