Heart Disease Risk: Your cholesterol report is normal, but you're still at risk for a heart attack? Beware! This could be the real culprit.
- bySherya
- 13 Mar, 2026
Early Heart Attack Risk: Due to changing lifestyles, we are facing a variety of heart-related problems. Let us explain why normal cholesterol levels can be a risk factor.

How does lipoprotein (a) increase the risk of heart attack?
Hidden Cholesterol Risk For Heart Attack: When it comes to heart health, people typically focus on cholesterol levels like LDL, HDL, and triglycerides. These parameters are also checked in most health checkups. However, cardiologists say that an important factor often gets overlooked: lipoprotein (a) or Lp(a). This is a cholesterol particle that is often not included in a normal lipid profile but can play a major role in increasing the risk of heart disease.
Heart attack cases are increasing
Doctors in India are seeing a worrying trend. Many people with normal cholesterol levels are experiencing heart attacks in their 30s and 40s. The National Institutes of Health believes that elevated Lp(a) levels due to genetic factors may be a contributing factor. This factor is largely influenced by genetics, so diet or exercise have limited impact on it.
What is Lp(a)?
Lp(a) is essentially a particle similar to LDL cholesterol, but with an additional protein attached. This protein makes it behave differently in the body. In high amounts, it can accelerate plaque formation in arteries, increase inflammation in blood vessels, and increase the likelihood of blood clots. This can increase the risk of heart attack and stroke.
Cases are increasing rapidly in India
According to experts, the incidence of premature heart disease is rapidly increasing in India. Several reports indicate that heart disease accounts for a significant portion of all deaths in the country. Worryingly, many patients are experiencing heart attacks 10 to 15 years earlier than in Western countries. Genetic predisposition, diabetes, high blood pressure, an inactive lifestyle, and hidden lipid markers such as Lp(a) may increase this risk.
Interestingly, Lp(a) isn't measured in standard cholesterol tests. Therefore, many people may report normal levels, but still be at risk. Doctors recommend that people with a family history of heart attacks or strokes at a young age should get this test done.






