How to prevent a heart attack

 A cardiac event rarely marks the beginning of heart disease. It actually represents the moment when a process that has been developing silently for two or three decades finally becomes visible. A heart attack is not the beginning. Often, it is the first visible sign of a process that takes 20 to 30 years. Cardiovascular disease often develops years before symptoms become evident. The process can begin with metabolic dysfunction, inflammation, endothelial injury, and changes in lipid metabolism long before a diagnosis is made. And most cardiovascular risk is not random; it is genetic. The genes that control cholesterol metabolism, blood vessel function, and coagulation explain why some people have heart attacks at age 45 and others live to 95 eating the same diet. You can't change your genes, but you can change how you respond to them. Their genetic variants determine how their bodies metabolize cholesterol, whether their blood vessels dilate correctly, and how quickly their blood clots.

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