Did anyone get heart disease without bad health habits?

Original Title

Very High Prevalence of Nonoptimally Controlled Traditional Risk Factors at the Onset of Cardiovascular Disease.

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Summary

Scientists checked millions of people’s health records to see if they had high blood pressure, high cholesterol, high blood sugar, or smoked before getting heart disease, heart failure, or stroke.

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Surprising Findings

Virtually no one developed heart disease without prior risk exposure.

Some past studies suggested a significant number of heart attacks happen in people with 'ideal' risk profiles, fueling debate. This study challenges that by showing 99.3–99.7% had at least one nonoptimal risk factor before diagnosis.

Practical Takeaways

Get your blood pressure, cholesterol, and blood sugar checked regularly—even if you feel fine.

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49%
Moderate QualityOverall Score

Publication

Journal

Journal of the American College of Cardiology

Year

2025

Authors

Hokyou Lee, Xiaoning Huang, Sadiya S. Khan, Dasom Son, Hyeok-Hee Lee, Eun-Jin kim, Donald M. Lloyd-Jones, Hyeon Chang Kim, Philip Greenland

8 citations
Analysis v1