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Research shows detectable warning signs long before heart disease develops

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A new analysis shows that early risk markers for heart disease can be detected several years before any symptoms appear.

Most people have moments where the body sends tiny signals that feel too easy to ignore. A bit of tiredness, a headache you blame on stress, or a heartbeat that feels slightly off after a long week.

It rarely feels urgent. And because life is busy, most of us assume everything is fine—right up until something suddenly isn’t.

Hidden patterns researchers uncovered

In a large new analysis published in the Journal of the American College of Cardiology, research teams from Northwestern University in the United States and Yonsei University in South Korea examined long-term health data from millions of adults.

Their goal was to understand whether people who later experienced heart attacks, stroke or heart failure actually showed measurable signs years before their first event.

By comparing decades of health records with each person’s eventual diagnosis, the researchers focused on four well-known cardiovascular risk indicators: blood pressure, cholesterol, blood sugar and smoking habits.

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These are ordinary measurements many encounter at routine checkups, but the study examined them as early warning signals, not just diagnostic numbers.

What the data revealed

The results showed that nearly everyone who later developed a serious heart-related condition had at least one risk factor that was outside ideal levels long before symptoms appeared.

Most had several. Even when the researchers used higher, medically actionable thresholds rather than the ideal ones, the majority still showed noticeable risk markers years ahead.

To understand how this applies to different groups, the researchers also looked specifically at women under 60—often considered lower-risk—and found that most of them also had measurable deviations before experiencing conditions like stroke or heart failure.

A broader point made by cardiologists following the study is that elevated numbers do not automatically mean illness is imminent.

Many healthy adults occasionally fall above ideal ranges. But identifying persistent patterns can help clinicians pinpoint who might benefit from earlier intervention.

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What this means for individuals

The findings highlight that several risk markers tend to shift long before major heart problems appear.

According to cardiologists who reviewed the research, understanding your own baseline values is useful, especially for adults over 40 or individuals with a family history of cardiovascular disease. These risk factors commonly evaluated in heart health include:

• Blood pressure
• Cholesterol
• Blood sugar
• Smoking status

Although opinions vary on how often healthy people should be screened, specialists emphasize that people with concerning symptoms or inherited risk should be assessed.

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Why the findings matter

Heart disease remains one of the most common causes of death in many countries, even as survival rates have improved.

This new research reinforces that heart-related conditions rarely appear without a long buildup of small changes that accumulate over time.

For many people, simply tracking their own numbers can offer a clearer understanding of long-term health—without assuming that every deviation demands treatment.

The article is based on information from Videnskab.dk

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