What are the risk factors for coronary heart disease (CHD)?

Updated: Jul 23, 2021
  • Author: Mary Ellen T Sweeney, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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The National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) identifies the 2 or more of the following as risk factors for coronary heart disease (CHD) that can lead to the need for more aggressive intervention [14] :

  • Older age: In men, age 45 years or older, whereas in women, 55 years or older; the incidence of CHD is higher in the elderly than the young and in men more than women of the same age

  • Family history of premature CHD: Paternal or male primary relative with myocardial infarction (MI) before age 55 years or sudden death, or in maternal or female primary relative before age 65 years

  • Active tobacco use

  • Hypertension: Blood pressure higher than 140/90 mm Hg or current use of antihypertensive agents

  • Low level of high-density lipoprotein (HDL) cholesterol: Lower than 40 mg/dL

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