
A 37-year-old man in Hyderabad required two stents despite running 5 km daily, eating no junk food, and maintaining a healthy lifestyle. Cardiologist Dr Syed Akram Ali identified genetic factors, high lipoprotein(a) levels, chronic stress, poor sleep quality, and hidden inflammation as major risk factors. Physical fitness alone does not guarantee arterial health. Experts recommend comprehensive testing including HS-CRP, ApoB, and lipoprotein(a) screening for all Indians above age 25.