Heart and Cardiovascular Risk Blood Test

A standard lipid panel measures how much cholesterol you carry. It does not measure how many particles carry it, whether your arteries are inflamed, or what you inherited. A person can score well on the first while the other two sit unread. That is the situation this panel is built for, someone whose numbers came back fine and whose family history says otherwise.

Lipoprotein(a) is the clearest example. It is set largely by your genes, stays broadly stable through adult life, and is not moved much by diet or the usual cholesterol medicines. Because it does not change, it is measured once and the result is yours for life. It is also not part of routine screening in Malaysia, so most adults have no idea what their number is. This is a screening panel and not a diagnosis: it describes risk rather than confirming or excluding disease.

01

What You Inherited

Lipoprotein(a) is largely genetic. Measuring it once tells you whether inherited risk is part of your picture.

Measured once, valid for life

02

How Many Particles, Not Just How Much

Two people with identical LDL can carry very different particle numbers. Apolipoprotein B counts them.

ApoB particle count

03

Whether There Is Inflammation

High sensitivity CRP reads low grade vascular inflammation an ordinary CRP is not sensitive enough to see.

hs-CRP

04

Whether The Muscle Is Under Strain

High sensitivity Troponin T reads cardiac muscle protein at very low levels. Here it indicates strain over time.

hs-Troponin T

05

Three Calculated Risk Indices

AIP and Castelli Risk Index 1 and 2 come from your lipid results. No extra blood, and they express ratios raw figures hide.

AIP, CRI-1, CRI-2

06

Whether Your Kidneys Show It

Urine albumin to creatinine ratio is one of the first places sustained blood pressure leaves a visible mark.

uACR

What Is Included

Four Cardiac Markers, Plus A Full Base Panel

One blood draw and one urine sample. Results in 4 working days.

19 test groups

Lipoprotein(a)

Inherited risk. Measured once.

Apolipoprotein B

Atherogenic particle count.

High Sensitivity CRP

Low grade vascular inflammation.

High Sensitivity Troponin T

Cardiac muscle strain.

Lipid Studies

Cholesterol, triglycerides, HDL, LDL, non-HDL.

AIP, CRI-1, CRI-2

Three calculated risk indices.

uACR

Early kidney and vascular damage.

HbA1c and Fasting Glucose

Blood sugar control, now and over 3 months.

Renal Profile

Kidney function and electrolytes.

Liver Function Test

Liver enzymes and proteins.

Full Blood Examination with ESR

Blood cell lines and inflammation rate.

Base Health Block

Urine FEME, TSH, ABO, RF, RPR, hepatitis A and B, HIV, AFP.

The full panel, grouped by what it looks at. The first four are the cardiovascular markers that distinguish this panel. The rest is a complete base health screen taken from the same draw.

Reference ranges vary by laboratory and are printed on your report. A result outside a range is a reason to discuss it with your doctor, not a diagnosis on its own.

How It Works

1

Enquire

Message us with your age and what prompted the question.

2

Book Your Draw

We confirm a collection centre and time. One visit covers blood and urine.

3

Samples Processed

Run at an accredited Malaysian laboratory. Results in 4 working days.

4

Doctor Review

A doctor talks you through what the numbers mean and what needs following up.

Fast for 12 hours before your draw. Water is fine. Take your usual medications unless a doctor has told you otherwise, and mention any cholesterol medication when you book, because it changes how the lipid results are read. This is a screening panel: a result outside the reference range needs clinical follow up, and a normal result does not rule out heart disease.

The four cardiovascular markers in this panel are established subjects of cardiology research. The references below are provided so you can read the source material yourself. They describe the markers, and are not evidence of any outcome from taking this test.

Kronenberg F et al. Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement. European Heart Journal 2022;43(39):3925-3946. doi.org/10.1093/eurheartj/ehac361
Sniderman AD et al. Apolipoprotein B Particles and Cardiovascular Disease. JAMA Cardiology 2019;4(12):1287. doi.org/10.1001/jamacardio.2019.3780
Willeit P et al. High-Sensitivity Cardiac Troponin Concentration and Risk of First-Ever Cardiovascular Outcomes in 154,052 Participants. Journal of the American College of Cardiology 2017;70(5):558-568. doi.org/10.1016/j.jacc.2017.05.062
Ridker PM et al. Rosuvastatin to Prevent Vascular Events in Men and Women with Elevated C-Reactive Protein. New England Journal of Medicine 2008;359(21):2195-2207. doi.org/10.1056/NEJMoa0807646

Frequently Asked Questions

Heart disease risk test Malaysia: what does this panel measure?

It measures 19 test groups from one blood draw and one urine sample. Four are cardiovascular markers a routine cholesterol test leaves out: Lipoprotein(a), Apolipoprotein B, high sensitivity CRP and high sensitivity Troponin T. The rest is a full base health screen. Every test is listed with an explanation in the chart above.

Why measure Lipoprotein(a) if I already know my cholesterol?

Because it is a different thing. Lipoprotein(a) is set largely by your genes and is not reflected in a standard cholesterol result, so a normal LDL tells you nothing about it. It also stays broadly stable through adult life, which means one measurement is generally enough. It is not part of routine screening in Malaysia.

Do I need to fast before this test?

Yes, 12 hours. Plain water is fine and encouraged, because it makes the draw easier. Continue any prescribed medication unless your doctor has said otherwise. Morning appointments are easiest, since the fast runs mostly through the night.

How long do results take?

4 working days from the date of your draw. Your doctor e-consultation is arranged once all results are in, so everything is discussed together rather than in pieces as individual markers return.

Can this test tell me if I am going to have a heart attack?

No, and any test claiming to is overselling. This panel measures markers associated with cardiovascular risk across a population. It cannot predict an event in an individual, it cannot replace an ECG, stress test or imaging, and a normal set of results does not rule out heart disease. It gives a doctor specific numbers to work from.

I am already taking a statin. Is this still worth doing?

Often yes, because two of the four cardiac markers here are not the ones a statin is chosen to address. Lipoprotein(a) in particular is not moved much by standard cholesterol medication. Tell us what you are taking when you book, because it changes how a doctor reads the lipid results.

Is the doctor consultation included?

Yes. A doctor e-consultation is included, not charged separately. It covers what each result means, how strongly it matters, and whether anything needs a repeat test or referral. A single out of range figure is common and frequently unimportant, which is exactly why the review is included rather than optional.

Ujian ini untuk siapa?

Ujian risiko jantung ini sesuai untuk anda yang mempunyai sejarah keluarga dengan penyakit jantung, atau yang kolesterolnya dikatakan normal tetapi masih risau. Ia merangkumi 19 kumpulan ujian termasuk Lipoprotein(a), satu ujian yang jarang ditawarkan di Malaysia dan hanya perlu dibuat sekali seumur hidup. Berpuasa 12 jam diperlukan. Ini adalah saringan, bukan diagnosis.

This screening panel is provided for health information purposes and does not constitute medical diagnosis, treatment or advice. Screening is not diagnosis. A result outside the reference range requires clinical follow up with a qualified doctor, and a result within the reference range does not exclude cardiovascular disease. This panel does not replace an ECG, stress testing, imaging or specialist cardiology assessment. The research cited above describes the markers measured and is not evidence of any outcome from taking this test. If you are currently experiencing chest pain, breathlessness, palpitations or other acute symptoms, seek emergency medical care rather than booking a screening test. Always consult a qualified healthcare professional before making decisions about medication or treatment.