"Your genes shouldn't scare you," says New York cardiologist Jagat Narula, MD, PhD. "If you take care of the risk factors, you take care of the disease.”
Ready to get started? Use this step-by-step plan.
1. Dig for Information
Just knowing that heart disease runs in your family isn't enough, because unfortunately, that’s pretty common.
Your doctor will want to know who in your family had heart disease, exactly what kind they had, and how old this person was at the time.
Tell your doctor about any heart attacks and strokes, and about any heart-related procedures (such as getting stents or bypass surgery) that a relative might have had at a young age. Also tell your doctor if you have a family member with a heart murmur or heart rhythm problem like arrhythmia.
Your parents, brother, or sister matter most. Large studies show that if they had heart disease, that raises your own risk a lot, says Matthew Sorrentino, MD, a preventive cardiologist at the University of Chicago Medicine.
2. Tell Your Doctor
Let her know about your family’s medical background as soon as possible. She can refer you to a cardiologist for more help if needed.
Your checkups should include basic screening tests -- which include blood pressure, blood sugar, and cholesterol checks -- starting in your 20s.
You probably don’t need more advanced testing, unless your family history points to a specific genetic condition, Sorrentino says.
Your doctor will also consider other things -- such as your weight, how active you are, and whether you smoke -- when she decides what would help you most.
You won’t automatically need medicine. But she might start you on cholesterol or blood pressure meds at a younger age or prescribe a higher dose so that your levels improve more dramatically.