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Post-challenge insulin, high sensitivity C-reactive protein (hs-CRP), Lp(a), iron levels, additional lipid fractions, homocysteine, fibrinogen and others can be done to provide a clearer picture of your risk. S-Aadenosylhomocysteine, which is the precursor of homocysteme, appears to be a more sensitive marker for differentiating cardiovascular patients from control subjects than homocysteine [Am J Clin Nutr, 2001;74: pp.723-729]. Recent support has been given to the concept of a bacterial infection component of heart disease. The organisms Chlamydia pneumonia and CMV (cytomegalovirus) both increase CRP and are associated with increased heart disease risk. Although current guidelines for the management of high blood pressure rest almost completely on the measurement of the systolic (top) and diastolic (bottom) values, a new study has found that something known as the "pulse pressure" may actually be a better predictor of heart disease risk.
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