Hi there, Thanks for writing in. I am a cardiologist and read your report with diligence. Irrespective of age, coronary artery disease would depend to a large extent on risk factors which you might have. I have listed the risk factors and starred those which you have and +/- are those about which I do not know and your doctor can help you in completing the list A: MODIFIABLE RISK FACTORS Diabetes +/- Hypertension* Smoking+/- Stress* in fact high BP that is hypertension is stress in action. Obesity and Sedentary Life Style+/- High Bad Cholesterol and Lipid Component* Total Cholesterol above 190 mg%, LDL above 130 mg%, VLDL above 40 mg%, Triglycerides above 150 mg%, Apolipoprotein B above reference value Low Good Cholesterol and Lipid Component:* +/- Apolipoprotein a below reference range for the lab and HDL below 40 mg% for man & and 50 mg% for woman B: NON MODIFIABLE RISK FACTORS Family History 0f Coronary Heart Disease +/- Increasing age*Being a Man (as opposed to women) till the age 45* From the list, above you have some risk factors. Therefore, I will strongly recommend consulting your doctor; he will examine you thoroughly, complete the list as well do the EKG and perhaps TMT. You need a prescription of drug, diet and exercise before you start contemplating anything. That is priority no 1. With Best Wishes Dr Anil Grover, Cardiologist M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology) http://www/healthcaremagic.com/dr-anil-grover/63370