At a Glance
Package: Cardiac Profile. Tests: 6 parameters, 6 components. Price: From 999. Fasting: Not required. Sample: Blood. Reports: 24 hours, digital. Home collection: Free across Gurgaon. Lab: NABL-accredited. Read this part before you book. This is a short, focused panel of advanced cardiac risk markers, and it does not contain cholesterol, triglycerides or a Lipid Profile. It also contains no Troponin, no NT-proBNP and no ECG. It is designed to sit alongside a standard lipid profile, not to replace one — so most people should book it together with a package that contains a Lipid Profile, such as the Basic Full Body Checkup or the Advanced Full Body Checkup with Vitamin D & B12. And it is not an emergency test. Chest pain, pressure, breathlessness, pain radiating to the arm or jaw, or sweating with nausea need urgent in-person medical assessment at a hospital. Do not book a blood panel and wait for a report. ## What This Panel Does Not Include Stated plainly, because the name promises more than the contents: no Cholesterol Total, LDL, HDL, VLDL, Non-HDL or Triglycerides; no cardiac ratios; no Troponin I or T; no CK-MB; no NT-proBNP or BNP; no ECG, echocardiogram, TMT or any imaging; no HbA1c, fasting glucose or blood pressure measurement. None of those are in this package. What it does contain is the layer of risk markers a standard lipid profile leaves out — useful precisely because they add information a cholesterol report cannot give, and far less useful on their own. ## Apolipoprotein B and the Apo B / Apo A1 Ratio Apolipoprotein B (Apo-B) is one molecule per atherogenic particle, so measuring it counts the actual number of particles capable of lodging in an artery wall. LDL cholesterol measures the cholesterol those particles carry, which is not the same thing. Two people with identical LDL can carry very different particle numbers, and the one with more particles carries more risk. Apo B is a better predictor of cardiovascular risk than LDL cholesterol alone, and the gap is widest in exactly the people who are most often falsely reassured: those with diabetes, insulin resistance or metabolic syndrome, whose LDL often looks normal while particle number is high. Apolipoprotein A1 is the main protein of HDL and reflects the particles that carry cholesterol away from arteries. The Apolipoprotein A1+B1 Ratio reported here puts the two together, and the Apo B to Apo A1 relationship is a strong risk discriminator — a single number expressing the balance between atherogenic and protective particles. For context on why particle-level measurement matters, the AHA/ACC Guideline on the Management of Blood Cholesterol, 2018 already moved practice beyond LDL alone, identifying Non-HDL cholesterol as a better predictor than LDL. Apo B measures the same concept more directly. Note that Non-HDL cholesterol itself is not in this panel; it comes from a Lipid Profile. ## Lipoprotein(a): A Test Most People Need Only Once Lipoprotein a is the genuinely unusual one. Your Lp(a) level is largely determined by genetics, stays broadly stable through adult life, and is not meaningfully changed by diet, exercise or statins. The practical consequence is useful: for most people this is a once-in-a-lifetime measurement. A high result does not mean a treatment target to chase; it means your baseline risk is higher than your cholesterol numbers suggest, which changes how aggressively everything else is managed. It is particularly worth knowing if a parent or sibling had a heart attack or stroke young, or if you have premature cardiovascular disease with unremarkable lipids. ## The Other 2 Components Homocysteine (1): An amino acid whose elevation is associated with cardiovascular risk. Raised levels often reflect Vitamin B12 or folate deficiency, which is directly relevant in India — 47 to 70% of Indians are B12 deficient, rising above 70% among vegetarians (Yajnik CS, et al., Journal of the Association of Physicians of India, 2006;54:775–782). A raised homocysteine is therefore a reason to check B12 and folate, which are not in this package. Treating a raised homocysteine with supplements has not been shown to reduce cardiac events; treating an underlying deficiency is worthwhile in its own right. C Reactive protein High Sensitive (1): hs-CRP measures low-grade vascular inflammation, and it is the cardiac-risk-calibrated CRP assay — distinct from the standard CRP reported in our full body checkup packages, which is for general inflammation and is not interchangeable. One important caveat: hs-CRP should not be interpreted during or shortly after an infection, or after injury or surgery, because any inflammation raises it and the cardiac signal is lost. If you have been unwell in the past two to three weeks, postpone this test or repeat it later. ## Sources AHA/ACC Guideline on the Management of Blood Cholesterol, 2018 · Yajnik CS, et al., JAPI, 2006;54:775–782 Content last reviewed: October 2026