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 Noida. Lab: NABL-accredited. Six markers, and not one of them is cholesterol. Read that before booking, because the name on this package is larger than its contents: there is no Cholesterol, no Triglycerides and no Lipid Profile here, and no Troponin, NT-proBNP or ECG either. These are advanced cardiac risk markers meant to be read alongside a standard lipid profile, never in place of one, so most people should book this together with a package that contains a Lipid Profile — the Basic Full Body Checkup or the Advanced Full Body Checkup with Vitamin D & B12. Both run off the same draw. It is also not an emergency test. Chest pain or pressure, breathlessness, pain radiating to the arm or jaw, or sweating with nausea need urgent in-person assessment at a hospital. Do not book a blood panel and wait for a report. ## What This Panel Does Not Include Stated plainly: no Cholesterol Total, LDL, HDL, VLDL, Non-HDL or Triglycerides; no cardiac cholesterol ratios; no Troponin I or T; no CK-MB; no NT-proBNP or BNP; no ECG, echocardiogram, TMT or imaging; no HbA1c, fasting glucose or blood pressure reading. What is here is the layer a cholesterol report leaves out — informative because it adds what a lipid panel cannot say, and much weaker on its own. ## Apolipoprotein B and the Apo B / Apo A1 Ratio Apolipoprotein B (Apo-B) sits at exactly one molecule per atherogenic particle, so measuring it counts the number of particles capable of lodging in an artery wall. LDL cholesterol measures the cholesterol those particles carry, which is a different quantity. Two people with identical LDL can carry very different particle numbers, and the one with more particles carries more risk. Apo B predicts cardiovascular risk better than LDL cholesterol alone, and the gap is widest in the people most often falsely reassured: those with diabetes, insulin resistance or metabolic syndrome, whose particles run small and numerous while LDL reads normal. This is where the panel earns its place for someone working rotational or night shifts. Circadian disruption and eating at irregular hours are associated with metabolic risk, and metabolic syndrome is the pattern in which LDL looks acceptable while particle number does not. That is a mechanism, not a prediction, and no statistic is attached to shift work here — but it is a reason to measure particle burden rather than trust a normal cholesterol report. Apolipoprotein A1 is the main protein of HDL and marks the particles that carry cholesterol away from arteries. The Apolipoprotein A1+B1 Ratio expresses the balance between atherogenic and protective particles in one number, and the Apo B to Apo A1 relationship is a strong risk discriminator — frequently better than either value alone. For context, the AHA/ACC Guideline on the Management of Blood Cholesterol, 2018 already moved practice past LDL alone, identifying Non-HDL cholesterol as a better predictor. Apo B measures the same idea more directly. Non-HDL cholesterol itself is not in this panel; it comes from a Lipid Profile. ## Lipoprotein(a): A Number That Does Not Move Lipoprotein a is the unusual one. Your Lp(a) level is largely set by your genes, stays broadly stable through adult life, and is not meaningfully changed by diet, exercise or statins. The useful consequence: for most people this is a once-in-a-lifetime measurement. A high result is not a target to chase — it means your baseline risk is higher than your cholesterol numbers suggest, which changes how firmly everything modifiable gets managed. It is 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 frequently reflect Vitamin B12 or folate deficiency — 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 measure B12 and folate, neither of which is in this package. Lowering homocysteine with supplements has not been shown to reduce cardiac events; correcting a real deficiency is worthwhile in its own right. C Reactive protein High Sensitive (1): hs-CRP measures low-grade inflammation in blood vessel walls and is the cardiac-risk-calibrated CRP assay — a different assay from the standard CRP in our full body checkup packages, and not interchangeable with it. One caveat decides when to book: hs-CRP cannot be interpreted during or shortly after an infection, or after injury or surgery, because any inflammation swamps the cardiac signal. If you have been unwell in the past two to three weeks, postpone the test or plan to 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