Skip to content
Back to All Panels

Cardiovascular

Cardiovascular

Heart disease doesn't look the same in women.

It's the #1 killer of women — and the most underdiagnosed.

Standard cholesterol tests miss up to 50% of heart disease risk in women. Our advanced panel measures particle size, inflammatory markers, and genetic risk factors that reveal your true cardiovascular picture.

Symptoms to watch for

joint stiffnessjoint pain or swellingrashextremity swellingmemory problemsbrain fog or difficulty concentrating

What we test

Apolipoprotein A1 (ApoA1)

Measures the primary protein on HDL good cholesterol particles. Higher levels are cardioprotective, and women typically have higher ApoA1, making low levels particularly concerning.

ApoB/ApoA1 Ratio

Calculates the balance between harmful and protective cholesterol particles. One of the strongest predictors of cardiovascular risk in women, superior to traditional cholesterol ratios.

Apolipoprotein B (ApoB)

Measures the protein on all atherogenic (artery-clogging) particles. Considered a better predictor of heart attack risk than LDL alone, especially in women with metabolic syndrome or PCOS.

HDL Cholesterol

Measures good cholesterol that removes plaque from arteries. Women naturally have higher HDL than men, so a drop below 50 mg/dL is a significant cardiovascular warning sign.

LDL Cholesterol (calc)

Calculates bad cholesterol that builds up in artery walls. Primary target for cardiovascular risk reduction in women, with risk increasing after menopause.

Total Cholesterol

Measures all cholesterol in the blood. Important baseline for women's cardiovascular risk, which rises significantly after menopause when protective estrogen levels decline.

hs-CRP

Measures high-sensitivity C-reactive protein, a marker of vascular inflammation. Predicts cardiovascular events in women and is used alongside cholesterol to assess true heart disease risk.

Fibrinogen Antigen, Nephelometry

Measures fibrinogen, a clotting protein and inflammatory marker. Elevated levels may be associated with increased cardiovascular and inflammatory risk.

Non Hdl Cholesterol

Measures all cholesterol except HDL. A useful cardiovascular risk marker in women, especially those with elevated triglycerides.

Chol/Hdlc Ratio

Calculates the balance between total and HDL cholesterol. An important predictor of cardiovascular risk in women.

Homocysteine

Measures an amino acid that damages blood vessel walls at high levels. Elevated homocysteine in women increases heart disease, stroke, and pregnancy complication risks including preeclampsia.

Lipoprotein (a)

Measures a genetically determined lipoprotein that increases clotting and plaque risk. Especially important for women because elevated Lp(a) combined with estrogen changes raises stroke risk.

Hdl Size

Measures the average size of HDL particles. Larger HDL particles are generally more cardioprotective in women.

Hdl P

Measures the total number of HDL particles. A useful marker of protective cardiovascular function in women.

Large Hdl P

Measures large HDL particles, which are most effective at reverse cholesterol transport and cardiovascular protection in women.

Lp-PLA2 Activity

Measures an enzyme linked to inflamed, unstable arterial plaque. Identifies women at risk of heart attack or stroke even when standard cholesterol numbers appear normal.

Ldl Size

Measures the average size of LDL particles. Smaller, denser LDL particles are associated with greater cardiovascular risk in women.

Ldl P

Measures the number of LDL particles using NMR. Can reveal cardiovascular risk not fully captured by standard LDL cholesterol in women.

Small Ldl P

Measures the number of small LDL particles, which are more atherogenic. Elevated levels indicate higher cardiovascular risk in women.

Vldl Size

Measures the average size of VLDL particles. Important for assessing triglyceride-related cardiovascular risk in women.

Large Vldl P

Measures large VLDL particles which carry triglycerides. Elevated levels are associated with increased cardiovascular risk in women.

Triglycerides

Measures fat circulating in the blood after eating. Elevated triglycerides increase heart disease risk in women and are linked to PCOS, insulin resistance, and estrogen-based medications.

Who should consider this panel?

  • Women with a family history of heart disease, stroke, or high cholesterol

  • Anyone on hormonal birth control or hormone replacement therapy

  • Women over 40 who haven't had advanced cardiac screening

  • Those with high blood pressure, diabetes, or metabolic syndrome

  • Women experiencing unexplained fatigue, shortness of breath, or chest tightness

Who should consider this panel

Cited sources

From the Journal

Women's Health Insights

Evidence-based articles to help you understand your body and take control of your health.

Don't let another doctor dismiss your symptoms. Get the full hormone picture.