The HS CRP level is high. This indicates an increased level of C-reactive protein, which is a marker of inflammation in the body. Research shows that elevated HS CRP levels may be associated with an increased risk of cardiovascular disease and other chronic conditions. It's recommended that you discuss these results with your doctor to further evaluate the underlying cause of the inflammation and determine appropriate treatment options.
HS CRP
high
5.6 mg/L
Note: Reference Range
Optimal <1.0
Jellinger PS et al. Endocr Pract.2017;23(Suppl 2):1-87.
For ages >17 Years:
hs-CRP mg/L Risk According to AHA/CDC Guidelines
<1.0 Lower relative cardiovascular risk.
1.0-3.0 Average relative cardiovascular risk.
3.1-10.0 Higher relative cardiovascular risk.
Consider retesting in 1 to 2 weeks to
exclude a benign transient elevation
in the baseline CRP value secondary
to infection or inflammation.
>10.0 Persistent elevation, upon retesting,
may be associated with infection and
inflammation.
Homocysteine
Insights
Your homocysteine levels are within the normal range. Research shows that high levels of homocysteine can be a risk factor for cardiovascular disease, but yours are not a cause for concern at this time. It's recommended that you maintain a healthy diet and lifestyle to keep your levels in check.
Homocysteine
good
Desirable < 11.4
High
7.0 umol/L
Note: Homocysteine is increased by functional deficiency of
folate or vitamin B12. Testing for methylmalonic acid
differentiates between these deficiencies. Other causes
of increased homocysteine include renal failure, folate
antagonists such as methotrexate and phenytoin, and
exposure to nitrous oxide.
Selhub J, et al., Ann Intern Med. 1999;131(5):331-9.
Questassured(TM) 25 Hydroxyvitamin D(D2,D3)
Insights
Your levels of Vitamin D, specifically 25-hydroxyvitamin D (D2 and D3), appear to be within the normal range. This is good news, as Vitamin D plays a crucial role in maintaining healthy bones and immune function.
Research shows that maintaining appropriate levels of Vitamin D is important for overall health. It's recommended that you continue to engage in activities that promote Vitamin D synthesis, such as spending time in the sunlight or consuming foods rich in this vitamin. However, it's always a good idea to discuss your specific health needs with your healthcare provider.
If you have any concerns about your Vitamin D levels or any other aspect of your blood test, I encourage you to reach out to your healthcare provider for further discussion and guidance. They will have a comprehensive understanding of your medical history and can provide personalized recommendations to support your overall well-being.
Vitamin D, 25-OH, Total
good
Low
Desirable 30 – 100
High
50 ng/mL
Note: Vitamin D, 25-Hydroxy reports concentrations of two
common forms, 25-OHD2 and 25-OHD3. 25-OHD3 indicates
both endogenous production and supplementation.
25-OHD2 is an indicator of exogenous sources such as
diet or supplementation. Therapy is based on
measurement of Total 25-OHD, with levels <20 ng/mL
indicative of Vitamin D deficiency, while levels
between 20 ng/mL and 30 ng/mL suggest insufficiency.
Optimal levels are > or = 30 ng/mL.
For additional information, please refer to
http://education.QuestDiagnostics.com/faq/FAQ199
(This link is being provided for informational/
educational purposes only.)
Vitamin D, 25-OH, D3
good
50 ng/mL
Note: This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.
Vitamin D, 25-OH, D2
good
<4 ng/mL
Note: This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.
Apolipoprotein Evaluation
Insights
Your apolipoprotein A1 and apolipoprotein B/a1 ratio are normal. However, your apolipoprotein B is high, indicating an increased risk of cardiovascular disease. Research shows that high levels of apolipoprotein B are associated with an increased risk of heart attack and stroke. It's recommended that you make lifestyle changes such as increasing physical activity, losing weight if necessary, and reducing your intake of saturated and trans fats. Your doctor may also prescribe medication to help lower your apolipoprotein B levels.
Apolipoprotein B
high
96 mg/dL
Note: Reference Range: <90
Risk Category:
Optimal <90
Moderate 90-119
High > or = 120
Cardiovascular event risk category cut points (optimal,
moderate, high) are based on National Lipid Association
recommendations - Jacobson TA et al. J of Clin Lipid.
2015;9:129-169 and Jellinger PS et al. Endocr Pract.
2017;23(Suppl 2):1-87.
Apolipoprotein A1
good
155 mg/dL
Note: Reference Range: > or = 115
Risk Category:
Optimal > or = 115
High <115
Cardiovascular event risk category cut points (optimal,
high) are based on the AMORIS study, Walldius G et al. J
Intern Med. 2004;255:188-205.
Apolipoprotein B/A1 Ratio
good
0.62
Note: Reference Range: <0.77
Risk Category:
Optimal <0.77
Moderate 0.77-0.95
High >0.95
Cardiovascular event risk category cut points (optimal,
moderate, high) are based on the AMORIS study, Walldius G et
al. J Intern Med. 2004;255:188-205.
Lipoprotein (A)
Insights
The results for Lipoprotein (a) are normal. However, it's important to maintain a healthy lifestyle to keep your cholesterol levels in check, as high levels can increase your risk for heart disease. Research shows that a diet rich in fruits, vegetables, and whole grains, and regular exercise can help improve cholesterol levels. It's recommended that you speak with your doctor about any concerns or questions you may have regarding your cholesterol levels.
Lipoprotein (A)
good
<10 nmol/L
Note: Verified by repeat analysis.
Reference Range <75
Risk:
Optimal <75
Moderate 75-125
High >125
Cardiovascular event risk category
cut points (optimal, moderate, high)
are based on Tsimika S. JACC
2017;69:692-711.
Fibrinogen Activity
Insights
Your Fibrinogen Activity, Clauss test came back normal, which is a good sign. This test measures the ability of your blood to form clots, and a normal result means that your blood is clotting appropriately. Keep in mind that this is only one of many tests, and your overall health should be evaluated by your healthcare provider.
This test is ideal if you're concerned about your heart health or have a family history of heart disease. It helps identify hidden cholesterol problems, inflammation markers, and clotting factors that traditional cholesterol tests might miss. Many people use this test when they want a comprehensive view of their cardiovascular risk, especially if they have symptoms like chest discomfort, shortness of breath, or unexplained fatigue.
How should I prepare for this test?
You should fast for 8 hours before your blood draw, which means no food or beverages except water during this time. This fasting period ensures accurate measurements of your cholesterol and other cardiovascular markers. Try to schedule your appointment in the morning so fasting is easier, and remember to stay well-hydrated by drinking plenty of water.
This comprehensive cardiovascular panel measures advanced cholesterol markers like Lipoprotein(a) and Apolipoprotein ratios that reveal hidden heart disease risk beyond standard cholesterol tests. It checks inflammation through high-sensitivity CRP, assesses blood clotting with Fibrinogen, evaluates Homocysteine levels that affect blood vessel health, and measures Vitamin D which plays a role in heart function. Together, these biomarkers provide a complete picture of your cardiovascular risk factors and help identify problems before they become serious.
What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your cardiovascular markers mean for your heart health and disease risk. These notes include personalized recommendations like dietary changes, exercise suggestions, supplement guidance, or whether you should follow up with a cardiologist. Along with your standard lab report, you can use our trends feature to track your heart health markers over time, especially helpful if you're making lifestyle changes or monitoring treatment effectiveness.
When will I get my results?
You can expect your results within 7 business days after your blood sample is collected. If any confirmatory testing is needed for specific markers, it may take a few additional days. You'll receive an email notification as soon as your results are ready to view online.
Who should consider getting this test?
This test is ideal for anyone with a family history of heart disease, high cholesterol, or stroke. It's also important for people with risk factors like diabetes, high blood pressure, smoking, obesity, or a sedentary lifestyle. If you're over 40, have been told you have borderline cholesterol, or want to be proactive about heart health, this comprehensive panel provides valuable insights beyond basic cholesterol screening.
What symptoms indicate I may need this test?
Consider this test if you experience chest discomfort, unusual shortness of breath during normal activities, or unexplained fatigue that affects your daily life. Other signs include leg pain when walking that goes away with rest, dizziness, or a racing heartbeat. Even without symptoms, if you have multiple risk factors like being overweight, stressed, or having a poor diet, this test can catch problems early.
How can I naturally support my heart health?
Focus on eating a heart-healthy diet rich in fatty fish, nuts, olive oil, vegetables, and whole grains while limiting processed foods and added sugars. Regular aerobic exercise like brisk walking, swimming, or cycling for at least 30 minutes most days strengthens your heart and improves cholesterol levels. Managing stress through meditation, adequate sleep, and maintaining a healthy weight are also crucial for cardiovascular wellness.
What is Lipoprotein(a) and why does it matter?
Lipoprotein(a) is a type of cholesterol particle that can increase your risk of heart disease and stroke, even if your regular cholesterol numbers look normal. Unlike other cholesterol types, it's largely determined by genetics and doesn't respond much to diet or exercise. Knowing your Lp(a) level helps identify hidden cardiovascular risk and guides more aggressive prevention strategies if it's elevated.
What does high homocysteine mean?
High homocysteine levels can damage blood vessel walls and increase your risk of heart disease, stroke, and blood clots. Elevated levels are often caused by deficiencies in B vitamins, particularly B6, B12, and folate. The good news is that high homocysteine usually responds well to B vitamin supplementation and dietary changes including more leafy greens, legumes, and fortified grains.
How often should I retest my cardiovascular markers?
If you're making lifestyle changes or starting new treatments, retest in 3-6 months to see if your interventions are working. For ongoing monitoring with normal results, annual testing is typically sufficient for most people. If you have elevated risk factors, existing heart disease, or are on cholesterol medications, your doctor may recommend testing every 3-6 months to closely track your progress and adjust treatment as needed.
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Demo results
Lipoprotein(a)62 mg/dL
Demo results
LowOptimal 0 - 30High
62 mg/dL
What this means
Your Lipoprotein(a) level is elevated, which may increase your risk of heart disease and stroke even if your other cholesterol numbers are normal. Since Lp(a) is largely genetic, it's important to focus on managing other cardiovascular risk factors more aggressively.
Recommended actions
Maintain optimal LDL cholesterol through diet and possibly medication
Exercise regularly with a mix of cardio and strength training
Avoid smoking and manage blood pressure closely
Discuss additional preventive strategies with your doctor and retest annually
* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
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