{"id":28856,"date":"2026-07-09T07:45:00","date_gmt":"2026-07-09T12:45:00","guid":{"rendered":"https:\/\/okdiario.com\/metabolic\/en\/?p=28856"},"modified":"2026-07-08T20:21:04","modified_gmt":"2026-07-09T01:21:04","slug":"science-says-the-same-thing-happens-in-your-body-before-most-heart-attacks-and-strokes-and-this-is-the-sign-to-watch-for","status":"publish","type":"post","link":"https:\/\/okdiario.com\/metabolic\/en\/health\/science-says-the-same-thing-happens-in-your-body-before-most-heart-attacks-and-strokes-and-this-is-the-sign-to-watch-for-28856\/","title":{"rendered":"Science says the same thing happens in your body before most heart attacks and strokes, and this is the sign to watch for"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Heart attacks and strokes often look sudden from the outside. A person feels fine, goes through a normal day, and then an emergency changes everything in minutes. A<a href=\"https:\/\/news.northwestern.edu\/stories\/2025\/09\/nearly-everyone-has-at-least-one-risk-factor-before-a-heart-attack-stroke-or-heart-failure\" target=\"_blank\" rel=\"noopener\"> major analysis<\/a> suggests the story usually starts much earlier, however.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers found that more than 99% of people who later had<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/statins-are-under-the-microscope-again-and-even-though-theyre-controversial-they-remain-foundational-for-preventing-cardiovascular-disease-28282\/\"> coronary heart disease<\/a>, heart failure, or stroke had at least one major risk factor above optimal levels beforehand. More than 93% had two or more. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The pattern appeared in South Korea and the United States, and<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/by-2026-the-pill-that-nephrologists-have-been-waiting-for-for-decades-might-finally-arrive-a-tablet-capable-of-controlling-that-uncontrollable-blood-pressure-that-affects-37-million-27301\/\"> high blood pressure<\/a> stood out as the most common warning sign.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A long fuse<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many people picture a heart attack or stroke as a bolt from the blue. Sometimes the symptoms do come suddenly, and that is why emergency care matters. Still, the damage that raises risk often builds slowly, one appointment and one unchecked number at a time.<\/p>\n\n\n\n<div class=\"gb-element-a00da4e5\">\n<div><div class=\"gb-looper-46613eed\">\n<div class=\"gb-loop-item gb-loop-item-a8390598 post-28847 post type-post status-publish format-standard has-post-thumbnail hentry category-nutrition resize-featured-image\">\n<h3 class=\"gb-text gb-text-24a51617\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/after-35-its-not-about-taking-everything-collagen-omega-3-or-magnesium-and-the-one-your-body-should-prioritize-may-surprise-you-28847\/\">After 35 it&#8217;s not about taking everything. Collagen, omega-3 or magnesium, and the one your body should prioritize may surprise you<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The study looked at<a href=\"https:\/\/www.acc.org\/latest-in-cardiology\/journal-scans\/2025\/10\/01\/13\/40\/nearly-everyone-has-one-or-more-cv-risk-factors-before-a-cvd-event\" target=\"_blank\" rel=\"noopener\"> health records<\/a> from 9,341,100 Korean adults and 6,803 U.S. adults followed for up to two decades. The analysis was based on 601,025 cardiovascular events in the Korean group and 1,188 in the U.S. group. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Among people who had a first event, researchers checked whether earlier records showed blood pressure, cholesterol, blood sugar, or tobacco exposure above ideal levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The four numbers to watch<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Philip Greenland, senior author and professor at Northwestern University Feinberg School of Medicine, said the study shows exposure to one or more nonoptimal risk factors before these outcomes is nearly 100%. Lead author Hokyou Lee of Yonsei University and colleagues focused on four measures that doctors already know how to track.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using American Heart Association definitions, the team counted blood pressure at 120 over 80 or higher, total<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/this-is-why-you-should-pay-attention-your-cholesterol-numbers-and-what-they-actually-mean-even-when-your-labs-look-fine-28170\/\"> cholesterol<\/a> at 200 mg. per deciliter or higher, fasting<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/prediabetes-can-move-silently-for-years-and-the-damage-may-begin-before-many-people-ever-see-a-clear-warning-sign-28402\/\"> blood sugar<\/a> at 100 mg. per deciliter or higher, diabetes treatment, cholesterol or blood pressure treatment, and past or current tobacco use. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those levels do not always feel dangerous in daily life\u2013that is the catch.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"1013\" src=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk.jpg\" alt=\"Medical illustration showing the brain and its blood vessels, highlighting how reduced blood flow can lead to a stroke.\" class=\"wp-image-28860\" title=\"\" srcset=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk.jpg 1800w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk-300x169.jpg 300w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk-768x432.jpg 768w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk-1536x864.jpg 1536w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/07\/brain-blood-vessels-stroke-heart-attack-cardiovascular-risk-150x84.jpg 150w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><figcaption class=\"wp-element-caption\"><br>A medical illustration of the brain&#8217;s vascular system highlights the blood vessels involved in strokes, one of the most serious cardiovascular emergencies linked to high blood pressure and other silent risk factors.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Blood pressure was the standout<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">High blood pressure, also called hypertension, was the most common factor in the study. It appeared in more than 95% of patients in the Korean group and more than 93% in the U.S. group before their first event.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Why is it so easy to miss? For the most part, high blood pressure causes no <a href=\"https:\/\/www.cdc.gov\/high-blood-pressure\/about\/index.html\" target=\"_blank\" rel=\"noopener\">obvious symptoms<\/a>. Federal health guidance describes it as a major risk factor because sustained pressure can strain the heart and damage blood vessels, including those that feed the brain and kidneys.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cholesterol and blood sugar add pressure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cholesterol is a waxy substance the body needs, but too much can<a href=\"https:\/\/www.cdc.gov\/cholesterol\/about\/ldl-and-hdl-cholesterol-and-triglycerides.html\" target=\"_blank\" rel=\"noopener\"> build up in artery walls<\/a>. Over time, that buildup can narrow the paths blood uses to reach the heart, brain, and other organs. A traffic jam inside the body is not a perfect image, but it gets close.<\/p>\n\n\n\n<div class=\"gb-element-d26b9da5\">\n<div><div class=\"gb-looper-505178d7\">\n<div class=\"gb-loop-item gb-loop-item-11e92cd3 post-28843 post type-post status-publish format-standard has-post-thumbnail hentry category-health resize-featured-image\">\n<h3 class=\"gb-text gb-text-35de94d4\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/scientists-found-that-menstrual-blood-can-repair-the-cartilage-in-worn-joints-and-the-reason-this-matters-for-your-knees-is-huge-28843\/\">Scientists found that menstrual blood can repair the cartilage in worn joints, and the reason this matters for your knees is huge<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Blood sugar matters, too. Diabetes and <a href=\"https:\/\/www.cdc.gov\/diabetes\/diabetes-complications\/diabetes-and-your-heart.html\" target=\"_blank\" rel=\"noopener\">long-term high glucose<\/a> can injure blood vessels and make other risks harder to control. The study\u2019s point was not that every person with one risk factor will have a heart attack or stroke. It was that these factors were present again and again before serious events.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Prevention starts before symptoms<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is the hopeful part. Blood pressure cuffs and basic blood tests can reveal problems long before chest pain, weakness, or confusion sends someone to an emergency room. A simple checkup is not dramatic, but it can be the moment a hidden risk becomes something treatable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cdc.gov\/heart-disease\/prevention\/index.html\" target=\"_blank\" rel=\"noopener\">Lifestyle changes still matter<\/a>, especially quitting smoking, being active, eating in a heart healthy way, and working toward a healthy weight when needed. Excess weight is not just a number on a scale. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It can push blood pressure, cholesterol, and blood sugar in the wrong direction, which is why doctors often treat these risks together.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Not only an older adult issue<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Age raises risk, but the process often starts earlier than people expect. In the study, even women younger than 60, a group often viewed as lower risk, usually had at least one nonoptimal factor before heart failure or stroke.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That matters for younger adults who feel healthy and skip routine care. You may not notice high cholesterol while answering emails, sitting in traffic, or finishing a late dinner, but the numbers can move quietly anyway.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Emergency signs still matter<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This research is about risk factors that can sit quietly for years. It is not a replacement for knowing emergency symptoms. Chest discomfort, shortness of breath, pain in the jaw, neck, back, arm, or shoulder, and sudden nausea or unusual fatigue can signal a<a href=\"https:\/\/www.cdc.gov\/heart-disease\/about\/heart-attack.html\" target=\"_blank\" rel=\"noopener\"> heart attack<\/a>, according to CDC guidance.<\/p>\n\n\n\n<div class=\"gb-element-eef2da23\">\n<div><div class=\"gb-looper-46c078e6\">\n<div class=\"gb-loop-item gb-loop-item-fabcb635 post-28835 post type-post status-publish format-standard has-post-thumbnail hentry category-psychology resize-featured-image\">\n<h3 class=\"gb-text gb-text-01dc3970\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/psychology\/asthma-doesnt-just-hit-your-lungs-a-psychiatrist-explains-the-hidden-emotional-spiral-that-can-make-your-symptoms-worse-28835\/\">Asthma doesn&#8217;t just hit your lungs: a psychiatrist explains the hidden emotional spiral that can make your symptoms worse<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cdc.gov\/heart-disease\/about\/heart-attack.html\" target=\"_blank\" rel=\"noopener\">Stroke warning signs<\/a> can include sudden trouble speaking, face or arm weakness, vision trouble, dizziness, loss of balance, or a severe headache with no known cause. In those moments, the right move is simple: call 911.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The takeaway<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The study challenges the reassuring idea that most major cardiovascular events arrive without warning. For many people, the warning is not a dramatic symptom, it is a number that has been drifting upward for years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the end of the day, prevention is not about predicting every emergency. It is about finding the quiet risks early enough to lower them.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The full study was published in the<a href=\"https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2025.07.014\" target=\"_blank\" rel=\"noopener\"> <\/a><em><a href=\"https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2025.07.014\" target=\"_blank\" rel=\"noopener\">Journal of the American College of Cardiology<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Heart attacks and strokes often look sudden from the outside. A person feels fine, goes through a normal day, and &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Science says the same thing happens in your body before most heart attacks and strokes, and this is the sign to watch for\" class=\"read-more button\" href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/science-says-the-same-thing-happens-in-your-body-before-most-heart-attacks-and-strokes-and-this-is-the-sign-to-watch-for-28856\/#more-28856\" aria-label=\"Read more about Science says the same thing happens in your body before most heart attacks and strokes, and this is the sign to watch for\">Read more<\/a><\/p>\n","protected":false},"author":20,"featured_media":28859,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-28856","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","resize-featured-image"],"_links":{"self":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/28856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/comments?post=28856"}],"version-history":[{"count":3,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/28856\/revisions"}],"predecessor-version":[{"id":28861,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/28856\/revisions\/28861"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media\/28859"}],"wp:attachment":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media?parent=28856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/categories?post=28856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/tags?post=28856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}