Hypertension & Cardiovascular Risk
Heart Disease Risk Factors
The modifiable and non-modifiable factors that raise your chance of heart disease — and which ones you can act on starting today.

Overview
Heart disease risk factors are the characteristics and habits that raise your chance of developing coronary heart disease, heart attack or stroke. Some cannot be changed, but many can — and addressing the modifiable ones is the single most effective way to reduce your cardiovascular risk. Knowing your risk factors is the first step toward managing them.
This page lists and explains the factors. For how they are combined into a risk estimate, see Cardiovascular Risk Assessment; for the conditions most often involved, see Hypertension and High Cholesterol.
Non-modifiable risk factors
- Age — risk rises with age, especially after 55 in men and 65 in women.
- Sex — men generally develop risk earlier; women’s risk rises sharply after menopause.
- Family history — a parent or sibling with early heart disease or stroke increases risk.
- Genetic conditions — some inherited lipid disorders raise risk from a young age.
Modifiable risk factors
- High blood pressure — the single biggest treatable risk factor.
- High cholesterol and dyslipidaemia.
- Diabetes and raised blood sugar.
- Smoking and tobacco use.
- Overweight and abdominal obesity.
- Physical inactivity.
- Unhealthy diet — high salt, saturated fat, sugar; low fruit and vegetables.
- Excess alcohol.
- Stress and poor sleep, including sleep apnoea.
- Kidney disease and certain thyroid disorders.
What you can act on now
The modifiable factors are where the greatest gains lie. Even modest changes — stopping smoking, losing a little weight, walking regularly, reducing salt, controlling blood pressure and cholesterol — substantially lower risk. Where risk is high overall, medication is added to lifestyle to bring the key numbers to target. The aim is steady, sustainable improvement, not perfection overnight.
How risk factors interact
Risk factors tend to cluster and multiply rather than add simply. Diabetes with high blood pressure and abdominal obesity (metabolic syndrome) carries far more than three times the risk of any one alone. This is why a combined approach — treating blood pressure, sugar, cholesterol and weight together — is more effective than focusing on a single factor. See Metabolic Syndrome for this clustering pattern.
How we help
Dr. Nayak identifies your personal risk factors, distinguishes those you can change from those you cannot, and builds a practical plan to address the modifiable ones — lifestyle first, medication where needed — while treating any related conditions. Progress is reviewed over time so risk keeps moving in the right direction. Consultations are available in-clinic in Bhubaneswar and over teleconsultation.
Related conditions and patient concerns
Risk factors are the building blocks of overall risk. These related pages explain each in depth.
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