A recent study from GB Pant Hospital in Delhi found that 80% of patients who experienced their first heart attack were not classified as high-risk by standard screening methods. Traditional tests such as electrocardiograms (ECGs) and treadmill stress tests are designed to detect significant abnormalities but often miss early-stage diseases like atherosclerosis. These tests primarily identify severe artery blockages, which can lead to a false sense of security among patients. Research indicates that false negatives in ECGs can occur in about 10% of cases, especially for structural heart conditions. Furthermore, stress tests lack the sensitivity to detect smaller, dangerous plaques that can cause heart attacks. As heart disease often develops silently, a more personalized approach to risk assessment is necessary, considering factors like genetics, lifestyle, and metabolic health. Patients are encouraged to maintain a proactive stance on their heart health, focusing on symptoms and overall risk rather than solely on test results. Regular follow-up testing and lifestyle changes remain critical in preventing heart disease, which is a leading cause of death in India, claiming nearly 2.86 million lives annually.