“…3 Other studies reported that CHD in first-degree relatives raised the risk by 2-3 times more. 4,5 The extent to which the familial clustering of CAD can be explained by heritable quantitative variation in the classical risk factors such as cholesterol and BP is contentious, and the small but significant residual familial relative risk after regression on these conventional risk factors suggests the presence of unmeasured genetic risk factors, raising the possibility of a high level of genetic control by a small number of genes that control fundamental physiological systems 6,7,9,11 Heritability A study in Danish twins revealed a higher incidence of CHD and deaths among monozygotic (44%) rather than dizygotic (14%) twins . 6 Another study in twins highlighted the strong genetic basis of CHD and its main complication, myocardial infarction, in addition to other modifiable risk factors.…”