. >> reporter: at age 67, jim richardson is a typical patient who gets regular checkups of his heart.ause of a busy family and work life, he didn't begin the checkups until he was well into his 50s. >> about ten years ago, my interni internist, taking blood tests, put me on cholesterol medication and blood pressure medication. >> reporter: a ground-breaking new study from northwestern university shows how critical it is to start paying attention to heart health much earlier. almost everyone knows smoking, high blood pressure, high cholesterol and diabetes are the major risk factors for heart disease. the study revealed how extremely important they are, even at a relatively young age. for example, a 45-year-old man who has none of the risk factors has only a 1.7% lifetime chance of having a heart attack. if he has two or more risk factors, that number jumps to 42%. for a 45-year-old woman, the numbers are 1.6% with no risk factors, and 21.5% with two or more. >> this study is so important because it tells us even healthy appearing young individuals have a substantial lifetime risk for