I am a 37-year-old Caucasian woman who comes from a family with a history of heart disease & diabetes. My maternal grandmother died of a heart attack at 61, my maternal grandfather had 2 non-fatal heart attacks and a mild stroke in his sixties/seventies. I grew up with horrible eating habits: virtually no vegetables, lots of fried food, large quantities. I have done Weight Watchers off and on most of my adult life (since age 20), but have gone years in between being on the program. I am not obese, but at 5'2" I am somewhat overweight--I vary from about 140-150 most of the time. For several years, I've had chest pains from time-to-time...I've had EKGs and Echocardiograms, but nothing strange has been found. However, about 4 years ago I found out that I had a total cholesterol of 271. I had just given birth to my second child 3 months earlier and had just joined Weight Watchers again. Within about 8 weeks of following Weight Watchers to the letter, my total cholesterol was down to 168. But, during my annual cholesterol checks since then it has crept back up (first to 200, then 208, then 222 last November.) I have a lot of trouble sticking to a really good eating plan for more than a few weeks at a time--regardless of how hard I try. But, I do get a fairly decent amount of exercise several times a week--both cardio and light resistance training. My concern is that I am so afraid that my cholesterol coupled with my intermittent chest pain is a sign that I'm going to drop dead of a heard attack at any time. I've been trying to add some monounsaturated fat to my diet lately, but it makes it hard to follow a good diet plan because I have to count the points (on WW), which add up to a lot (olive oil, almonds, etc.) I guess my question is: is there anyway someone my age and in my situation can find out if they already have clogged arteries or other symptoms of an impending heart attack? The chest pains I feel are not everyday, but they do concern me. I don't believe they are gas or indigestion...they don't feel the same. Thank you!