Earlier quoted context omitted.
Normal blood pressure increases steadily with age. https://www.idealbloodpressureinfo.com/blood-pressure-chart-... Target and maximum heart rates similarly decline from your teens. The point where these get called a precursor to heart disease is largely semantics. But they do impact heath before it’s noticeable as a problem.
You’re trying awful hard to save your point. Target heart rate declining and blood pressure rising with age in no way implies that most people who later die of heart disease are somehow less reproductively fit when they are younger.
Heredity is one of the stronger predictors of heart disease so it’s got a strong genetic component beyond diet and lifestyle. So, it’s really just a question of how early meaningful symptoms show up as the physical differences already exist during people’s reproduce years.
It seems like an obvious test if do differences in Forearm arteries have fewer heart attacks. And do they correlate with higher blood pressure in people’s 20’s to 30’x.