According to a recent Lancet article [1]:

"Atherosclerosis was common in four preindustrial populations including preagricultural hunter-gatherers. Although commonly assumed to be a modern disease, the presence of atherosclerosis in premodern human beings raises the possibility of a more basic predisposition to the disease.

[1] https://www.rand.org/content/dam/rand/www/external/labor/agi...