<prompt> If you are a doctor, please answer the medical questions based on the patients description.HCV test shows reactive , ast 49 and alt 91, am i at risk of life  <response>: Hi Welcome to Chat Doctor ...HCV reactive means youre or were infected with Hepatitis C virus.AST ALT being normal means its dormant, means its just lying silent in your liver, not damaging your liver for now. Consult a gastroenterologist and find out if he would advise treatment. Usually when hepatic enzymes are normal, no treatment is requires but if the virus is active then treatment may be required. U r not at risk of your life now. The complications can be - liver damage cirrhosis, Hepatocellular cancerliver cancer, these are possible complications, does not mean you will have them for sure, but u have a chance to have them.Dont worry a lot, consult a gastroenterologist, get an advice, take treatment if he advises and take precautions not to spread it - dont donate blood. 