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Heart attacks are rising among young adults in their 20s and 30s, experts reveal the causes, warning signs, and prevention strategies.

The rising incidence of heart attacks in people in their 20s and 30s is a wake-up call
For years, heart disease was considered a concern of middle and old age. But in recent times, doctors are witnessing a worrying trend, heart attacks striking people as young as their 20s and 30s. What was once a distant fear is now a stark reality for today’s youth.
Why Are Young Adults at Risk?
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According to Dr. Bhupesh R Shah, Senior Interventional Cardiologist, HCG Hospitals, Ahmedabad, modern lifestyles are a big part of the problem. Long working hours, stress, poor sleep patterns, sedentary routines, and dependence on fast food are creating the perfect storm. On top of that, smoking, alcohol consumption, and rising rates of obesity, diabetes, and high blood pressure are making younger populations increasingly vulnerable.
Equally worrying is the lack of awareness. “Many young people dismiss chest pain, fatigue, or breathlessness, assuming they are too young to be at risk. Unfortunately, this delay in seeking medical help often worsens outcomes,” says Dr. Shah.
Genetics also play a major role. A family history of early heart disease significantly raises the likelihood of developing cardiac issues earlier in life, making regular screenings all the more crucial for those with hereditary risk.
Artery Health Starts Declining Earlier Than We Think
While the symptoms may appear later, clogged arteries, a leading cause of heart attacks and strokes can begin developing much earlier. Dr. Sreekanth Shetty, Director & HOD, Cardiology, Sakra World Hospital, Bengaluru, explains that plaque build-up in arteries (atherosclerosis) often starts in young adulthood, slowly restricting blood flow and increasing long-term risks of heart disease, stroke, and kidney problems.
Dr. Shetty highlights a recent study that focused on the carotid arteries in the neck, measuring wall thickness, stiffness, and fat deposits as early indicators of damage. “Young people who follow healthy lifestyle choices eating balanced meals, managing blood pressure and cholesterol, sleeping well, and avoiding tobacco are far less likely to show early signs of arterial disease,” he notes.
Tracking Heart Health: Life’s Essential 8
Cardiovascular health today is assessed through Life’s Essential 8, an updated tool that expands on the older Life’s Simple 7. It tracks eight key factors: body weight, cholesterol (using non-HDL cholesterol instead of total cholesterol), blood sugar, blood pressure, diet, physical activity, nicotine exposure (including vaping and second-hand smoke), and sleep.
Interestingly, research showed that blood pressure had the strongest link with arterial health in young participants, more than even diet or physical activity. This is because the long-term effects of poor habits are still in their early stages, but uncontrolled blood pressure begins impacting artery walls almost immediately.
The Way Forward: Prevention is Possible
The silver lining, as both experts emphasize, is that prevention works.
Dr. Shah stresses lifestyle modifications, “Regular exercise, balanced nutrition, stress management, and avoiding tobacco or excessive alcohol are powerful tools. Even for those under 40, annual health check-ups are vital to detect risk factors early.”
Dr. Shetty echoes the importance of awareness and proactive monitoring. By paying attention to blood pressure, cholesterol levels, and lifestyle habits, young adults can dramatically reduce their risks.
The Bottom Line
The rising incidence of heart attacks in people in their 20s and 30s is a wake-up call. Heart health is no longer just an elderly issue, it’s an urgent priority for young adults too. By making conscious lifestyle choices, undergoing timely screenings, and taking early intervention seriously, today’s generation can protect their hearts and secure a healthier future.
About the Author

Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl…Read More
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl… Read More
September 29, 2025, 15:31 IST
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Author: News18