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India’s Heart Health Emergency: Why Premature Heart Disease Is Rising

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Long work hours, inadequate sleep, and air pollution contribute to the risk of premature heart disease in young adults who otherwise seem healthy.

Early detection and lifestyle changes can prevent premature heart attacks.

Early detection and lifestyle changes can prevent premature heart attacks.

Heart disease is no longer an ailment only for the older population. Across India, cardiologists are observing a worrying trend: heart attacks are striking nearly a decade earlier than in Western populations. Young professionals and adults in their 30s and 40s, many of whom appear healthy, are increasingly at risk. The reasons are complex: genetics, high stress, sedentary lifestyles, unhealthy diets, and rising rates of diabetes converge to create a dangerous mix. Long work hours, poor sleep, and air pollution further accelerate heart damage. For many Indians, the heart is silently ageing well before symptoms surface.

Why Indians Are Vulnerable

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Dr. Sujay Renga, Senior Interventional Cardiologist at N S Cooperative Hospital, Kollam, Kerala, explains, “It is both concerning and true that we Indians are suffering heart attacks nearly a decade earlier than the Western population. Long work hours, poor sleep, and air pollution create conditions ripe for premature heart disease among young adults who appear healthy.”

Adding to the risk is how subtly heart disease can be present. Dr. Praveen Kumar P, Cardiologist at Karpagam Hospital, Coimbatore, notes, “Heart attacks may not begin with sudden, unmistakable symptoms. Instead, they can appear as persistent fatigue, breathlessness, acidity-like discomfort, or subtle pain in the jaw or shoulder, often mistaken for stress or indigestion. Many delay treatment, hoping symptoms resolve, which is a major reason fatalities persist.”

Spotting the Warning Signs

Indians often normalise high blood pressure, obesity, and diabetes, but these are urgent warnings. Persistent chest heaviness, shortness of breath, sweating, or unexplained fatigue should never be ignored. “Don’t rely on online searches or ‘wait-and-watch’ because minutes lost can be the difference between life and loss,” Dr. Kumar emphasises. Early recognition and quick medical intervention are critical.

Modern Medicine to the Rescue

The good news is that cardiology has advanced dramatically. Dr. Pankaj Vinod Jariwala, Consultant Interventional Cardiologist at Yashoda Hospitals, Somajiguda, Telangana, points out, “Minimally invasive angioplasty and stenting can treat blocked arteries within 30–45 minutes, often via a tiny incision in the wrist or groin. Most patients walk within a day and return home in just a few. But the true results depend on how quickly one reaches the hospital. Every hour’s delay further damages the heart muscle.”

Prevention is the Key

While medical interventions are now safer and highly effective, prevention remains the ultimate safeguard. Lifestyle modifications such as daily exercise, balanced diets, avoiding tobacco, and monitoring health metrics can dramatically reduce risk. “We cannot change our genes, but we can control our risk factors and pay attention to our body,” Dr. Jariwala adds.

With World Heart Day approaching, tips like early detection, lifestyle vigilance, and swift medical care can help curb the rising trend of premature heart attacks, ensuring longer, healthier lives for a younger generation increasingly at risk.

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