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Why so many young people are dying of heart issues: A cardiologist's perspective

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In recent years, there has been a troubling increase in heart-related deaths among young people, a trend that warrants serious attention from both healthcare professionals and the general public. As a cardiologist, I am increasingly confronted with cases where otherwise healthy young individuals succumb to heart issues, raising questions about the underlying causes and potential preventative measures.

One primary factor contributing to this alarming trend is the rise in lifestyle-related risk factors. In today’s fast-paced world, many young people are leading increasingly sedentary lives, often driven by long hours at work or school, and excessive screen time. This sedentary behavior, coupled with poor dietary choices—such as the consumption of highly processed foods rich in sugars, unhealthy fats, and sodium—creates a perfect storm for developing cardiovascular issues.

Obesity, which is a direct result of poor lifestyle habits, is becoming more prevalent among the younger population. Excess body weight significantly increases the risk of developing hypertension (high blood pressure), type 2 diabetes, and high cholesterol—conditions that strain the cardiovascular system and pave the way for heart disease. Additionally, the modern diet often lacks essential nutrients that support heart health, further exacerbating the risk.

Another critical factor is the growing incidence of mental health issues among young people. Chronic stress, anxiety, and depression can have profound effects on heart health. Stress leads to the release of stress hormones like cortisol, which can increase blood pressure and contribute to unhealthy coping mechanisms such as vaping, smoking or excessive alcohol consumption. These habits are detrimental to cardiovascular health and can lead to serious heart conditions.
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Genetic predispositions also play a significant role in the health of young individuals. While genetics alone may not directly cause heart disease, they can predispose individuals to conditions like familial hypercholesterolemia, which causes extremely high cholesterol levels from a young age.

Early detection and management of such genetic conditions are crucial, yet they often go unrecognized until a serious health issue arises.

The lack of regular health screenings among young people is another contributing factor. Many young individuals do not routinely undergo medical check-ups, leading to undiagnosed conditions that could have been managed or mitigated with early intervention. Routine screenings can help identify risk factors and conditions before they progress to more severe stages.

In conclusion, the rising incidence of heart issues among young people is a complex issue influenced by lifestyle factors, mental health challenges, genetic predispositions, and a lack of regular health monitoring. As cardiologists, it is our responsibility to educate, advocate for preventive measures, and work towards creating a healthcare environment that supports heart health from a young age. By addressing these factors, we can help reduce the incidence of heart-related deaths and promote a healthier future for the younger generation.

(Author: Dr. Manjinder Singh Sandhu, Principal Director, Cardiology, Fortis Memorial Research Institute, Gurugram)
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