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Writer's pictureSaneka Chakravarty, MD, FACC

Heart attacks in the rise below 40: find out why

Updated: Aug 8, 2023

Recent statistics unveil a concerning narrative: a fifth of heart attacks now strike individuals under the age of 40. Even more bewildering, the proportion of these young souls grappling with heart attacks has surged by 2% annually over the past decade.

These developments transpire despite an overall decrease in heart attack rates across the United States—a nod to advancements in cardiovascular care and a decline in smoking.

The underlying cause of this unsettling trend remains elusive, shrouded in perplexity. While traditional heart attack risk factors were reasonably comparable between older and younger age groups, a stark divergence emerged in the realm of substance abuse and drug misuse—a factor more prevalent among the younger cohort.

However, whether substance abuse stands as the sole harbinger of these youthful heart attacks remains an ongoing debate. Hereditary forms of high cholesterol cast a shadow of blame, as does the burgeoning rise of obesity. Conceivably, the intensified focus on preventive measures within older demographics may have driven a decline in heart attacks among that group, consequently amplifying the percentage among the younger populace.

In light of this conundrum, a recalibration of attention toward younger adults is imperative, ushering in more assertive risk factor management.

Surprisingly, our findings uncovered that younger individuals often harbored more localized disease, confined to a single artery. Curiously, though the disease scope was narrower, the overarching implications remained starkly parallel: comparable outcomes and shared risks of heart attack, stroke, and heart failure.

So, what steps can be taken in response?

Kindle awareness amidst younger circles—extend a beacon of knowledge to family and friends.

Cultivate a culture of prevention, nurturing wholesome habits from the earliest chapters of life.

Initiate preventive care appointments in one's early 30s—an invaluable investment in safeguarding heart health.

For deeper insights, delve into: https://www.acc.org/about-acc/press-releases/2019/03/07/08/45/heart-attacks-increasingly-common-in-young-adults, and unveil the intricate tapestry that weaves the story of these evolving heart health trends.

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