Confession of a Cardiologist to the youth of the country

My father has suffered from heart attack at age of 45 years. Though he was heavy smoker but smoking is not only factors. I am also at higher risk of having heart attack at younger age due to familial inheritance.. So I try to maintain a healthy lifestyle as far as possible .

During my cardiology training days, it was very unusual to see young heart attack patients. That means patients below age of 40 suffering from heart attack. But in recent few years there is an upsurge of young heart attack patients. One of the important reason is probably COVID 19 infection. Covid 19 infection, specially when the pandemic starts was a prothrombotic state which leads to heart attack and blood clotting in different parts of the body. But is it the only cause. Are we not equally responsible for this type of upsurge? As per my opinion changes in our lifestyle that means sedentary lifestyle and stress are related heavily with these problems. Do you know excessive stress and anxiety are equally harmful as smoking and it increases sympathetic overactivity which is the precursor of insulin resistance. On the other hand sedentary lifestyle leads to obesity and this also leads to insulin resistance. Insulin resistance also leads to early diabetes. and last of all addiction like smoking and alcohol. However number is decreasing , thanks to the awareness of the society.All together these are creating a vicious cycle and results in increase of young heart attack patients.

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