Heart Attack Striking Young Indians: Dr Naresh Purohit

Bhopal 02.11.2021. There has been a rise in young people succumbing to a heart attack. The reason for the rise in cases is due to multiple factors and Covid-19 also has a role to play.
It’s not very uncommon for Indians to experience heart attacks in the age group of 40-45 years. Compared to the west, where the heart attacks are prominent in those in the age group of 60-65 years informed Academy of Cardiovascular Sciences Executive Member Dr Naresh Purohit .
He stated that in the past few years, deviating from the routine pattern of striking the older population and those with pre-existing heart issues, heart diseases are now prevalent among the young — 25 per cent of those who suffered heart attacks are below 45 years of age in the entire country.In this, 30 per cent are middle-aged and youngsters with no conventional risk factors like smoking, high BP, diabetes etc. Though there is no exact reason for such Myocardial Infarction(MI) incidents.
“Lifestyle choices, diet plan, workout routine and how one manage his/her stress levels can influence the possibilities of a attack”added he

To justify his point Noted Epidemiologist Dr Purohit cited the recent case of actor Puneeth Rajkumar. He said that the actor experienced pain overnight and there was a delay in seeking medical help.
Dr Purohit observed that young people often tend to ignore the first signs and end up going to the hospital quite late. Young people believe that they can’t get heart attacks. When they see the signs, they try to take gastric medicines to avoid the signs.
He further said that people assume fit guys or people who eat healthily will not get heart attacks and this is the primary reason for catastrophic results.
Citing his recent research paper published in the Singapore Journal of Cardiology Dr Purohit pointed that there is a evidence that high-intensity exercise can acutely increase the risk for sudden cardiac arrest or sudden cardiac death in individuals with underlying heart disease.
Individuals with a strong family history of heart disease, sudden cardiac death or with multiple risk factors like diabetes, hypertension, and smoking should consult a cardiologist for fitness evaluation before starting an exercise program. He said that a strong family history of sudden cardiac death necessitates screening for diseases with genetic inheritance. Men aged 40 years and older and women aged 50 years and older should have an exercise testing before starting extreme exercise regimens in the gymnasium.
Dr Purohit revealed that rising instances of diabetes and hypertension (comorbidities) in younger age groups, which are often stress-induced, can be linked to more heart attacks occurring at earlier ages. “Many youngsters follow a work hard-party hard mantra, which involves sleeping late and waking up early to hit the gym. In the absence of adequate sleep [six to eight hours], the body undergoes certain hormonal changes — an excess of stress hormones is produced, which accumulate in the body,” he explains. He also points out that the incidence of heart attacks is highest between 5 am and 11 am, when high adrenaline levels affect the blood’s coagulative properties. “One cannot ignore risk factors, such as family history. If anyone in his/her immediate family has suffered a sudden cardiac arrest or has a history of heart disease, one must consult a doctor before undertaking a strenuous fitness routine,” he asserts.

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