Coronary Artery Disease (CAD) is the new epidemic affecting youngsters these days, say medicos. Myocardial infarction (heart attack) is the lethal manifestation of CAD and can present as sudden cardiac death.
Differences in nutritional, environmental and lifestyle factors account for greater vulnerability of urban Indians compared to rural Indians Cardiovascular disease is the leading cause of death in India accounting for approximately 21 percent of deaths in the year 2010, with 10 percent of deaths due to CAD. “The Indian community is liable to develop CAD at a much younger age. Indians are afflicted with CAD about 5-10 years earlier than other ethnic group and have higher incidence of hospitalization, mortality and morbidity than comparable populations of other ethnicity. This is mainly due to superimposition of newer risk factors on a genetically predisposed Indian population. The treatment cost for heart attack is exorbitant, prevention is utmost important,” added Dr Bharath.
The conventional risk factors for CAD are hypertension, type 2 diabetes, smoking and obesity. Besides these conventional risk factors novel risk factors like hyperhomocysteinaemia, lipoprotein, illicit drug abuse like cocaine and other hypercoagulable states play a major role in myocardial infarction in young adults. Psychosocial stress and physical inactivity plays an important role in morbidity associated with CAD in young adults.
Cardiologists stress on the need for prevention of myocardial infarction as it can impact on patient’s psychology, ability to work and socioeconomic burden. As the young adult may be the main breadwinner of the family, the aftermath of myocardial infarction can also affects the other dependent family members.
Consequences of myocardial infarction can be devastating particularly at a younger age due to its greater potential impact on patient’s psychology, ability to work and socioeconomic burden. As the young adult may be the main breadwinner of the family, the aftermath of myocardial infarction can also affects the other dependent family members. Short term outcomes of young heart attack are good if treated appropriately whereas the long term prognosis is relatively poor particularly when there is reduced pumping capacity of heart.