Why is heart health deteriorating among young people? Doctors explain which habits are increasing the risk of heart attack.
Heart disease cases are rapidly increasing among young people these days. Obesity, high blood pressure, and stress are the main causes. Poor diet, lack of physical activity, and smoking also increase the risk of heart attack in young people. Maintaining a healthy heart can be achieved by adopting healthy habits and managing stress.

Whenever heart disease is discussed, the image of patients in their 50s or 60s always comes to mind. However, the trend of this disease is changing. In fact, in recent times, cases of heart disease and heart attacks have been increasing rapidly among people under the age of 40. Therefore, to prevent this, not only early detection is essential, but also understanding its causes is crucial.
World Heart Day is celebrated every year on September 29th to raise awareness about heart-related diseases. To understand the reasons behind the increasing heart disease in young people, we spoke with Dr. Rajiv Agarwal, Unit Head and Principal Director of Cardiac Sciences at Max Smart Super Speciality Hospital, Saket. Let's find out why cases of heart attacks are increasing among people under the age of 40.
Why is heart disease increasing among young people?
First reason: The rising incidence of heart disease among young people is primarily due to the rapid increase in obesity, high blood pressure, and insulin resistance. Due to changing lifestyles, these problems, often common in old age, are already developing in people, especially in urban areas.
Second reason: Stress has become almost epidemic in urban environments. Urban work life, long working hours, and hectic schedules are contributing to stress. This prolonged stress can lead to high blood pressure, dyslipidemia, and endothelial (blood vessel lining) damage.
Third reason: Furthermore, people's lifestyles are rapidly deteriorating, leading to a deterioration in their eating habits. A diet high in refined carbohydrates, sugary and overly processed foods, a lack of physical activity, and the use of smoking, vaping, and alcohol among young people are also contributing factors.
Fourth reason: The post-COVID era is one that cannot be ignored. Many patients who recover from the virus have residual inflammation, microvascular damage, or coagulation disorders, which can rapidly increase heart problems.
Ignorance is also a major factor.
Ignorance also contributes significantly to the spread of this disease. Young people often ignore minor symptoms such as fatigue, mild shortness of breath, or chest discomfort, attributing them to stress or exhaustion. However, they often ignore these symptoms until their condition becomes serious, which often leads to problems getting out of hand.
What can we do?
To maintain good heart health, regular checkups should be started before the age of 40. Especially in cities like Delhi and Mumbai, where stress has become a part of daily life. Periodic assessment of blood pressure, lipid profile, fasting glucose, and even risk scores can help protect young people from heart disease. Additionally, you can take care of your heart by following these steps:
Adopt healthy habits: Engage in at least 30 minutes of light to moderate physical activity daily. Reduce your intake of refined sugars and processed foods, avoid tobacco and excessive alcohol, and manage stress.
Change your working culture: Corporate welfare programs and healthy workplace policies, such as mandatory leave, and restrictions on sending emails while on vacation, can improve mental health and reduce the burden of stress.