Young Generation, Unhealthy Hearts: Rising Incidence of Sudden Death in Youngsters

By Dr. Vishal Khullar in Heart Institute , Cardiothoracic and Vascular Surgery Unit

Jun 04 , 2023 | 3 min read

Over the past decade, there has been a concerning increase in the number of heart attack cases and sudden death among young and active individuals. Previously associated with old age or unhealthy habits, heart attacks are now occurring in otherwise healthy and active young adults.

The leading cause of heart attacks in this demographic is coronary artery disease (CAD), a condition that narrows or blocks the arteries supplying blood to the heart. During physical exertion, reduced blood flow to the heart due to various factors can lead to a heart attack. This blog aims to shed light on the causes of sudden death among young individuals and provide preventative measures to reduce the risk of such an occurrence.

Causes of sudden death among Active Youngsters:

Coronary Artery Disease (CAD) - is the most common cause of heart attacks among young adults, where the arteries that supply blood to the heart become narrow or blocked, reducing blood flow to the heart.
Thickened Heart Muscle (Hypertrophic Cardiomyopathy) - a genetic condition that causes the heart muscle to thicken, leading to an irregular heartbeat and obstruction to the blood flow from the heart during physical exertion.
Heart Rhythm Disorders - usually inherited conditions where the heart beats in an erratic rhythm. The heart can suddenly stop beating for no obvious reason.
Dissecting aortic aneurysms - in which a tear occurs in the innermost layer of the biggest blood vessel in the body (Aorta). Although usually seen in the elderly, young adults with genetic disorders, family history, and high blood pressure can also have this problem.
Blunt Chest Injury - Contact sports can cause damage to the heart muscle or tear the coronary arteries, leading to a heart attack.
Congenital Heart Defects and Anomalous Coronary Arteries - Heart defects present from birth can cause structural and functional complications, making it harder for the heart to pump blood effectively.
Drug Addiction – Tobacco in any form or drug abuse can contribute to heart attacks. Drugs such as Cocaine can cause coronary vasospasm—a narrowing of arteries that supply blood to the heart.

Symptoms of Heart Attacks:

As per our observation, young individuals are most likely to ignore the following symptoms of heart attack and refrain from seeking active medical care, resulting in the sudden collapse of heart functions.

Chest pain or discomfort
Shortness of breath
Nausea or vomiting
Dizziness or lightheadedness
Pain or discomfort in the arms, back, neck, or jaw
Fatigue
Sweating

Preventive measures for Heart Diseases:

Regular cardiac screenings: It is important to identify individuals with a genetic predisposition for heart diseases, and regular screenings can ensure early detection and timely care.
Routine health check-up: Individuals between the ages of 20 and 39 should undergo a health check-up every 2-3 years, and those over the age of 40 should have a health check-up every year or as recommended by their doctor.
Avoid intense physical exertion: Once detected, individuals with Hypertrophic Cardiomyopathy should avoid intense physical exertion, as it can lead to an irregular heartbeat and a possible heart attack.
Sports safety: Wearing proper safety gear during contact sports can help prevent blunt chest injuries. Moreover, individuals with a history of blunt chest injury or those with a genetic predisposition for heart conditions should avoid high-risk adventurous activities.
Avoid drug use or abuse: Avoiding drug abuse, including cocaine and tobacco, can significantly reduce the risk of heart attacks.
Healthy lifestyle: Maintaining a healthy lifestyle, including regular exercise, a healthy diet, and managing stress levels, can help to prevent heart rhythm disorders.

In conclusion, it is essential to be aware of the causes and symptoms of heart attacks and sudden death among active youngsters and take steps to prevent them. Regular health check-ups, the age-wise frequency for screening, avoiding drug addiction, leading a healthy lifestyle, and managing underlying health conditions are all crucial in preventing heart attacks and sudden death.