Heart Disease

Heart Attacks Happen in the Young

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Dr Ravi Prakash, senior consultant in cardiology at PSRI Hospital, Delhi, said that data from hospitals across India between 2020 and 2023 show that 50% of heart attack patients are below the age of 40. Doctors and researchers are alarmed by the growing number of cardiac arrests among individuals under 40 years of age. Experts attribute this rise to sedentary lifestyle, stress, poor diet, smoking, alcohol consumption, and even genetic factors. 50% of heart attack cases since 2020 among adults below 40 – https://www.newindianexpress.com/amp/story/xplore/2025/Feb/24/50-of-heart-attack-cases-since-2020-among-adults-below-40

Prevention of MI in young individuals is an important public health problem. Despite being categorized as “low risk” prior to their events, most young individuals who experience an MI have pre-existing risk factors, such as obesity, diabetes, hypertension, and hyperlipidemia. Tobacco use, which occurs in approximately 50% of young adults who experience an MI, remains one of the most important modifiable risk factors. Additionally, substance abuse, tobacco use, diabetes, left ventricular systolic dysfunction, and systemic inflammatory disease are all associated with a worse long-term prognosis in those who experience an MI at a young age. Not All Heart Attacks are Created Equal: Thinking Differently About Acute Myocardial Infarction in the Young – https://journal.houstonmethodist.org/articles/10.14797/mdcvj.345

Yikes.

CVD Remains Leading Cause of Death in Type 2 Diabetes – Medscape

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Cardiovascular disease was the leading cause of death among the over 16,000 patients with type 2 diabetes (T2DM) who were enrolled in the SAVOR-TIMI 53 trial.

Two-thirds (66.3%) of all 798 deaths after a median 2.1 years of follow-up were caused by one of five cardiovascular (CV) conditions, with sudden cardiac death accounting for the largest share (30.1%) of the total, Ilaria Cavallari, MD, PhD, and associates said in the Journal of the American College of Cardiology.

It was a pair of laboratory measurements, however, that had the largest subdistribution hazard ratios. “Interestingly, the magnitude of associations of abnormal N-terminal pro–B-type natriuretic peptide [sHR, 2.82] and high-sensitivity troponin T [sHR, 2.46] measured in a stable population were greater than clinical variables in the prediction of all causes of death,” Cavallari and associates said.

CVD Remains Leading Cause of Death in Type 2 Diabetes – Medscape – Apr 06, 2021 — https://www.medscape.com/viewarticle/948849?src=rss

Does A Normal Cardiac Catheterization Mean Your Coronary Arteries Are Truly “Clean?” — The Skeptical Cardiologist

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For far too long, many patients have undergone a cardiac test that carries grave risks with the misunderstanding that they are getting the definitive assessment of their coronary arteries. Chances are if you have visited an emergency room in the USA with chest pain and you weren’t clearly having an acute heart attack, you ended up…

via Does A Normal Cardiac Catheterization Mean Your Coronary Arteries Are Truly “Clean?” — The Skeptical Cardiologist

Thank you Dr. Pearson.

Hot New Model

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Predicting 6-Month Mortality for Older Adults Hospitalized With Acute Myocardial Infarction: A Cohort Study

Participants’ mean age was 81.5 years, 44.4% were women, and 10.5% were nonwhite. There were 266 deaths (8.8%) within 6 months. The final risk model included 15 variables, 4 of which were not included in prior risk models: hearing impairment, mobility impairment, weight loss, and lower patient-reported health status

 

Slow Walking Indicator of Heart-Related Death

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Source: Slow Walking Indicator of Heart-Related Death, Study Finds | American Council on Science and Health

Earlier articles with walking-speed vs death association:
2015:
“5 year mortality predictors in 498 103 UK Biobank participants: a prospective population-based study”. Excerpts related to walking:
– Self-reported health and walking pace were the strongest predictors in both sexes and across different causes of deaths.
– Our findings suggest that measures that can be simply obtained by verbal interview without physical examination (eg, self-reported health and walking pace) are the strongest predictors of all-cause mortality.
http://www.thelancet.com/jo…

2013
“Association of walking speed in late midlife with mortality: results from the Whitehall II cohort study.”:
– Slow walking speed is associated with increased mortality in the elderly, but it is unknown whether a similar association is present in late midlife. Our aim was to examine walking speed in late midlife as a predictor of mortality, as well as factors that may explain this association.
https://www.ncbi.nlm.nih.go…

Hat Tip and thanks to fellow reader John H. Newcomb who provided the quotes and links above in the comments section from the original article.