
Stress at work? Doctors see rise in heart diseases among young executives
Bengaluru | New Delhi: For 31-year-old techie Kumar, long hours at work carrying well into the night often led to
stress
eating, coupled with an occasional drink (or two) to 'take off the edge'.
The excesses magnified over the weekend, till one day when what he suspected was an episode of indigestion turned out to be a heart attack. Kumar, who doesn't want to reveal his full name, has now been put on a strict diet by his doctor. He has been asked to cut out all unhealthy food, stop eating out and exercise.
Kumar's is not an isolated case. Leading cardiologists are sounding the alarm bells as they see an increase in people in their 20s and 30s being hospitalised for cardiac issues.
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Stress, lack of sleep, pollution and working at odd hours have all contributed to the increase in
heart disease
among young people, said noted cardiologist Naresh Trehan.
'The numbers are worrisome; out of 34 beds in my ICU, nine are occupied by patients under 40,' said Naveen Bhamri, vice-chairman of
cardiology
at Max Super Speciality Hospital in New Delhi's Shalimar Bagh, who performed an angioplasty on a 39-year-old this week. 'A majority of my patients are in their 20s and 30s, who see long periods of inactivity due to being stuck at their desks, stressed out by the constant urban hustle and pressure to hit corporate targets.'
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Nishith Chandra, director, interventional cardiology at Fortis Escorts Heart Institute in the national capital, said he is seeing 10-20 patients in the age group of 20-30 years every month with heart-related issues.
The key drivers behind this trend are sedentary lifestyle, lack of exercise, high stress, poor sleep and mental
health
issues, Chandra said. "Undiagnosed hypertension, post-Covid heart inflammation, use of steroids and unsafe gym supplements, smoking, alcohol and recreational drug use are some other factors," he said.
Hospitals across the country are reporting increased cases of young professionals having cardiovascular diseases, sudden cardiac arrests and heart attacks.
'Not all of them have the typical triggers like diabetes, hypertension, obesity and family history. Recent data shows that one in four individuals having heart attacks are aged 40 and under,' said M Sudhakar Rao, consultant - cardiology at Manipal Hospital, Sarjapur, Bengaluru.
A 26-year-old who Rao recently treated for a clot removal and stenting of artery was sleeping only four hours daily due to work pressure and deadlines.
Tight deadlines and work pressure, constant hustle culture and impending burnout are causing Indian professionals to remain in sedentary positions for most of the day, get less sleep, and turn to unhealthy, processed foods — all of which can contribute significantly to the risk of heart attacks, say medical professionals.
India is the diabetes and hypertension capital of the world, and people are genetically more predisposed to getting heart diseases, often earlier than their counterparts in the West, said Mukesh Goel, senior consultant - cardiothoracic and heart and lung transplant surgery at Delhi's Indraprastha Apollo Hospitals. 'There's a difference of 10-15 years with the West.'
Telehealth consultation data from Plum shows two-thirds of cardiac consultations come from the 25-40 age group, showing a premature cardiovascular ageing in India's prime working demographic.
'We've observed that 71% of Indian working professionals are at moderate risk of chronic disease, showing warning signs across blood pressure, diabetes, cholesterol and obesity,' Saurabh Arora, cofounder of the insurtech startup, told ET.
Covid has increased the risk further, said Trehan. 'People who got serious Covid actually have much higher chance of developing heart disease because there is inflammation of the arteries, and the heart muscle became weak. So, if those who got serious Covid were not checked out then they should get it now'.
Rising sales of cardiac products
Sales of drugs in the cardiac category have risen almost 50% in five years to Rs 30,723 crore in the 12 months through May 2025, according to data from market research firm PharmaTrac.
The rising rate of cardiac diseases is driving the growth of cardiac therapy, propelled by strong uptake in lipid-lowering agents, anti- anginal therapies and heart failure treatments.
"Consumption of lipid-lowering agents, antianginal therapies and heart failure therapies have almost doubled in the last five years with Indians experiencing heart disease 5-10 years earlier than the global average. The age group has now come down to 30-40 years from earlier 50-60 years, said Sheetal Sapale, vice-president, commercial at PharmaTrac.
Sales of cardiac products increased 11.7% in 2024 compared with the year before.
Some companies are stepping up to drive better awareness on heart health and risk factors and running regular check-ups on cardiac health.
Manipal Hospitals has ongoing partnerships with companies like Samsung and Goldman Sachs to drive awareness sessions and organise heart check-ups. Companies like CoinDCX and Meesho have included an ECG check-up for their teams, in addition to checks for risk factors like cholesterol, BP and glucose, said Plum's Arora.
More and more forward-thinking employers — especially in sectors like IT/ITeS, BFSI, pharma, and consulting — are beginning to shift their focus from insurance to prevention, said Nimitha Menon, health risk management consulting leader at Mercer Marsh Benefits.
'Key initiatives being adopted include early preventive screenings and targeted lifestyle intervention programmes, advanced cardiac screenings, including ECG, lipid profiling, and calcium scoring from age 30 onward, as well as onsite diagnostic kiosks and partnerships with health check-up providers,' she said.

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Economic Times
36 minutes ago
- Economic Times
Shefali Jariwala's shocking death at 42: Apollo doctor explains why younger Indians are vulnerable to heart attacks and reveals silent symptoms
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Fans of Shefali Jariwala were left in a state of shock after the news of the actress's death hit headlines. Jariwala, best known for the 2002 chartbuster 'Kaanta Laga', passed away at the age of 42 due to a massive cardiac arrest. As per a Times Of India report, Jariwala was rushed to the Bellevue Multispeciality Hospital by her husband Parag Tyagi, but was declared dead upon sudden demise has thrown light to India's silent but deadly epidemic - heart attacks in people younger than aging is a well-established factor that raises the likelihood of heart attacks—with men typically facing increased vulnerability after the age of 45 and women after 55—the idea that heart attacks only affect older adults is increasingly being challenged. Alarmingly, individuals in their 30s and 40s are not exempt from this life-threatening India, Coronary Artery Disease (CAD) tends to strike at a significantly earlier stage in life when compared to other global populations. According to medical experts, over half of the fatalities related to CAD in the Indian population are recorded in people younger than 50. This early onset of cardiac events is a troubling national health trend, with young adults bearing a surprising portion of the studies have observed that between 25% and 40% of patients suffering from acute myocardial infarction (commonly referred to as a heart attack) are under the age of 40. These figures underscore the alarming presence of cardiac issues among the youth and contradict the commonly held belief that heart ailments are a problem only for the disturbing pattern appears to be unique to Indians, who, as per epidemiological data, experience heart attacks nearly ten years earlier than individuals belonging to other ethnic communities. The Indian Heart Association has corroborated this claim, citing data that highlights a significant incidence of early cardiac events. A report released by Apollo Hospitals, referencing Indian Heart Association statistics, emphasizes that 50% of heart attacks in India occur in people below 50 years of age. Even more concerning, one in four heart attacks affect Indians who are under early age of onset not only points to a deeply rooted genetic predisposition among Indians but also reflects broader lifestyle and environmental factors that contribute to early cardiovascular damage. Poor diet, high stress levels, lack of exercise, and increasing rates of smoking and diabetes are compounding the problem, leading to a silent crisis in heart health among the country's younger an interview with ET Panache, Dr. Sarita Rao, Senior Interventional Cardiologist & Director Cathlab, Apollo Hospitals Indore, outlined some genetic and lifestyle factors which may make people younger than 50, vulnerable to heart issues. These include:Unrecognized high blood pressure and undetected spikes in cholesterol can silently wear down the walls of the arteries over years. These conditions, often showing no symptoms in the early stages, steadily narrow and weaken blood vessels, laying the foundation for future heart-related it's conventional smoking or modern vaping, both introduce harmful chemicals that hasten the accumulation of fatty deposits in the blood vessels. This buildup, known as plaque, clogs arteries and restricts blood flow, greatly elevating the likelihood of a heart living with diabetes — and even those with mild insulin resistance — face a significantly greater danger of heart problems. Elevated glucose levels damage the blood vessels and impair their ability to function efficiently, heightening cardiovascular risk even in younger emotional stress, combined with insufficient or poor-quality sleep, can spark harmful changes within the cardiovascular system. Persistent tension may cause arterial spasms or promote inflammation, both of which can interfere with normal heart rhythms and blood overly sedentary lifestyle deprives the heart of the movement it needs to remain strong, while overexerting the body without proper recovery can place excessive strain on the heart. Both lack of activity and extreme workouts have been linked to weakened cardiac function and increased vulnerability to heart drugs such as cocaine and stimulant-based substances like amphetamines are known to trigger abrupt and severe cardiac episodes. These chemicals can cause sudden narrowing of arteries, abnormal heart rhythms, and increased blood pressure — all of which can be such as lupus and rheumatoid arthritis don't just affect joints and skin — they can also inflict damage on the blood vessels. The body's own immune system, in a state of constant activation, may inflame arteries and raise the risk of plaque formation and arterial conditions such as Hypertrophic Obstructive Cardiomyopathy (HOCM) and Long QT Syndrome often remain undiagnosed, especially in younger populations. These hereditary heart irregularities can disrupt normal heart rhythms and may result in sudden, fatal cardiac incidents if not identified and managed in Rao emphasized that a person's external appearance of fitness does not always guarantee a healthy heart. Beneath the surface, several hidden factors can increase the risk of sudden cardiac arrest—even in individuals who appear slim, active, and in good shape. Here's a breakdown of the underlying causes that can silently endanger seemingly healthy lives:Some people carry genetic abnormalities like hypertrophic cardiomyopathy—a condition where the heart muscle becomes abnormally thick. This condition can exist without any noticeable signs, yet it significantly raises the risk of heart failure or arrhythmias, especially during physical rare, some individuals are born with unusual formations in their coronary arteries. These structural irregularities can hinder proper blood flow to the heart, especially during intense activity or stress. Often undiagnosed until a serious episode occurs, these anomalies can be such as Long QT syndrome or Brugada syndrome interfere with the heart's natural rhythm. These electrical conditions can cause the heart to beat too fast, too slow, or erratically—sometimes leading to sudden collapse without any prior psychological strain or surging cortisol levels (the stress hormone) can overwhelm the cardiovascular system. Even those in good physical shape can experience what's often referred to as 'broken heart syndrome,' where acute emotional trauma results in a temporary, but severe, weakening of the heart muscle.A continuous state of internal inflammation—caused by an unhealthy diet, autoimmune diseases, or lingering infections—can gradually damage blood vessels and heart tissues. This inflammation may remain unnoticed for years but still contributes to long-term cardiovascular because someone is slim doesn't mean they're metabolically healthy. Some individuals suffer from a condition known as 'normal-weight obesity,' where harmful visceral fat accumulates around vital organs despite a normal body mass index. These hidden fat stores can disrupt hormones and metabolism, increasing the likelihood of heart Rao underlined that an impending cardiac arrest may manifest through different symptoms in men and women. Women are more likely to experience:Seek immediate help if you or someone experiences:⦁ Persistent chest pain, pressure, or tightness⦁ Shortness of breath, with or without chest discomfort⦁ Pain that spreads to arms, neck, back, jaw, or stomach⦁ Nausea or vomiting not linked to food⦁ Cold sweats or clammy skin⦁ Sudden fatigue or dizziness⦁ A feeling of dread or anxiety⦁ Golden Rule: If symptoms last more than 5 minutes, call emergency services — don't self-diagnose or certain factors like a genetic predisposition towards heart problems are out of your control, you can certainly lower your risk by following a heart healthy diet free from processed food items and high calorie dishes, explains Dr Rao.A heart-healthy diet focuses on anti-inflammatory, nutrient-rich, and balanced eating. Top choices include:⦁ Fatty Fish: Salmon, mackerel, sardines (rich in omega-3s)⦁ Fruits and Vegetables: Berries, leafy greens, avocados⦁ Whole Grains: Oats, quinoa, barley, brown rice⦁ Nuts and Seeds: Walnuts, flaxseeds, chia seeds⦁ Legumes: Lentils, chickpeas, beans Olive Oil : Replace butter or ghee for cooking⦁ Dark Chocolate (in moderation): Contains heart-healthy flavonoids⦁ Green Tea: May reduce blood pressure and cholesterol⦁ Low-fat Dairy or Fortified Plant Milk: For calcium and potassiumLimit your intake of processed meats, sugar-sweetened beverages, excess sodium, and trans outlined by the British Heart Foundation , it is important to understand that a heart attack and a cardiac arrest are two distinct medical emergencies, even though they are often confused.A heart attack occurs when one of the coronary arteries—the vessels that supply oxygen-rich blood to the heart muscle—becomes obstructed. When this blockage happens, the flow of blood to a portion of the heart is disrupted, depriving it of the oxygen it needs to function properly. Without prompt medical intervention, this oxygen deprivation can lead to the gradual damage or death of heart muscle contrast, a cardiac arrest is a much more immediate and life-threatening event. It takes place when the heart suddenly stops functioning as a pump and fails to circulate blood throughout the body. As a result, the individual stops breathing or breathes abnormally and loses consciousness very quickly. This condition requires urgent resuscitation, often with CPR or a defibrillator, to restart the heart and restore to the British Heart Foundation, in many adult cases, cardiac arrests are actually triggered by a heart attack. This happens because the damage or stress caused by the heart attack can lead to an abnormal and potentially fatal heart rhythm—known medically as an arrhythmia—which may then result in the heart ceasing to beat the relationship between these two conditions is crucial. While a heart attack is primarily a circulation problem caused by blocked arteries, a cardiac arrest is an electrical issue where the heart's rhythm fails, often as a consequence of the damage done during a heart attack. Recognizing the symptoms early and responding quickly can mean the difference between life and death.


Time of India
39 minutes ago
- Time of India
Shefali Jariwala's tragic death exposes the health risk women keep ignoring: Doctors reveal the silent threat behind it
For a generation, Shefali Jariwala will always be the dazzling "Kaanta Laga" girl—a name that brings with it memories of early 2000s music videos, unmatched dance moves, and that air of effortless cool. But now, heartbreak hangs heavy in the air as fans wake up to the devastating news of her sudden and untimely passing. In her early 40s, Shefali died of a sudden cardiac arrest. To many, the news feels almost unreal. This was a woman who radiated energy—sharing workout videos, wellness tips, and glowing moments from her daily life on social media. Her presence was consistent, cheerful, and health-conscious. And perhaps that's what makes her passing so difficult to process. But beneath this shock lies a darker, more urgent reality that health experts have been warning about: sudden cardiac deaths in young, seemingly healthy women are on the rise—and no one is talking enough about it. The myth of the 'man's disease' For decades, heart disease was considered a 'man's issue.' 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A double battle: Epilepsy and the heart What many may not know is that Shefali also battled epilepsy for over 15 years—a detail she openly shared in interviews, becoming a rare celebrity voice in destigmatizing the condition. According to Dr Praveen Gupta, Chairman, Marengo Asia International Institute of Neuro & Spine (MAIINS), epilepsy's toll is far more than the seizures themselves. 'Shefali's experience, enduring epilepsy for 15 years as she once openly shared, illustrates the profound toll that repeated seizures can take on an individual's life, far beyond momentary physical manifestations. It is not uncommon for people with such persistent neurological conditions to face debilitating clusters of symptoms. Seizures that occur unpredictably such as she described happening in classrooms, backstage, or on the road, can erode self-confidence and overall well‑being,' Dr Gupta says. Over time, this stress may also contribute to cardiovascular strain—a little-understood but important link between neurological and cardiac health. Shefali had once described how her episodes would hit suddenly—in classrooms, at shoots, on the road. She battled not only seizures but fear, anxiety, and the stigma that came with them. For millions living with epilepsy, her voice was a lifeline. When symptoms don't look like symptoms One of the cruelest ironies of heart disease in women is that the warning signs rarely look like the dramatic chest-clutching scenes we see in movies. 'Women's heart attack symptoms often include fatigue, nausea, dizziness, or shortness of breath,' explains Dr Subrat Akhoury, Chairman of Cath Lab & Interventional Cardiology at Asian Hospital. 'These signs are frequently brushed off as stress, PMS, or just another exhausting day.' That misinterpretation can cost lives. Dr Akhoury further explains that women's arteries behave differently than men's—plaque builds up in different patterns, making traditional diagnostic tools less effective. Emotional health, he adds, plays a much bigger role in women's heart risks than previously acknowledged. 'Anxiety, depression, and chronic stress—these can all quietly increase the risk of heart disease,' he warns. And after menopause, that risk spikes significantly. Behind the numbers: Young women at risk Why are more women in their 30s and 40s facing such deadly outcomes? According to Dr Anupama V. Hegde, Senior Consultant at Ramaiah Institute of Cardiac Sciences, the answers lie in a web of factors—structural heart diseases, rhythm abnormalities, coronary artery disease, and a lifestyle that's become increasingly taxing. 'Sudden cardiac arrest in young women is devastating—and it's accounting for nearly one-third of all female deaths,' she says. 'Unhealthy eating habits, high stress levels, poor sleep, rising diabetes and hypertension rates, and sedentary lifestyles have all converged. And young women are bearing the brunt.' The rise in spontaneous coronary artery dissections—a rare but serious heart event—has also been observed more frequently in women under 50, often those without traditional risk factors. The genetic card: A silent player But lifestyle alone doesn't tell the whole story. Genetic predisposition plays a powerful, often hidden role in determining heart disease risk—especially in women who seem otherwise healthy. Dr Ramesh Menon, Director of Personal Genomics and Genomic Medicine, believes we're now entering an era where precision medicine can save lives. 'For women over 40, standard tests often miss early red flags. Genetic testing allows us to assess individual risk long before any symptom appears.' Hormonal shifts, especially during perimenopause and menopause, interact with genetics to significantly alter heart risk profiles. Add in smoking, irregular sleep, and chronic emotional labor—and you have a perfect storm. 'Genetics isn't destiny,' Dr Menon says, 'but knowing your predisposition can empower you to take action early—through diet, medication, or lifestyle change.' The emotional labor that goes unseen There's also a cultural layer we cannot ignore. Women, particularly in India, are often conditioned to put themselves last—juggling careers, caregiving, emotional support roles, and endless to-do lists. They normalize fatigue. They silence discomfort. And they delay check-ups because there's always someone else to take care of first. But the consequences of that invisibility can be fatal. A moment to mourn—and to wake up Tributes are now pouring in across social media. Videos of Shefali dancing, her glowing skin, her confident voice—they're all being shared with disbelief and grief. She was, for many, a symbol of fearlessness and flair. But now, amid the mourning, there's a growing question: how many more young women have to die before we start taking their heart health seriously? This is not just about one celebrity. This is about a generation of women walking through life with hidden heart risks—unseen, unspoken, and untreated. What can you do—right now? Doctors across the board offer the same advice: get proactive. Whether you're 25 or 55, it's time to take your heart seriously. Know your numbers: Blood pressure, cholesterol, blood sugar, and BMI. Listen to your body: Fatigue, breathlessness, unexplained pain—don't ignore it. Manage stress: Mental health is cardiac health. Move more, sit less: Even 30 minutes a day of walking helps. Ask about family history and consider genetic testing: Especially if early deaths run in your family. Don't dismiss symptoms just because you're young or 'fit'. Because sometimes, it's not just another tiring day. It's your heart waving a red flag. Shefali Jariwala lit up every frame she was in. Her story now becomes something more—a cautionary tale, a wake-up call, and a reason for women everywhere to listen more closely to their bodies. She danced like no one was watching. Now, her silence leaves us with questions that demand answers. Rest in peace, Shefali. Your voice, your courage, and your story might just save lives.


Time of India
40 minutes ago
- Time of India
Cardiologist says these 5 common medicines could harm your heart without any warning
Medicines are meant to heal—but what good are they if they cure one problem while quietly creating another? Many drugs we rely on for everyday aches, colds, or chronic conditions have been around for years and are often trusted without a second thought. But just because something is familiar doesn't mean it's completely safe. In fact, some commonly used medications might be doing more harm than we realize—especially to the heart. In a recent Instagram post, cardiologist Dr. Dmitry Yaranov sounded the alarm on five widely used drugs that could potentially harm your heart without clear warning signs. 'As a cardiologist, I see how some commonly used medications can silently damage your heart,' he wrote, urging patients to stay informed and proactive. Here are the five medications Dr. Yaranov cautions about—and why they deserve a closer look: NSAIDs (e.g., Ibuprofen, Naproxen) Over-the-counter painkillers like ibuprofen and naproxen are go-to solutions for headaches, joint pain, and inflammation. But when used frequently or in high doses, they can raise blood pressure, cause fluid retention, and even lead to heart failure, especially in individuals with existing cardiovascular issues. Certain chemotherapy drugs (e.g., Doxorubicin, Trastuzumab) Some meds used during the chemotherapy, have been found to come at a cost to your heart. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Trending in in 2025: Local network access control [Click Here] Esseps Learn More Undo Some chemotherapy agents are known to weaken the heart muscle over time, increasing the risk of heart failure. That's why many cancer patients undergo regular cardiac monitoring during and after treatment. Stimulants (e.g., Amphetamines, ADHD Medications) Medications prescribed for ADHD and narcolepsy, such as amphetamines , can elevate heart rate and blood pressure. In some cases, they may trigger arrhythmias or even heart attacks, particularly in those with underlying heart conditions or high cardiovascular risk. Older diabetes medications (e.g., Rosiglitazone) Some earlier-generation diabetes drugs have been linked to an increased risk of heart failure. While they may help manage blood sugar, they're no longer considered first-line due to their impact on heart health. Newer options now offer better cardiovascular safety, so it's worth discussing alternatives with your doctor. Decongestants Decongestants (e.g., Pseudoephedrine)found in many cold and flu medications, work by narrowing blood vessels to relieve nasal congestion. However, they can also spike blood pressure and disturb heart rhythms. Thus if you are diagnosed with high blood pressure or any heart disease, it is advised to opt for these meds only after getting it approved by your doctors.