Man suffering from heart attack

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Heart disease is the number one cause of death in the United States. In the last few decades, though, with advances in the prevention and management of coronary artery disease, the occurrence of heart attacks in older adults has been declining.

Alarmingly, the occurrence of heart attacks and other forms of heart disease among younger adults (ages 20 to 50) is increasing. The increase in cardiovascular problems in this group, in 2020 and 2021, was so great that it contributed to declines in life expectancy.

So, what’s causing this disturbing trend? There’s evidence that these heart conditions are the consequences of poor food choices and lack of exercise. Here’s what to know about the signs of heart disease, what to look for, and what to do to avoid the largely preventable fallout resulting from unhealthy habits:

Heart attacks (myocardial infarctions) occur when the heart muscle is deprived of oxygen. Usually, the cause is partial or complete blockage of blood supply to some part of the heart. Symptoms in younger adults are the same as those in older adults, including chest pain or discomfort, which may radiate into the arms, jaw, neck, or back, shortness of breath, and weakness or feeling faint.

Other forms of heart disease include cardiomyopathy (thickened heart muscle), irregular, abnormal heart rhythms, and heart failure.

Heart illustration with magnification of the artery
Heart illustration with magnification of the artery. Heart attacks (myocardial infarctions) occur when the heart muscle is deprived of oxygen. (credit: American Heart Association)

Research published in the American Journal of Medicine in 2019 assessed more than 2,000 young adults hospitalized for heart attacks from 2000 through 2016. The study found that 20 percent (1 in 5 people) occurred in patients 40 years-old or younger. These patients had the same risk as older adults to die from another heart attack, stroke, or other condition.

The increasing prevalence of heart disease is greater in young women than in young men. The women are more often Black, and have a history of diabetes, chronic kidney disease, high blood pressure, or a previous stroke.

Research shows that healthcare providers are prone to not taking the signs of heart disease in women as seriously as in men. They often pay less attention to managing risk factors, especially by prescribing fewer risk-reducing medications, according to a 2019 study in the journal Circulation.

The biggest risk factors for young adults

People are developing risk factors for heart disease earlier in life. Most younger adults who developed heart problems were thought to be in generally good health before their heart attacks. They were found, however, to have at least one condition which had put them at risk for a cardiac event. The greatest risk factors are:

There may be some genetic influences contributing to these conditions. Most, however, are the consequences of harmful lifestyle habits, which often start during childhood, says Eugene Yang, chair of the American College of Cardiology Prevention of Cardiovascular Diseases Council. Tobacco, cocaine, marijuana, and alcohol use also increase the risk of heart attacks in younger adults.

COVID-19 has its own way of contributing to heart disease. It triggers the body’s inflammatory response, making blood thicker and stickier. Blood clots can form, clogging arteries and causing heart attacks. In 2022, The Journal of Medical Virology reported that heart attack deaths rose 14 percent during the first year of the pandemic. The greatest increase occurred in patients between the ages of 25 and 44. Why there was such a change in this age group is still unknown.

Research shows that about half of people under age 45 don’t think they could be at risk for heart disease. It can be a tough job to convince younger adults about heart disease and risk factors when they’re still focused on building careers and establishing families.

Life’s Essential 8 can save young adults

The three “P”s for reducing heart disease in younger adults are prevention, prevention, and prevention. The American Heart Association recommends following eight lifestyle habits they call “Life’s Essential 8”:

  • Healthy diet
  • No tobacco
  • Regular exercise
  • Sufficient sleep
  • Weight management
  • Watch cholesterol levels
  • Monitor blood pressure
  • Follow blood sugar levels

So, young readers, make having a primary healthcare provider one of the features of the map you’re creating to navigate life. Check in with that provider at least once a year, or as recommended for you individually. A family medicine provider can care for everyone in the family.

About Dr. Faith Coleman

Dr. Coleman is a graduate of the University of New Mexico School of Medicine and holds a BA in journalism from UNM. She completed her family practice residency at Wm. Beaumont Hospital, Troy and Royal Oak, MI, consistently ranked among the United States Top 100 Hospitals by US News and World Report. Dr. Coleman writes on health, medicine, family, and parenting for online information services and educational materials for health care providers.

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190 Comments

  1. Frank Hannon says:

    Oh, I know, I know!!!!! This has occurred because the sacramental vax wasn’t vaxy enough!!!!

    …but I’m sure that we can count on Pfizer and Moderna to fix that!!!!

    1. P T Barnum says:

      It’s the elephant in the room.

  2. RFK Sr. says:

    The data in the study was pre-vax. Year’s 2020-2021.

  3. Jack Mehoff says:

    Idiots page. It’s contagious. Good thing I’m vaccinated. Go pray to your deity for salvation. While ur at it ask why childhood cancer wards are a thing and how that fits into the plan.

    1. Ellery Queen says:

      For some reason, the vax was unnecessarily pushed on people under the age of 18. Besides heart conditions, it is known that it also pushes those who are already naturally at risk of cancer over the edge – consequently, cancer for young people also sharply rose in our community, including the expansion of cancer wards.

    2. John Graf says:

      Your username tells us all we need to know about you.

      I imagine you’re probably “vaccinated” by your boyfriend on a daily basis. Flesh syringe.

      Childhood cancer wards are the effect of the entropy that people like you cause by refusing to follow the Manufacturer’s Instructions.

  4. Reed Thompson says:

    Doctors are baffled!

  5. HermanT says:

    We don’t know what’s causing it, but it’s definitely not the Vax…

  6. Duke says:

    It’s the covid vaccine..which wasn’t even mentioned.
    Great reporting….lol

  7. Guy Kleber says:

    The most newsworthy bit of this article is the non-curiosity of the CDC to run studies comparing vaxxed and un-vaxxed. Elevated cardiac episodes are coincident with mRNA vaccine uptake. These vaccines did not stay in the arm. Where they took over the cellular machinery, they were attacked by the host’s immune systems. Cardiac tissue, for the most part, does not heal. A large fraction of our fellow citizens are walking around with scarred hearts. mRNA’s are a novel vaccine platform with no long range testing. We are now seeing the consequences.

  8. Terry Fiber says:

    Your a fool. The change happened right after the clot shots. People like you should be on death row.

    1. Eric says:

      The increase happened in the first year of the pandemic. The shot wasn’t widely available until 2021.

  9. Alison B says:

    Shame on you for gaslighting people. Why would “poor diet choices” be a problem in 2021 and 2022 but not 2018 or 2019? Obviously the sudden spike in youth heart attacks is NOT diet related. SHAME on you for lying to the public

    1. Erik N says:

      Except that the Covid vaccine was first made available on Dec 11, 2020. And of course the vast majority of those who got the shot, didn’t do so for some time after that date 2021 or later). So if this study included people who experienced higher rates of heart attacks in 2020 (which, again, was BEFORE the shot was available), that’s obviously not due to the shot. So much for the “It’s the Covid shot!” theory. More like: Look around at all the fat people and those who eat unhealthy food & drink and don’t exercise. But noooooooo, it couldn’t be that. That doesn’t offer a political angle, and it demands a reckoning of personal responsibility. And we can’t have that now, can we.

  10. Fred Garvin says:

    It’s the Covid clot shot. EVERYONE knows it but tip toes around it.

  11. Donald Trump says:

    Stop eating at taco bell/mcdonalds and workout out you lazy bums.

    1. John Graf says:

      Stop listening to Donald J. Trump (and Joe Biden) about the “safe & effective” LIES.

  12. DFG says:

    As expected, every comment so far blames the Covid vaccine. They will now grab this study without understanding it and waive it around as evidence of the position they already held.

    1. Tony says:

      Go get your booster!

    2. John Graf says:

      Died Suddenly is still coming for you.

      The world just experienced the worst gaslighting campaign in human history. And that gaslighting continues as “the experts” and the entire System, government, “trusted insititutions,” and the mass media, continue to spew abject lies, insisting we believe them.

  13. Todd Belcher says:

    COVID shots…easy

  14. Hugh Murray says:

    Did they compare those who got the booster shots with those who did not? Seems, there were warnings early on about heart conditions occurring in young male recipients of the booster shots while the govt. was promoting them and they were being urged by Dr. Fauci and the medicrats.

  15. jimmy says:

    Geez what a bunch of DUMB EVIL asshats! its the Quackseens….DUH!

    1. Brent Hardin says:

      What a ridiculous rhetorical question. The shot pushed with no long term trials and appears to be bioweapon.

      Try doing real journalism and report the truth instead of allowing lies to blanket the controlled media.

      If the reporter is this dumb to just not report the obvious. Or this is another psyop

  16. DAVID says:

    The jab.

  17. Arizona Tom says:

    More and more information is slowly coming out about mrna serums passed off as a vaccine. Why the administration the MSM and social media try to censore and block intelligent, scientific debate on this under-tested, experimental vaccine that even the CDC partially admits is causing heart and circulatory issues among young, healthy people is criminal AND that stuff is still in use!

  18. James F Dentinger says:

    Do you think the CoVid vaccine has anything to do with it?

  19. Jeff says:

    The vax

  20. Aldo T says:

    Duh, the public wasn’t getting “the shots” in 2020, Einstein.

    1. JeffJeff says:

      Finally, someone with reading comprehension.

    2. Da says:

      It started in November and December 2020… wanna guess why they lump in “2020 and 2021” together rather than individually… despite readily available data segregating the years? Most of the uptick occurs in 2021 and persists in 2022… but does not occur in 2020 pre-vaccine…

    3. Ed Zebro says:

      Yeah vaccines not available until 2021 so if the trend started in 2020 so Covid, and perhaps the spike protein, is the initial culprit. Then there is mounting evidence that the vaccines introduction of the spike protein is far beyond the “normal” virus and it is absolutely propagating throughout the body in many people. To ignore the vaccines as a potential cause of exacerbating the problem is scientific malfeasance.

      1. JeffJeff says:

        “there is mounting evidence that the vaccines introduction of the spike protein is far beyond the “normal” virus and it is absolutely propagating throughout the body in many people.”
        Source?