Heart of the Matter: Why Heart Attacks are Striking Pakistan's Youth

In a shocking trend revealed by cardiologists in 2025, nearly half of all heart attack patients in Pakistan are under the age of 49. This is not just a statistic; it's a public health crisis that is hitting a younger generation, with up to 15% of cases found in individuals younger than 40. This alarming data places Pakistan among the countries with the highest rate of young heart attack patients globally. So, what's driving this epidemic? The reasons are a complex mix of lifestyle, genetics, and public health challenges. 1. The Silent Epidemics: The key culprits are widespread, yet often unmanaged, health conditions. According to the National Institute of Cardiovascular Diseases (NICVD), one in three adults in Pakistan has diabetes, and 40% have high blood pressure. Obesity is also on the rise, often masked by loose clothing in the culture. These conditions, combined with high smoking rates, create a perfect storm for cardiovascular disease to develop at an early age. 2. A Lack of Awareness: A significant challenge is that many people are unaware they are at risk. A staggering nine out of ten patients in one study reported no severe chest pain. Instead, they described a feeling of heaviness or discomfort that felt like acidity—symptoms that often lead to a delay in seeking crucial medical help. This lack of awareness is a deadly factor, as timely intervention is critical for a patient's survival and recovery. 3. The Genetic Factor: Beyond lifestyle, a significant genetic predisposition exists. Pakistanis, and South Asians in general, are known to be at a higher risk of developing heart disease and often experience it a decade earlier than their counterparts in Western countries. This genetic vulnerability, coupled with prevalent risk factors, makes the situation even more urgent. What Can We Do? Combating this trend requires a multi-pronged approach. Early Screening: Health experts recommend that everyone over the age of 30 should get a regular cardiac check-up, especially if there is a family history of heart disease. Public Health Campaigns: There's an urgent need for widespread public education on the subtle signs of a heart attack. Knowing symptoms beyond classic chest pain can save lives. Lifestyle Changes: The most powerful tools for prevention are in our own hands. Adopting a heart-healthy diet, increasing physical activity, and quitting smoking are critical steps to mitigate risk. The data from 2025 is a wake-up call for Pakistan. By addressing the root causes and promoting proactive health management, we can begin to turn the tide on this alarming trend and protect the heart health of our nation.

HEALTH & WELLNESS

Dr. Adnan Hashim

5/8/20241 min read