Younger Indian expats at high risk of heart disease

By Divi S.

DUBAI 24 October 2018: A range of heart diseases is striking younger generation of Indian expatriates in the UAE, according to a new clinical study.

Data analysis across people from multiple ethnicities and age groups of South East Asian countries, show Indians, Pakistanis, Bangladeshis, Sri Lankans and Filipinos are most at risk for developing heart diseases in prime years of their life.

In fact, the disease strikes them almost a decade earlier than their Western counterpart, showed clinical data study of 142 patients, initiated by Aster Hospitals Dubai.

The study was conducted on patients from diverse backgrounds with coronary artery disease (CAD) who had undergone interventional procedures at Aster Hospital’s Cath lab in the last three months. The younger segment of Indian expats living here are increasingly prone to CADs due to a number of reasons – than any other nationalities and they get it earlier now than before, the study revealed.

Dr. Sachin Upadhyaya, Specialist Cardiologist, and Dr. Naveed Ahmed, Specialist Interventional Cardiologist from Aster Hospitals, who worked behind the real-time clinical data from the Cath lab procedure presented their observations at a press conference in Dubai.

Dr. Sherbaz Bichu, CEO at Aster Hospitals Dubai, said, “We conducted the clinical study aimed at creating awareness among the expatriate population to take care of their heart health eventually leading to the wellbeing of their families, the nation and the economy. We are currently at the forefront of battling coronary artery diseases among the expats. This is because heart attacks and cardiac deaths have become so common among the youngsters here.”

Dr. Sachin Upadhyaya, said, “Our clinical data is a reminder that prevention should start early in life before problems develop. Cardiac disease is now far from rare in younger men. It gets little attention when a 70- or 80-year-old succumbs to it, but our eyes widen when a 30- or 40-year-old is stricken. In fact, the risk of heart disease rises steadily and sharply with age.

Alarming Trend

“Many surveys conducted in India indicated that 40 per cent of the people suffering from heart attack are under the age of 55. But the figures are even more alarming for Indian expats living in UAE as there is a steep rise in the numbers with two-thirds of the total number of patients. About 106 patients out of 142 people in the data analysed were under 55 years. This trend is indeed alarming,” he said.

Dr. Naveed Ahmed, Specialist Interventional Cardiologist at Aster Hospital, Mankhool, said that coronary artery disease is now no more a disease of senior citizens. “We observed in the study that conventional coronary artery disease affects the young adults, causing early heart attacks among them. This deserves the most attention. It’s a reminder that men should not ignore warning symptoms just because they are ‘too young’ to have heart disease.

“In the study, we reviewed cases of nearly 142 patients who underwent surgical intervention at Aster Hospital due to CAD. About 57 per cent of them were in the age group of 45 to 60 years, followed by 31.7 per cent aged less than 45 years, 11.3 per cent belonging to the age group above 61 years and nearly 74.6 per cent were less than 55 years. Patients from India and its neighbouring countries like Pakistan and Bangladesh alone represented 88 per cent of the patients,” he added.

Out of the total patients, 66.2 per cent were Indians, while 14.1 per cent were Pakistan nationals. The other nationalities included expats from Bangladesh, Philippines, UK and Egypt, Sri Lanka, Nepal, Nigeria and Serbia.

Hypertension Prime

“At all ages, hypertension is the most powerful single contributor to the CAD with 43 per cent of the patients in the study. While diabetes mellitus stands second for the disease among 39 per cent of the patients. Smoking proved to be another major cause with 20 per cent of patients being smokers and 3 per cent ex-smokers,” Dr. Upadhyaya elaborated.

“When it comes to the procedures done at our hospital, 47.9 per cent of the patients needed angioplasty, while 6.3 per cent had normal coronaries after getting investigations done. About 24.6 per cent of patients were managed by medical treatments rather than going for surgeries,” Dr. Ahmed concluded.