Heart Attacks : The Silent Killer and How We Can Prevent It

By Dr. Priya Sammani

As a doctor with a Facebook page that has over 250k followers, I interact with so many wonderful people daily. One of my most engaged followers was a young man named Amal, who often commented on my posts and engaged in health discussions. He was in his late 20s, full of life, and always eager to learn more about staying healthy. Amal had recently messaged me to discuss the importance of heart health after reading one of my posts on heart disease prevention.

But a few weeks ago, I received some devastating news—Amal had tragically passed away from a heart attack. I was stunned. How could someone so young, energetic, and seemingly healthy lose his life to heart disease? His sudden death shook me, and I couldn’t stop thinking about how many others might be at risk without even realizing it.

Heart disease is often silent, unpredictable, and deadly, especially when it strikes in the form of a heart attack. Amal’s story is a grim reminder that heart disease doesn’t discriminate—it can affect anyone, regardless of age or fitness levels. But the silver lining is that, in many cases, it can be prevented. This article is for Amal, and for everyone else who wants to understand how we can protect ourselves from heart disease and heart attacks.

What Exactly is a Heart Attack?

A heart attack, or myocardial infarction, happens when the blood flow to part of the heart is blocked. This blockage is often caused by a buildup of fat, cholesterol, and other substances (plaque) that clog the coronary arteries. When these arteries are blocked, the heart muscles don’t get enough oxygen and begin to die. This damage is often irreversible. Learn more about heart attacks.

Amal’s Case: Who is at Risk?

While heart disease can affect anyone, certain factors put some people at greater risk. Amal didn’t seem to have any major health concerns, but heart disease can develop silently. It’s the leading cause of death worldwide, and in Sri Lanka too, we see an increasing number of young adults being affected.

Risk factors for heart disease include:

Amal might have had one or more of these risk factors that went unnoticed. It’s important for all of us to be aware of these risks and take steps to monitor and manage them. Understand heart disease risk factors.

Symptoms of a Heart Attack: Knowing the Signs Could Save Your Life

Heart attacks don’t always come with the dramatic chest-clutching scene we often see in movies. The signs can be subtle, especially in younger people like Amal. Some common symptoms include:

  • Chest pain or discomfort: It may feel like pressure, squeezing, or fullness in the center of your chest. This pain can last for more than a few minutes or go away and return.
  • Shortness of breath: This can occur with or without chest pain.
  • Nausea, lightheadedness, or cold sweat: These symptoms are often ignored but are crucial warning signs.
  • Pain in other parts of the body: Pain may radiate to the jaw, neck, arms, or back.

It’s important to remember that the symptoms can vary between men and women. Women often report more subtle signs like fatigue, indigestion, or dizziness, which can be mistaken for other conditions.

Diagnosing Heart Disease: The Role of Early Detection

Early detection of heart disease can save lives. Amal’s death was a harsh reminder of this truth. A variety of tests are available to diagnose heart disease, including:

  • Electrocardiograms (ECG)
  • Blood tests to check for cholesterol and markers of heart damage
  • Stress tests to see how your heart performs under exertion
  • Coronary angiography, which allows doctors to see blockages in the arteries

I always encourage my patients, especially those with a family history of heart disease, to undergo routine checkups. Don’t wait for symptoms to appear—early detection could be the difference between life and death.

Can Heart Disease Be Prevented?

Yes, in many cases, heart disease can be prevented, and Amal’s story drives home just how important prevention is. Small changes to your daily habits can make a big difference:

  1. Eat a heart-healthy diet: Focus on whole grains, lean proteins, vegetables, and fruits. Avoid processed foods and too much salt.
  2. Exercise regularly: Aim for at least 30 minutes of moderate activity on most days. This can be something as simple as brisk walking.
  3. Quit smoking: Smoking damages your blood vessels and accelerates plaque buildup, increasing your risk of heart attacks.
  4. Manage stress: Chronic stress puts strain on your heart, and managing it through relaxation techniques can protect your heart.
  5. Monitor your blood pressure and cholesterol: Regular checks are vital in managing these silent killers. Learn how to manage heart disease.

FAQs About Heart Disease

Q: Can young people have heart attacks?

A: Absolutely. As we saw with Amal, heart disease doesn’t just affect the elderly. Young adults, particularly those with risk factors like high blood pressure, high cholesterol, or smoking habits, can suffer heart attacks.

Q: Can a heart attack be cured?

A: A heart attack causes permanent damage to the heart muscle. However, treatment can help restore blood flow, relieve symptoms, and prevent further damage.

Q: Is there a way to reverse heart disease?

A: While the damage caused by heart disease can’t be fully reversed, lifestyle changes and medication can slow down its progression and reduce the risk of further heart problems.

The Takeaway: Amal’s Legacy

Amal’s sudden death is a heartbreaking reminder of how fragile life can be, but his story can serve as a lesson for all of us. Heart attacks and heart disease are serious, but they aren’t inevitable. By taking charge of our health today, we can prevent these tragic outcomes.

So, whether you’re 20 or 60, remember that heart health matters. Make those lifestyle changes now—start eating healthier, exercising more, and monitoring your heart health regularly. Let’s honor Amal by spreading awareness and encouraging others to protect their hearts before it’s too late.