Heart Disease Myth 1: Heart attacks only happen to people beyond middle age.

Today, Kimby Jagnandan tackles some dangerous myths that may prevent cardiac patients from receiving proper care.

Are you a young person living with cardiovascular disease (CVD)? How often have people been shocked you can have heart issues at your age? 

Many people can hardly believe that I survived a heart attack at 38. I even faced skepticism while in the hospital having my heart attack! 

Though my experience was pretty horrific, one thing became apparent.

The myths surrounding CVD and heart attacks aren't just wrong... they're dangerous.

CVD doesn't happen when you reach a certain age. Your body doesn't "save" this disease until you reach late middle age. Unfortunately, the idea that CVD is an "old person's ailment" is a common and harmful misconception. 

And if believed for long enough, these misconceptions can have devastating consequences.

I was "too young" to have a heart attack

I was in the Intensive Care Unit (ICU) after a massive heart attack in 2014, when nurses and doctors began filing into my room to tell me I was the "talk of the hospital."

No one could believe that a 38-year-old female had just had a heart attack! 

If I'm being honest... I couldn't either. I was reeling. Heart attacks only happen to older people, right?

Wrong. 

A couple of months after my heart attack, my father took me to the hospital to sign up for cardiac rehabilitation. We were together in the waiting room when the nurse came out to talk to us. She went straight to my father and asked if he was the patient. 

The nurse was super embarrassed when he said no and gestured at me. Yes, my father and I share a last name, but like so many others, she'd fallen into the ageism trap.

At first, cardiac rehab only reinforced my idea that heart attacks only happen to older people. I was the youngest person in the program by far. The other patients looked at me as I entered the room, wondering what I was doing there. I was young, female... Adding two and two together, they figured I must be in the wrong place. In other words, they did the math and came up with five.

The experience left me feeling isolated and a little confused. Was cardiac rehab for younger people so uncommon? Or was the apparent social stigma correct all along? 

But I soon realized I wasn’t alone

Another young person eventually joined my cardiac rehab program. He needed an aortic valve replacement for a congenital heart condition that doctors had been monitoring all his life.

It was good for the older patients to see that heart problems may exist in younger generations. Hopefully, it was educational for them. 

It was reassuring to meet someone around my age with a heart condition. Eventually, another young man joined who also needed a valve replacement. I felt reassured and validated by two people closer to my age in the group. It was time to change perceptions surrounding heart conditions. Heart disease can affect anyone - young or old!

Since then, I've met so many other people of a similar age to me who've battled heart disease. I feel like I'm part of a little club now. 

And you know what? None of us judge each other by our age because we know that heart disease doesn't just affect older people. 

I had many signs of cardiac issues… but they were explained away due to my age

The myth that heart issues only affect those beyond middle age is both alienating and dangerous. Worse, this myth is often perpetuated in some medical circles. 

Some friends told me they visited their doctors about suspected heart issues. Their concerns were immediately dismissed, and they were told they were "too young" to worry about heart conditions. When they plowed on and described their symptoms, it was as if their doctors would ascribe any reason but heart disease. 

This makes me angry because it happened to me.

I had bilateral leg edema (swelling in both my ankles) in the year leading up to my heart attack. Leg swelling is a classic symptom of heart disease.

I visited a cardiologist, primary care physician, and rheumatologist to determine the cause. They ran tests on my heart but eventually diagnosed me with arthritis. I pushed against this diagnosis as I knew it wasn't right. 

I told them about my family's history of heart disease. I reminded them I'd already been diagnosed with high cholesterol and high blood pressure - both risk factors for heart disease.

Then, I moved on to more anecdotal evidence. I told the doctors how short of breath I became when climbing the stairs, to the point I always used the elevator whenever I could. Breathlessness can be another sign of heart disease. A person with good heart health should be able to climb 60 stairs in less than a minute without becoming incapacitated afterward. This wasn't me. 

Still, the doctors scrambled to reassure me that I was "too young" to consider CVD and that the problems weren't linked to my heart. I left their rooms without medication and with a false sense of trust. I wasn't a medical professional. If they saw nothing wrong, there must be nothing wrong. Was I exaggerating my symptoms? Did I want to be ill?

Then, within a year of the "all-clear," I had a heart attack. And I haven't had any more instances of bilateral leg edema since getting treatment.

The truth about heart disease

The prevalence of cardiovascular diseases increase from about 40% in men and women aged 40-59, to 70-75% in people aged 60-79, according to studies. But heart disease can happen to people of all ages.

According to another study, the mortality rate of heart disease in the under-45 age group has increased by 906.3% since 2012. 

People who have legitimate symptoms of a heart problem should not be dismissed because they're "too young." This myth means some patients miss out on treatment that can reduce the risk of a full-blown heart attack. 

Sometimes, I wonder whether my heart attack could have been prevented if I'd been taken seriously and put on an appropriate treatment plan. 20% of my heart was damaged. 

It's been seven years since my heart attack. I'm no longer in rehab, but I still have cardiovascular disease. I will be taking medication for my heart for the rest of my life. 

I’ve developed type 2 diabetes since my heart attack. I get regular checkups with the cardiologist who saved my life, but I now have a stent in my heart. I worry about it getting blocked and that I may have to get another one years down the road.

The takeaway

Everybody (and every body) is different. 

I had a heart attack at 38 years young. We need to stop believing in these "heart attack myths." People who are afraid to get checked out need to stop worrying about any stigma.

Medical professionals, patients, and loved ones must take heart disease symptoms seriously. The patient's age does not matter.

Please help to make your loved ones aware that heart disease happens to young people, too. I'm living proof. 

The information presented is solely for educational purposes, not as specific advice for the evaluation, management, or treatment of any condition.

The individual(s) who have written and created the content and whose images appear in this article have been paid by Teva Pharmaceuticals for their contributions. This content represents the opinions of the contributor and does not necessarily reflect those of Teva Pharmaceuticals. Similarly, Teva Pharmaceuticals does not review, control, influence, or endorse any content related to the contributor's websites or social media networks. This content is intended for informational and educational purposes and should not be considered medical advice or recommendations. Consult a qualified medical professional for diagnosis and before beginning or changing any treatment regimen.

NPS-ALL-NP-01456 JANUARY 2025