Cardiologist Highlights Rising Threat of Chronic Heart Disease

Heart attacks have significantly declined as the leading cause of death in the United States. However, a growing concern is emerging from chronic heart conditions that often go unnoticed until they become severe. In a video posted on July 8, 2023, Dr. Dmitry Yaranov, a cardiologist based in the US, highlighted this “silent trend” that warrants public attention.

Dr. Yaranov revealed that deaths related to heart attacks have dropped by nearly 90% since the 1970s. This achievement is largely attributed to advancements in medical treatments, increased awareness, and early interventions. Despite this progress, he emphasized that the battle against heart disease is not over; it has merely transformed. “We didn’t beat heart disease. It just changed its shape,” Dr. Yaranov stated.

The New Threat: Chronic Heart Disease

The rise of chronic heart conditions presents a more insidious threat, according to Dr. Yaranov. He pointed out that conditions like heart failure, cardiomyopathy, and arrhythmias are becoming increasingly prevalent. Unlike heart attacks, which are often sudden and dramatic, these chronic conditions progress slowly and often remain undiagnosed until they reach critical stages.

“The new crisis isn’t sudden, it’s slow, progressive, and often missed,” he noted. Dr. Yaranov further explained that the focus has shifted from merely surviving a heart event to improving quality of life. He stressed the importance of early detection and access to specialized care, stating, “Prevention still matters — but so does early detection.”

Recognizing Early Warning Signs

To aid in the early identification of potential heart issues, Dr. Yaranov shared five warning signs that individuals should not overlook. These include:

1. Unusual fatigue
2. Shortness of breath during regular activities
3. Swelling in the legs or abdomen
4. Irregular heartbeats
5. Persistent chest discomfort

He urged individuals to consult a healthcare professional if they experience any of these symptoms, rather than waiting for a serious event to occur.

While the focus of Dr. Yaranov’s message is on the United States, the implications extend globally. India, for example, is witnessing a similar rise in chronic cardiovascular diseases, particularly among younger populations. Cardiologists in India have noted a shift from acute heart attacks to long-term heart conditions.

This trend is exacerbated by factors such as sedentary lifestyles, high levels of stress, poor dietary choices, and lack of early screening. As India grapples with increasing rates of diabetes, obesity, and hypertension, which are significant risk factors for chronic heart disease, the need for prevention, awareness, and early detection becomes increasingly vital.

In conclusion, while advancements in healthcare have led to a decline in heart attack fatalities, the emergence of chronic heart conditions presents a new challenge. Public health initiatives must adapt to these changes, emphasizing the importance of early detection and proactive health management.