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Narayanan Surendran's avatar

Well, we (as in south asians) certainly got the short end of the stick as you point out and this necessitates a higher level of scrutiny of our lifestyle and the need to make some conscious choices/changes around modifiable risks.

Unfortunately, in my own family and friends groups, I find that even folks who are broadly aware of their current poor lifestyles (e.g., poor sleep, unhealthy food choices, lack of exercise etc) and aspire to make changes struggle with them for various reasons.

Also, it appears we have sort of levelled off in making a dent on atherosclerotic diseases and according to the following Lancet article, arrythmias and degenerative diseases are ticking upwards. I assume this dataset is across various ethnicities so may not be limited to south asians.

However, if the uptick in CV diseases is in addition to existing high(er) burden of atherosclerotic diseases in south asians, we may be in for a double whammy......not a happy thought to put it mildly.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00990-0/abstract

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Ram Krishnan's avatar

Very interesting. Recently, I have been hit with infrequent Afib episodes (the Afib load is still low at this point in time) :-(

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Paul Cobbin's avatar

Epigenetics are real Ram and if you have the genetic propensity for heart disease I strongly recommend taking Ram’s advice on lifestyle and cultural culinary traditions are hard to change but if you want to live, there needs to be a trade.

Ram, I had a CAC score of 1649 and this is not my first chronic diagnosis but my point is, I had the potential but stress and living an executive travel life lead to the onset of my condition.

I’ve just published a book on it exclusive to my Substack subscribers, and I provide a method to Decode your diagnosis by aligning mind, body and soul. I’d love you to join me.

https://paulcobbin.com/p/the-trinity-of-you-is-out-now

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Ram Krishnan's avatar

Thank you, I will take a look.

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