A new approach to South Asian heart health

Cardiologist Monzur Morshed discusses the article, "Why South Asians in the U.S. face a silent heart disease crisis." Drawing from his direct experience treating the Bangladeshi-American community in New York City, Monzur explains why people from South Asia are disproportionately at risk for developing heart disease 5 to 10 years earlier than other populations, often despite having normal cholesterol levels. The conversation delves into specific, often overlooked risk factors like the "thin-fat" phenotype, genetic predispositions such as elevated lipoprotein(a), and cultural barriers including diet and the stigma around mental health. They provide actionable clinical tips for health care providers and patients, emphasizing that standard risk assessments are failing this vulnerable community. The key takeaway is a call for a paradigm shift: clinicians must treat South Asian patients as high-risk by default and utilize culturally sensitive, aggressive screening to close the equity gap in cardiovascular care.

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