This is a rather unique problem in India. In western countries, heart attacks are not more frequent in the young. Infact may be decreasing. In India, there is a sharp increase in obesity, and diabetes. 30% of Keralites (adults above 30) have diabetes, 50% men 45% women have high Blood pressure. 2/3 women, 1/2 men have abdominal obesity. "IS IT SURPRISING TO SEE YOUNGSTERS IN KERALA GETTING HEART ATTACKS?"