If you’re 21 or around this age and think you might have angina, go see a cardiologist.

“Yes, any age can suffer from acute coronary insufficiency, even millennials,” says Lance S. Burns, MD, emergency medicine specialist, of Legacy ER & Urgent Care, Frisco East location.

Just what is angina?

It’s chest pain resulting from insufficient blood flow throughout the heart. This inadequate blood flow is usually caused by narrowing of the coronary arteries due to plaque buildup or the so-called clogging or blockages.

Angina is more likely to occur during physical exertion (“stable angina”), when the oxygen demands of the heart are increased—but not enough blood is getting through, due to the smaller diameter of the inner arteries, thanks to the plaque buildup.

This situation can be present in a 21-year-old.

Dr. Burns continues, “There are multiple factors involved with early onset coronary syndromes.

“Genetics has a significant role. Lifestyle issues, particularly smoking and drug use (cocaine), are additional risk factors.

“In women, hormonal therapy and pregnancy are risk factors. Prizmental’s angina, ‘coronary spasm,’ has a higher frequency in younger, otherwise healthy individuals.

The spasm has nothing to do with arterial blockages or heart disease, but will produce the chest pain because the spasms interfere with blood flow in the heart.

Though it’s very uncommon for 21-year-olds to have symptomatic heart disease, it’s certainly not unheard of.

Dr. Burnsdr. burns has over 30 years of experience and specializes in emergency and family medicine.