Rising sudden cardiac deaths among young Indian actors and models: The role of steroids, extreme fitness, and societal pressure

Sudden cardiac death (SCD) among young Indian actors and models has been increasingly reported, often linked to extreme fitness regimens, anabolic steroid use, and societal pressure for an idealized body image. These practices have been associated with heightened cardiovascular risks, including left ventricular hypertrophy, arrhythmias, and thrombosis, which can lead to fatal outcomes. While SCD in individuals under 40 is rare, it is often linked to undiagnosed heart conditions exacerbated by unhealthy lifestyle choices. This letter emphasizes the urgent need for routine cardiovascular screening for individuals engaging in high-intensity physical activity and steroid use. It also advocates for regulatory measures to control the sale of anabolic steroids and dietary supplements in India. Public health campaigns aimed at raising awareness of the dangers associated with extreme body modification practices and promoting safer fitness regimens are essential. The entertainment and fitness industries must prioritize health over aesthetics to mitigate the risks of preventable cardiac deaths. A collaborative effort from healthcare professionals, policymakers, and industry leaders is necessary to address this growing concern and protect the health of young professionals in these sectors