Across models, only 11%-20% of patients were labelled high-risk, even though all eventually had a heart attack. "Indian patients and population behave totally differently. Heart risk appears earlier, often with diabetes and insulin resistance even at normal body weight. Smoking and psychosocial stress, along with traditional risk factors like diabetes, smoking and dyslipidemia, further add to this hidden burden.This is why Western risk scores underperform. The findings have renewed calls for customised risk scores, as Indian populations remain poorly represented in global datasets.

Source: Economic Times March 30, 2026 14:20 UTC