Written by Tony Hicks on February 18, 2021 — Fact checked by Maria Gifford Experts say the use of alcohol and drugs at a young age can cause heart problems later, especially in women. Basak Gurbuz Derman/Getty Images Researchers say young adults who use alcohol, tobacco, or drugs are more likely to prematurely develop heart health issues. They say women are more susceptible than men due to biology as well as a lack of screening for heart problems. They add that young adults need to be educated about the long-term effects of substance use, as many feel they are invincible. Drinking, smoking, and using drugs — even recreationally — is linked to premature heart disease in young people, especially women, according to new research.