Lack of sleep and stress absolutely increases your long-term risk factors, the studies are pretty damning - but the people grinding out long hours are in their 20s/early 30s and are quite unlikely to drop dead from a heart attack. There's not exactly long term studies on how healthy these former banking analysts are in their later years, so it's hard to say how much it affects you long term.

That said there have been 2 or 3 well-publicized incidents in the last five or so years of deaths from this type of thing - all interns, interestingly enough. They had preexisting conditions which were made worse by banking life - one had an epilepsy condition, and the other myocarditis (pre-covid era). But I don't think your average relatively healthy banking analyst is on the brink of a heart attack.

 

Vast majority of the upper management at these firms didn't start as analysts tbh, so they never really worked those hours and still don't. Even your average MD it's quite rare for them to have come up from analyst.

Jamie Dimon had a massive heart attack last year, but I don't think it's much more uncommon in banking management than any other white male in their late 60s. Stress and lack of sleep are balanced with top-tier preventative care (Mayo Clinic Executive program will pre-screen all your C suites for everything, for example). 

 

I never had grey hair before IB. Chronic stress and fatigue. Lost muscles.

I cant sleep properly. Wake up with terrible nightmares and lucid dreams most weeks. I have had extreme anxiety that has affected me physically (restlessness or throwing up every morning etc.)

Short term effects are scary enough for me but long term is definitely nothing better

 

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