CORONARY HEART DISEASE IN INDIA. The Prevalence of Coronary Heart Disease (CHD) “ HEART ATTACK” is rapidly increasing in India It has become an “ EPIDEMIC”. It is a major contributor for mortality and morbidity.
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The Prevalence of Coronary Heart Disease (CHD) “ HEART ATTACK” is rapidly increasing in India
It has become an “ EPIDEMIC”.
It is a major contributor for mortality and morbidity.
In the year 1990 cardiovascular disease was responsible for 2.39 million deaths and the Nation incurred a loss of 28.59 million disability adjusted life years.
It is expected that deaths due to HEART ATTACK will double in the next 10 years
The death rate due to heart attack will be 295 per 1,00,000 population in the year 2015.
Cardiovascular disease will account for 33.5% of total deaths by the year 2015, would replace infectious diseases, as the number one killer in the Indian Population.
Now the prevalence is 10% (Delhi) Rural India has also witnessed 2% in 1974 to 4 – 6 % in 1994.
Life Style Changes
Higher Prevalence of Hypertension
7. Obesity – Truncal
8. High fat Intake
9. Lack of Physical activity
“THRIFTY GENE HYPOTHESIS”
Truncal Obesity waist : Hip = > 0.85
1. Heart attacks occur in Indians 10-15
years earlier than the western population
2. Malignant coronary artery disease
3. Multivessel disease and left main
coronary artery disease
4. Smaller Coronary arteries?
Loss of man power
Economic Impact at the community as well as National level
Cost of High Tech Treatment
PTCA, By pass Surgery are costly
Common man can not afford
Health Insurance has not taken off yet!
Life style Modification
Control of Obesity
Effective control of BP
7. Early detection and control of
8. Cholesterol reduction
TC < 150
LDL < 90
TGL < 170
12. Relaxation Techniques
Much more before Hippocrates, Aristotle and Galen, a Couplet from Bhagawad Gita emphasised the importance of balanced food, exercise and other life style variables in disease prevention
“ One who observes control over his diet, takes regular exercise, has time to relax, dose the right toil in discharge of his duties, observes proper hours of sleep and awakening and is balanced in his action and reaction, emotions and reason duties and rewards, conquers disease”.