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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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Presentation Transcript
slide2

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.

slide3

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.

slide4

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.

slide5

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.

slide6

The Prevalence was 1% in the urban India (Delhi) in the year 1960.

Now the prevalence is 10% (Delhi) Rural India has also witnessed 2% in 1974 to 4 – 6 % in 1994.

why is chd increasing in indians

WHY IS CHD INCREASING IN INDIANS ?

Urbanization

Life Style Changes

Smoking

Higher Prevalence of Hypertension

Diabetes Mellitus

6 hyper cholesterolemia 7 obesity truncal 8 high fat intake 9 lack of physical activity 10 stress
6. Hyper Cholesterolemia

7. Obesity – Truncal

8. High fat Intake

9. Lack of Physical activity

10. Stress

genetic and ethnic factors

GENETIC AND ETHNIC FACTORS

“THRIFTY GENE HYPOTHESIS”

cardiovascular dysmetabolic syndrome

CARDIOVASCULAR DYSMETABOLIC SYNDROME

Dyslipidemia TGL

Insulin resistance

Truncal Obesity waist : Hip = > 0.85

Hypertension

other risk factors

OTHER RISK FACTORS :-

Lipoprotein ‘a’

Homocysteine

pattern of chd in indians

PATTERN OF CHD IN INDIANS :-

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?

why shuold we prevent

WHY SHUOLD WE PREVENT?

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!

how do we prevent

HOW DO WE PREVENT ?

Secondary Prevention

Primary Prevention

Primordial Prevention

aspirin statins
Aspirin

Statins

cessation of smoking life style modification dietary habits regular exercise control of obesity
Cessation of smoking

Life style Modification

Dietary Habits

Regular Exercise

Control of Obesity

slide19

6. Hypertension – Detection

Effective control of BP

7. Early detection and control of

diabetes

8. Cholesterol reduction

TC < 150

LDL < 90

TGL < 170

9 stress control 10 yoga 11 meditation 12 relaxation techniques
9. Stress control

10. Yoga

11. Meditation

12. Relaxation Techniques

slide21

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

gita says

GITA SAYS :-

“ 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”.