Epidemiology of Atherosclerotic Coronary Heart Disease in India

Epidemiology of Atherosclerotic Coronary Heart Disease in India

1.   Ischemic heart disease (IHD) is the most important cause of disease burden and premature mortality in India.

2.    The IHD burden is increasing, in contrast to most high and middle-income countries.

3.    There is significant geographic variation in its incidence and deaths.

4.  Risk factors of importance are raised total and non-HDL-C, hypertension, diabetes, tobacco, indoor pollution and unhealthy lifestyles.

5.    Multifactorial approach is required to prevent and control the IHD epidemic.

6.    Prevention of IHD:

a)    Lifestyle modification – tobacco control, pollution, healthy diet, physical activity, yoga

b)   Risk factor management – LDL cholesterol, TGs, blood pressure (BP), diabetes

c)  Improving clinical inertia, adherence, control of multiple factors – combination of BP therapy + statins (polypill)

d)   Long-term adherence – patient support + NPHW + Education + polypill

e)   Focus on social, economic and political determinants – sustainable development goals, pollution control.

Dr. Rajeev Gupta

Dr. Rajeev Gupta is a Consultant Physician in C Scheme, Jaipur. Dr. Rajeev Gupta practices at KDG Medical & Dental Centre in C Scheme, Jaipur. He completed MBBS from Sardar Patel Medical College in 1976 and MD - (General Medicine) from Postgraduate Institute of Medical Education and Research, Chandigarh in 1979.

 More FAQs by Dr. Rajeev Gupta

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