Current Scenario of Heart Diseases in Nepal: At a glance
Journal Title: Nepalese Heart Journal - Year 2011, Vol 8, Issue 1
Abstract
Background Cardiovascular disease no more remains as a disease of developed countries. It is affectng developing countries as well. In additon, developing countries have big challenge to deal with these because of lack of resources and lack of studies related to it. This study is an atempt to portrait a picture of cardiovascular problems in Nepal on the basis of records obtained in various cardiac camps conducted by Shahid Gangalal Natonal Heart Center in September 2008 to July 2011. Methods and materials The reports of 19 cardiac camps were analyzed. Result The proporton of congenital heart disease in cardiac camps ranges from 0.35% (Dolakha) to 5.04% (Dhangadi). The proporton of RHD ranges from 3.25% (Bhaktapur) to 30.67% (Dhangadi). The proporton of hypertension ranges from 5.11% (Dolakha) to 39.41% (Baglung). The proporton of CAD ranges from 0.56% (Tikapur) to 15.12% (Birgunj). Conclusion The proporton of CHD and RHD were found the highest in Dhangadi. The lowest proporton of hypertension was found in Dolakha, the study was conducted in Singat, which is the most remote area among the areas included in this study. The highest proporton of hypertension was found in Baglung. The highest proporton of Coronary artery disease was found in Birgunj. In every camp, the hypertension claims the major proporton of cardiovascular problem. It reflects, Nepal is in a rising epidemic of coronary artery disease. Preventve programs should be emphasized sooner as possible to prevent catastrophic effect of Cardiovascular Disease in Nepal.
Authors and Affiliations
Shakya S| Shahid Gangalal Natonal Heart Centre, Kathmandu , Nepal, Sharma D| Shahid Gangalal Natonal Heart Centre, Kathmandu , Nepal, Bhata YD| Shahid Gangalal Natonal Heart Centre, Kathmandu , Nepal
Coronary Artery Thrombosis: Is High Serum Homocysteine Level a Culprit?
Hyperhomocysteinemia is a risk factor of coronary artery disease associated to arterial thrombosis. We report a case in which coronary angiography showed full of thrombus causing total obstruction of the left anterior...
The Deadly Epidemic of Cardiovascular Disease
Utility of perioperative B-type natriuretic peptide in off-pump bypass surgery
Background and Aims: This study was performed to determine clinical relevance of perioperative B-type natriuretic peptide (BNP) in patients undergoing off-pump coronary artery bypass grafting. Methods: 145 consecutiv...
Spontaneous coronary artery dissection
A 38 year old previously healthy woman was referred to ER for ongoing chest pain. She had sudden onset of central, crushing chest pain 3 h back and her ECG was found to have evidence of acute infero-lateral wall MI. The...
β-blocker in Heart failure with reduced ejection fraction: A review
Heart failure, a major public health problem is associated with high mortality, poor quality of life, and frequent hospitalization. It is a complex syndrome characterized by neurohumoral activation. Activation of sympath...