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Cardio Vascular Health challenges in presenting century


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Cardio Vascular Health challenges in presenting century

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Cardio Vascular Health challenges in presenting century

  1. 1. HEALTH CHALLENGES IN NEW CENTURY Ms TARIKA SHARMA Nursing Tutor M M College Of Nursing Maharishi Markandeshwar University, Ambala Haryana (INDIA)
  2. 2. Global Scenario
  3. 3. Epidemiology and prevention of cardiovascular disease, a global perspective. Gaithersburg, MD: Aspen Publishers, Inc, 2011.
  4. 4. Epidemiology and prevention of cardiovascular disease, a global perspective. Gaithersburg, MD: Aspen Publishers, Inc, 2011.
  5. 5. The Situation In INDIA
  6. 6. India'sno.1killer:Heartdisease April12,2010(INDIATODAY)
  7. 7. US study : Heart disease is affecting Indians early The ongoing study provided data of 85,295 patients of 15 hospitals from Mumbai to Patna over the last 26 months. Of these patients — including patients from urban centers as well as rural areas - 60,836 were found to have heart disease. Almost every second patient has high blood pressure, every fourth has diabetes and every fifth had plaque deposits in his/her arteries. The average age of a heart patient in India is 52 years ( > 70 yrs in America : ACC's American registry). Clearly, Indians get hit earlier with the heart disease Sep 30, 2014, TOI
  8. 8. Attention young India, take care of your heart Four people die of heart attack every minute in India and the age group is mainly between 30 and 50. Twenty-five per cent of heart attack deaths occur in people less than 40. Nine hundred people under 30 die due to heart disease in India every day. India today, 24 July 2011
  9. 9. Reasons Smoking a fashion statement in college days indispensable addiction. India today, 24 July 2011
  10. 10. Reasons … Hypercholesterolemia Diabetes mellitus Hypertension : Changing food habits, stress and a sedentary lifestyle Obesity Unhealthy food habits Physical inactivity Stress Genetics Lack of awareness India today, 24 July 2011
  11. 11. Coronary Heart Disease in Women: A Challenge for the 21st Century The belief of women should not have coronary heart disease, it is not true. Heart disease : first killer of women Many professional responsibilities, in addition to traditional responsibilities. An excess of fat and carbohydrates intake , not exercising regularly , smoking and not having enough time to rest leading to overweight, dyslipidemia, arterial hypertension, impaired glucose tolerance and diabetes. Maria Cecília Solimene Clinics (Sao Paulo). 2010 Jan; 65(1): 99–106.
  12. 12. Cardiovascular diseases effecting women as young as 35 A massive section of country's population suffers cardio vascular diseases. Bangalore - An alarming 10-15% rise in cardiovascular disease (CVD) among young women Hyderabad - Women are more prone to problems caused by lack of estrogen between the ages of 20 - 40. Indus Health Plus Report, Feb 3, 2014, TOI
  13. 13. Cardiovascular diseases effecting women as young as 35… Mumbai - an increase in CVD cases between the age brackets of 24-30 years of which 58% of the total cases were below 40 years of age and 30% were below 30 years. New Delhi - Out of 11% coronary heart diseases case, 35% have been observed in women. - 23% of corporate employees are suffering from CVD. - Out of 55 per cent, under the age bracket of 20 to 29 years, 15-20% of them are females. Reason: drastic lifestyle changes, Insufficient exercise, lack of sleep, poor eating habits and stress. Indus Health Plus Report, Feb 3, 2014, TOI
  14. 14. 70% ofthe UrbanIndianpopulationatriskof heartdisease! In a three-year-long study conducted in 12 cities across India, it has been found that : - 51 % of Mumbaikars have low levels of the heart-protecting high-density lipoprotein (HDL), also known as ‘good’ cholesterol. - over 70% of the urban Indian population is at the risk of being diagnosed with cardiovascular disease. Sep 27, 2013
  15. 15. Heart failure in the 21st century: a Cardiogeriatricsyndrome. Chronic heart failure (CHF) is principally a cardiogeriatric syndrome, and it has become a major public health problem in the 21st century due largely to the aging population. Age-related changes throughout the cardiovascular system in combination with the high prevalence of cardiovascular diseases at older age predispose older adults to the development of CHF. Features that distinguish CHF at advanced age from CHF occurring during middle age include an increasing proportion of women, a shift from coronary heart disease to hypertension as the most common etiology, and the high percentage of cases that occur in the setting of preserved left ventricular systolic function. Although the pharmacotherapy of CHF is similar in older and younger patients, the presence of multiple comorbidities in older patients mandates a multidisciplinary approach to care. Manifest CHF is associated with a poor prognosis, especially in elderly persons, and there is an urgent need to develop more effective strategies for the prevention and treatment of this increasingly common disorder to reduce the individual and societal burden of this devastating illness in the decades ahead. • Rich MWJ Gerontol A Biol Sci Med Sci. 2001 Feb;56(2):M88-96.
  16. 16. Additionalgeneticand lifestyle-relatedrisk factors High amount of Lipoprotein (a) High amount of homocysteine High amount of high sensitivity CRP Abdominal Obesity Metabolic Syndrome DNA (BETA) June 12, 2015
  17. 17. Source: Cardiovascular diseases in India: Challenges and way ahead (ASSOCHAM, India International Heart Protection Summit September 2011
  18. 18. The Power of Prevention Although chronic diseases are among the most common and costly of all health problems, good news is that they are also among the most preventable.
  19. 19. Prevention: Change of Policy The development agencies, nongovernmental organizations, and governments work toward two essential goals: - Creating environments that promote heart-healthy lifestyle - Building public health infrastructure and health systems
  20. 20. Prevention: Awareness Creating awareness about preventive healthcare Understanding preventative care requirements of women.
  21. 21. Prevention: Life style modifications Exercises, maintaining normal wt, managing obesity Cutting down on consumption of alcohol, tobacco and greasy food Load up on veggies and fruits, Reduce intake of saturated and trans- fats Reduce salt and sugar intake Avoiding smoking Engaging in stress bursting activities Proper sleep
  22. 22. Prevention… Preventive health check-ups Early detection of diseases Keeping hypertension and cholesterol under control Getting more people to cardiac rehabilitation
  23. 23. References Cardiovascular diseases in India: Challenges and way ahead (ASSOCHAM, India International Heart Protection Summit September 2011 The burden of cardiovascular disease in the Indian subcontinent, Abhinav Goyal & Salim Yusuf, Indian J Med Res 124, September 2006, pp 235-244Top 10 advances in heart disease and stroke science American Heart Association/American Stroke Association Top 10 Research Report, January 02, 2014 Coronary Heart Disease Epidemiology in the 21st Century Labarthe DR. Epidemiology and prevention of cardiovascular disease, a global perspective. Gaithersburg, MD: Aspen Publishers, Inc, 2011.
  24. 24. References… World Health Organization. Global status report on non-communicable diseases. 2010. nmh/publications/ncd_report2010/en/ (accessed Sep 2013). Fuster V. Elucidation of the role of plaque instability and rupture in acute coronary events. Am J Cardiol 1995;76, 24C-33C. Patal SS, Cohn JN, Willerson JT. Handbook of cardiovascular clinical trials. New York, NY: Churchill Livingstone, 1997. The challenge of cardiovascular disease in developing economies, 2ND EDITION, DECEMBER 2014 Prevalence of cardiovascular disease in India and it is economic impact- A review, Shraddha Chauhan, Dr. Bani Tamber Aeri, International Journal of Scientific and Research Publications, Volume 3, Issue 10, October 2013 1 ISSN 2250-3153
  25. 25. Thanks…