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Prevalence of coronary heart disease in Kashmiris
1Department of Medicine, Government Medical College, Srinagar. akmaliyah@hotmail.com
Insights
Coronary Heart Disease (CHD) prevalence is high in Jammu and Kashmir, with urban areas and males showing higher rates. Lifestyle changes and stress likely contribute to this increasing cardiovascular disease burden.
Area of Science:
- Cardiology
- Epidemiology
- Public Health
Background:
- Coronary Heart Disease (CHD) is a leading cause of death globally.
- The Indian subcontinent has a high and increasing prevalence of CHD.
- Lifestyle changes and prolonged stress in Jammu and Kashmir may exacerbate CHD rates.
Purpose of the Study:
- To determine the prevalence of Coronary Heart Disease (CHD) in rural and urban populations of Anantnag and Srinagar districts.
- To investigate potential contributing factors such as lifestyle changes and stress.
- To provide epidemiological data for public health interventions.
Main Methods:
- An epidemiological study using random sampling in rural and urban areas of Anantnag and Srinagar.
- Inclusion of 3128 subjects aged 40 years and above (2284 males, 844 females).
- Data collection included medical history, clinical examination, Rose Questionnaire for angina, and Electrocardiogram (ECG). Statistical analysis used the Chi-square test.
Main Results:
- Overall CHD prevalence was 7.54% in the studied population.
- Urban CHD prevalence (8.37%) was higher than rural prevalence (6.70%).
- Prevalence was higher in males (7.88%) compared to females (6.63%).
Conclusions:
- CHD is a significant public health concern in Jammu and Kashmir.
- Urban populations and males exhibit a higher prevalence of CHD.
- Further research into lifestyle factors and stress is warranted to inform prevention strategies.
Abstract:
Coronary Heart Disease (CHD) is one of the major causes of mortality and morbidity in the general population of both the developing and developed countries. Prevalence of CHD in the Indian subcontinent is presently one of the highest and is further on an increase. In the state of Jammu and Kashmir the population like any other developing community, is undergoing lifestyle changes but the unusual stress and strain for the last 15 years of the disturbed situation in the state apparently has contributed to increase the prevalence of CHD. Therefore an epidemiological study was conducted to assess the prevalence of CHD in both rural and urban areas of the valley. This study was carried out in the rural and urban areas of the twin districts of Anantnag and Srinagar by random sampling. The total population of the study area comprised of 44,305 persons out of which the target population was 13,893. The study was carried out on 3128 (23%) subjects (2284 males and 844 females) aged 40 years and above. In rural areas the study was conducted in a cluster of 3 villages in each district on 1552 persons (1088 males and 464 females) and in urban areas it was carried out in 3 mohallas (closed locality) in each district on 1576 persons (1196 males and 380 females). A complete history and clinical examination was done and Rose Questionnaire was recorded for angina. ECG was done in all subjects. Chi square test was used for statistical analysis. The overall prevalence of CHD in the population studied by all diagnostic measures was 7.54%. The overall rural prevalence was 6.70% and urban prevalence was 8.37%. Prevalence of CHD was higher in males, 7.88% and slightly lower in females, 6.63%.
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