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Coronary heart disease in rural population of Himachal--a population based study
Rajeev Bhardwaj1, Arvind Kandoria, Rajeev Marwah
1Department of Cardiology and Medicine, Indira Gandhi Medical College, Shimla.
Insights
This study found a low prevalence of coronary heart disease (CHD) in rural Himachal Pradesh, affecting approximately 4% of the population. The research highlights a higher incidence of CHD in males compared to females in this region.
Area of Science:
- Public Health
- Cardiology
- Epidemiology
Background:
- Cardiovascular disease is a significant global health concern.
- Limited data exists on coronary heart disease (CHD) prevalence in Himachal Pradesh.
- This study addresses the knowledge gap regarding CHD in the region.
Purpose of the Study:
- To determine the prevalence of coronary heart disease (CHD) in the rural population of Himachal Pradesh.
- To investigate the distribution of CHD across different demographic groups.
- To identify potential risk factors associated with CHD in the study area.
Main Methods:
- A population-based survey was conducted in three villages across different districts of Himachal Pradesh.
- 812 individuals aged 30 years and above were examined, representing approximately 70% of the eligible population.
- Data collection included medical history, physical examinations, and electrocardiograms (ECGs), with CHD defined by established clinical criteria.
Main Results:
- The overall prevalence of coronary heart disease (CHD) was found to be 4.06% (33 out of 812 participants).
- CHD prevalence was significantly higher in males (6.9%) compared to females (1.69%).
- Among CHD patients, 17 were hypertensive, 2 were diabetic, and 10 had a family history of CHD.
Conclusions:
- Coronary heart disease (CHD) prevalence is relatively low in the rural population of Himachal Pradesh.
- Males exhibit a higher prevalence of CHD than females in this rural demographic.
- Findings underscore the need for targeted cardiovascular disease prevention strategies in the region.
Background:
Cardiovascular disease has emerged as a major health burden worldwide. There is no study in Himachal about the prevalence of coronary heart disease (CHD), hence the purpose of the study.
Material And Methods:
Population based study was done in three different villages of different districts of Himachal Pradesh. The people were well notified about the survey in advance. We tried to cover all persons above the age of 30 years. We could cover around 70% of population. Total 812 persons were examined. History regarding presence and nature of chest pain was taken. Detailed physical examination was done. The detailed history about risk factors was taken. ECG of all patients was taken. Patients known to have suffered myocardial infarction, having typical angina on exertion or having undergone coronary angioplasty or coronary artery bypass surgery were labeled to have CHD.
Results:
Eight hundred twelve patients were examined. Mean age was 47.44 +/- 12.2 yrs. Three hundred ninty-nine were males and 413 were females. Thirty three patients were found to have coronary heart disease, giving the prevalence of 4.06%. Twenty six of 399 males had CHD (6.9%) and 26 of 413 females had CHD (1.69%). Seventeen of these CHD patients were hypertensive, two were diabetic and 10 patients had family history of CHD.
Conclusion:
The prevalence of CHD was low in rural population of Himachal Pradesh, being around 4%, more in males than in females.
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