Secondary prevention of cardiovascular diseases in India: Findings from registries and large cohorts

Area of Science:

• Cardiovascular disease research
• Public health initiatives in India
• Quality improvement in healthcare

Background:

• Cardiovascular disease (CVD) poses a significant health burden in India.
• Existing registries and quality improvement programs aim to address secondary prevention of CVD.
• Various initiatives have been implemented to assess and enhance CVD care across India.

Purpose of the Study:

• To review existing registries and quality improvement initiatives for secondary CVD prevention in India.
• To evaluate the scope and impact of programs like CREATE, IHRS-AF, THF, TN-STEMI, ACS-QUIK, and PIQIP.
• To identify the need for collaborative efforts and data utilization in CVD policy-making.

Main Methods:

• Analysis of data from established Indian registries (CREATE, IHRS-AF, THF).
• Examination of quality improvement programs focusing on acute coronary syndromes and CVD.
• Review of initiatives aimed at improving revascularization access and outpatient care quality.

Main Results:

• Registries like CREATE, IHRS-AF, and THF primarily focus on data collection.
• The TN-STEMI program specifically targets improving revascularization access post-STEMI.
• ACS-QUIK assessed a quality improvement kit for ACS, and PIQIP provides data on outpatient CVD care.

Conclusions:

• Multiple initiatives exist to improve secondary CVD prevention in India, with varying focuses.
• There is a need for enhanced collaboration among health professionals to identify knowledge and policy gaps.
• Effective utilization of existing and new data by policymakers is crucial for driving impactful CVD prevention strategies.