Abstract
Cardiovascular disease is one of the global leading causes of death . Although indeveloped countries overall cardiovascular death is declining due to long term declineof rheumatic heart disease (RHD), cerebro vascular and hypertensive heart disease,heart disease is still the leading cause of death. In developing countries prevalence ofcoronary heart disease (CHD) is in increasing trend and cardiovascular disease patternis changing. Cardiovascular disease pattern of this region is revealed in this study.Total 300 study subjects, admitted from May 2000 to April 2001, 174 (58%) male and126 (42%) female and age ranged from 5 to 83 years were analyzed retrospectively.Proportionate distribution of all admitted cases was calculated and arranged inaccording with sequence order.Rheumatic heart disease was found the commonest, which constituted 27.3%, followedby coronary heart disease (21.7%) and hypertension (20.7%) respectively. Chronicobstructive pulmonary disease (COPD) with cor pulmonale (7.7%) was fourth insequence order then respectively came diabetes mellitus (DM) coexisted with CHD orhypertension, dilated cardiomyopathy (DCM), cardiac arrhythmia without organicheart disease, congenital heart disease, infective endocarditis, rheumatic fever,pericardial effusion etc. Readmission rate within one year was 12.3% and mortalityrate was 2.7%. Conclusion: Rheumatic heart disease is the commonest heart diseasefollowed by coronary heart disease and hypertension. COPD with cor pulmonale,diabetes coexisted with CHD or hypertension, DCM and cardiac arrhythmia withoutorganic heart disease are also common heart diseases.Key Words: Cardiovascular diseases, Disease pattern.
Highlights
Cardiovascular disease is one of the top killer diseases and is problematic for both developed and developing countries
Mortality trend from total cardiovascular disease has been downward since about 1940, with long term declines for the three cardiovascular disease subgroups; rheumatic, cerebro vascular and hypertensive diseases since the mid 1960s,1 heart disease is still the leading cause of death followed by cancer. 2,3 Increasing trend of cardiovascular disease morbidity and mortality and changing pattern of cardiovascular disease have been reported in some developing countries.[4]
The aim of this study is to investigate the disease pattern of admitted cardiovascular disease cases within one year in this National Heart Centre and to speculate the future concern of the nation for the management of cardiovascular diseases on the basis of investigation outcome
Summary
Cardiovascular disease is one of the top killer diseases and is problematic for both developed and developing countries. 2,3 Increasing trend of cardiovascular disease morbidity and mortality and changing pattern of cardiovascular disease have been reported in some developing countries.[4] the study of prevalence and changing proportion in the disease pattern of cardiovascular diseases is becoming an essential concernment. Shahid Gangalal National Heart Centre is newly emerged leading national hospital for the management and research of cardiovascular diseases.[5] Previous well-documented studies on the disease pattern of cardiovascular disease in Nepal are not available. The aim of this study is to investigate the disease pattern of admitted cardiovascular disease cases within one year in this National Heart Centre and to speculate the future concern of the nation for the management of cardiovascular diseases on the basis of investigation outcome
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