Abstract
Cardiovascular diseases (CVD) accounts for approximately 12 millions deaths annually and is the commonest cause of death globally, CVD is also the major contributor to the burden of premature morbidity and mortality and accounted for 85 millions disability adjusted (DALY) life years In 1990. It has been estimated that during the 25 years period from 1965-1990 mortality from coronary artery diseases (CAD) fell by 50% in Australia, Canada, France & US and 60% in Japan and Finland. The identification of major risk factors and effective control of them through population-based strategies of prevention were mainly responsible for this decline. The rise and subsequent decline in CAD epidemic in almost all industrialized countries in the later half of twentieth century has been well documented, but most of the developing countries are experiencing alarming increase of the disease.
Highlights
Coronary Artery Disease (CAD), Acute Myocardial Infarction (AMI), Epidemic, Introduction: Cardiovascular diseases (CVD) accounts for approximately 12 millions deaths annually and is the commonest cause of death globally, CVD is the major contributor to the burden of premature morbidity and mortality and accounted for 85 millions disability adjusted (DALY) life years In 1990"
Despite its affluence & rapid urbanization, Japan has avoided the epidemic of coronary artery diseases (CAD) and reduced their already low rate by 60%6, From 1960 to 1990, the CAD prevalence increased two fold in rural India and three fold in urban India[7], Current Scenario in Nepal: CAD is one of the commonest Cardiovascular diseases seen by physicians in their hospital & private practice
A study done in different ecological regions of Nepal indicated that prevalence of tobacco use in adults was 68.4% in rural Kathmandu, 37.0% In urban Kathmandu, 54.7% in Teral region and 77.7% in mountain region
Summary
Coronary Artery Disease (CAD), Acute Myocardial Infarction (AMI), Epidemic, Introduction: Cardiovascular diseases (CVD) accounts for approximately 12 millions deaths annually and is the commonest cause of death globally, CVD is the major contributor to the burden of premature morbidity and mortality and accounted for 85 millions disability adjusted (DALY) life years In 1990". Despite its affluence & rapid urbanization, Japan has avoided the epidemic of CAD and reduced their already low rate by 60%6, From 1960 to 1990, the CAD prevalence increased two fold (from 2% to 4%) in rural India and three fold (from 3.5% to 9.5%) in urban India[7], Current Scenario in Nepal: CAD is one of the commonest Cardiovascular diseases seen by physicians in their hospital & private practice.
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