New Delhi, Jun 27 : A quarter of all deaths in India are attributed to cardio-vascular disease (CVD), said Prof NN Khanna, Sr Consultant Interventional Cardiology & Vascular Interventions, Indraprastha Apollo Hospitals, on Thursday.
Setting the stage for the 11th Asia Pacific Vascular Intervention Course (APVIC), Dr Khanna highlighted the scenario of cardio-vascular diseases (CVDs) in the country and various recent innovations, which can help to tackle the disease burden, at a press conference here.
Dr Khanna said, 'The 11th chapter of APVIC will witness participation from renowned doctors from all across the globe. This year, the focus will be on the increasing rise of cardio-vascular diseases in the country. It's estimated that a quarter of all deaths in India are attributed to cardio-vascular disease (CVD).
'In fact, the age-standardised CVD death rate of 272 per 1,00,000 population in India is higher than the global average of 235 per 1,00,000. Ischemic heart disease (IHD) and stroke, together constitute towards CVD mortality in India (83 per cent).'This impacts the rich and poor equally. CVDs impact Indians in their most productive years of mid-life, as compared to people with European ancestry,' the expert added.
Dr Khanna compared the alarming rise of IHD over the last few decades in the country.
'The prevalence of IHD in 1960 in urban India was two per cent, and increased sevenfold to around 14 per cent by 2013. Similarly, it more than quadrupled in rural areas, from 1.7 per cent to 7.4 per cent between 1970 and 2013.'
Along the same line, he explained that early onset of incident myocardial infarction (heart attack) is increasing in South Asian population. Comparing the prevalence of ischemic heart disease across Indian states, the highest was found in Kerala, Punjab, Tamil Nadu and Maharashtra.
Shedding light on the incidence of Peripheral artery disease (PAD), Dr Khanna elucidated, 'According to a study, we have been able to gather that in South India’s urban setting, population at or above the age of 20 years showed PAD prevalence of 3.2 per cent.'The prevalence of PAD was more in women, despite the fact that major risk factors like diabetes and hypertension were not higher in women. Incidence of hypertension is expected to double by 2025,' Dr Khanna stated.
'The prevalence of hypertension in adult Indians is estimated to be 30 per cent, out of which 34 per cent is in urban areas and 28 per cent is in rural areas. The number of individuals with hypertension is expected to double from 118 million in 2000 to 213.5 million by 2025.
'In India, the average blood pressure has increased in the past two decades, whereas in most Western nations, it has declined. Also, in the urban areas of India, the prevalence of diabetes mellitus has almost doubled in the past 20 years, from nine per cent to 17 per cent, and in rural areas, it has nearly quadrupled, from two per cent to nine per cent.'It is estimated that the number of individuals with diabetes mellitus will increase to an alarming 101 million by 2030,' Dr Khanna warned.