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Cardiological Society of India ​​Organizing World Heart Day 2017

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Hyderabad 28 September 2017: Taking action all over the world your heart powers your whole body. It lets you love, laugh and live your life to the full. That’s why it’s so important to look after it. If you don’t, you’re putting yourself at risk of cardiovascular disease (CVD), which includes heart disease and stroke. CVD is the world’s number one killer. Each year, it’s responsible for 17.5 million premature deaths, and by 2030 this is expected to rise to 23 million

But the good news is that much CVD can be prevented by making just a few simple daily changes, like eating and drinking more healthily, getting more exercise and stopping smoking.

This World Heart Day, we’re asking you to share how you power your heart and inspire millions of people around the world to be heart healthy. So let’s make sure we all take action to keep our hearts charged and make a lasting difference to our health.

Fuel your heart. Move your heart. Love your heart. And share the power.

EXERCISE: One of every 2 individuals in the ICMR-INDIAB study was considered physically inactive. In general, advise adults to engage in aerobic physical activity to lower

BP: 3-4 sessions a week lasting on average 40 minutes per session and involving physical activity of moderate to vigorous intensity. . However, in a large study conducted in industrial settings, leisure-time physical activity showed an inverse social gradient (ie, higher levels of physical inactivity among lower educational status)

DIET: Advise adults who would benefit from BP lowering to consume a dietary pattern that emphasizes intake of vegetables, fruits, and whole grains; includes low-fat dairy products, poultry, fish, legumes, nontropical vegetable oils, and nuts; and limits intake of sweets, SSBs, and red meat

CHILDREN: Consequently, rates of type 2 diabetes, hypertension, and lipid abnormalities associated with obesity are rising—trends that are particularly evident in children.

Members of LOWER SOCIOECONOMIC GROUPS suffering the highest rates of CHD and the highest levels of various risk factors

RURAL: A study in rural India, for example, found that 51% of all CVD deaths occurred in individuals younger

Than 70 years of age.

OBESITY: In 1980, the worldwide obesity prevalence rate was 4.8% in men and 7.9% in women. By 2008, prevalence rates had nearly doubled to 9.8% in men and 13.8% in women.

 NUTRITION  :One  of  the  best  studied  dietary  approaches  in  cardiology  is  the Mediterranean-style  diet—a  relatively  simple  diet  plan  that  includes increased  intake  of  vegetables  and  fruit,  preference  for  whole  grains over  refined,  reduced  red  meat  and  increased  fish  consumption,  and predominant  use  of  olive  and  canola  oil. .  Dark  green  leafy  vegetables,  including  spinach  and  kale,  are  especially cardioprotective,  probably  in  part  because  of  their  high  folate

PREMATURE MORTALITY in terms of years of life lost because of CVD in India increased by 59%, from 23.2 million (1990) to 37 million (2010).

TRANSITION :In a short timeframe, the predominant epidemiological characteristics have transitioned from infectious diseases, diseases of undernutrition, and maternal and childhood diseases to noncommunicable diseases (NCDs)

IHD : The prevalence of IHD in 1960 in urban India was 2%, and increased 7-fold to ≈14% by 2013

RHEUMATIC HEART DISEASE also continues to be a problem in several parts of India, with an estimated 88674 deaths (7 per 100 000 population) in the year 2010

TOBACCO :It is estimated that, currently, 275 million individuals aged ≥15 years consume tobacco in India.The mortality burden attributable to tobacco in India is huge, because it is estimated to cause nearly 1 million deaths annually.It is alarming that tobacco use is increasing rapidly among young individuals (20–35 years) in India,53 with a steeper rate of increase among those with lower education

HYPERTENSION :Prospective Urban and Rural Epidemiological (PURE) study, also show that low educational status is associated with lower rates of awareness, treatment, and control of hypertension

DIABETES : In 2013, the International Diabetes Federation estimated that 65.1 million people in India had diabetes mellitus, a high proportion of whom were adults of working age.

LIPIDS :In the ICMR-INDIAB study, a large proportion of people had at least 1 lipid abnormality; only 20% had all lipid parameters (total cholesterol, low-density lipoprotein cholesterol, triglycerides, and high-density lipoprotein cholesterol) within the normal range.

MOTHER :Maternal malnutrition, placental insufficiency, and the resulting fetal programming have been hypothesized to be associated with low-muscle–high-fat body composition (thin-fat child

TAX : l benefits could be gained by imposing taxes on tobacco, palm oil, and sugar-sweetened beverages in India. It is estimated that a 20% tax on sugar-sweetened beverages would reduce overweight and obesity prevalence by 3% and the incidence of type 2 diabetes mellitus by 2%.106 Similarly, a 20% tax on palm oil purchases is expected to avert ≈363000 deaths (a 1.3% absolute reduction in CVD deaths) from myocardial infarctions (MIs) and strokes over a period of 10 years.10

bidis, which are commonly used by Indians, are not adequately taxed because their manufacture is defined as a small-scale industry.

SCREENING : The National Program for the Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke was launched as a pilot project in 10 districts of 10 states of India (January 2008) and focuses on screening for risk factors, health promotion, and health education advocacy at various settings.

33% better adherence with the polypill in comparison with the standard treatment

ARRIVA  TO HOSPITAL:. In the CREATE registry, patients arrived at hospitals very late (mean time of symptom to hospital presentation was 360 minutes), leading to poorer outcomes and higher case fatality .Furthermore, only 41% and 13% received thrombolytic treatment and percutaneous coronary interventions, respectively.

ADHERENCE TO MEDICATIONS   : using community health workers to improve adherence to medications and lifestyle advice for secondary prevention of ACS ( Identifier NCT01207700) with usual care

YOGA-BASED CARDIAC REHABILITATION program may decreased  the incidence of major cardiovascular events and mortality

Because RECIDIVISM is common, patients need continual encouragement from their physicians and
support from family and peers

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