nach oben

Erschienen in:

01.06.2017 | Global Coronary Heart Disease (S. Virani and S. Naderi, Section Editors)

Overview of Coronary Heart Disease Risk Initiatives in South Asia

verfasst von: Ankur Kalra, Deepak L. Bhatt, Sanjay Rajagopalan, Kunal Suri, Sundeep Mishra, Romaina Iqbal, Salim S. Virani

Erschienen in: Current Atherosclerosis Reports | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Cardiovascular disease (CVD) is now the leading cause of morbidity and mortality worldwide. Industrialization and economic growth have led to an unprecedented increment in the burden of CVD and their risk factors in less industrialized regions of the world. While there are abundant data on CVD and their risk factors from longitudinal cohort studies done in the West, good-quality data from South Asia are lacking.

Recent Findings

Several multi-institutional, observational, prospective registries, and epidemiologic cohorts in South Asia have been established to systematically evaluate the burden of CVD and their risk factors. The PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP), the Kerala Acute Coronary Syndrome (ACS), and Trivandrum Heart Failure registries have focused on secondary prevention of CVD and performance measurement in both outpatient and inpatient settings, respectively. The Prospective Urban and Rural Epidemiology (PURE), Centre for Cardiometabolic Risk Reduction in South Asia (CARRS), and other epidemiologic and genetic studies have focused on primary prevention of CVD and evaluated variables such as environment, smoking, physical activity, health systems, food and nutrition policy, dietary consumption patterns, socioeconomic factors, and healthy neighborhoods.

Summary

The international cardiovascular community has been responsive to a burgeoning cardiovascular disease burden in South Asia. Several collaborations have formed between the West (North America in particular) and South Asia to catalyze evidence-based and data-driven changes in the federal health policy in this part of the world to promote cardiovascular health and mitigate cardiovascular risk.

Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet. 1997;349:1269–76.CrossRefPubMed

IHME. The global burden of disease: generating evidence, guiding policy—South Asia regional edition. Seattle, Washington: Institute for Health Metrics and Evaluation, University of Washington and Human Development Network, The World Bank; 2013.

•• Kalra A, Pokharel Y, Hira RS, Risch S, Vicera V, Li Q, Kalra RN, Kerkar PG, Kumar G, Maddox TM, Oetgen WJ, Glusenkamp N, Turakhia MP, Virani SS. Cardiovascular disease performance measures in the outpatient setting in India: insights from the American College of Cardiology’s PINNACLE India Quality Improvement Program (PIQIP). J Am Heart Assoc. 2015;4. doi: 10.1161/JAHA.115.001910. This paper describes in depth the genesis of India’s first outpatient cardiovascular disease performance measurement program, PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP).

•• Mohanan PP, Mathew R, Harikrishnan S, Krishnan MN, Zachariah G, Joseph J, Eapen K, Abraham M, Menon J, Thomas M, Jacob S, Huffman MD, Prabhakaran D, Kerala ACS Registry Investigators. Presentation, management, and outcomes of 25 748 acute coronary syndrome admissions in Kerala, India: results from the Kerala ACS Registry. Eur Heart J. 2013;34:121–9. This paper provides insights into the contemporary demographic and management of ST-segment-elevation myocardial infarction in India from the Kerala acute coronary syndrome registry CrossRefPubMed

• Harikrishnan S, Sanjay G, Anees T, Viswanathan S, Vijayaraghavan G, Bahuleyan CG, Sreedharan M, Biju R, Nair T, Suresh K, Rao AC, Dalus D, Huffman MD, Jeemon P, Trivandrum Heart Failure Registry. Clinical presentation, management, in-hospital and 90-day outcomes of heart failure patients in Trivandrum, Kerala, India: the Trivandrum Heart Failure Registry. Eur J Heart Fail. 2015;17:794–800. This paper provides contemporary insights into the demographic and management of acutely decompensated heart failure in India, from the Trivandrum Heart Failure Registry CrossRefPubMed

Teo K, Chow CK, Vaz M, Rangarajan S, Yusuf S, PURE Investigators-Writing Group. The Prospective Urban Rural Epidemiology (PURE) study: examining the impact of societal influences on chronic noncommunicable diseases in low-, middle-, and high-income countries. Am Heart J. 2009;158:1–7.e1.CrossRefPubMed

Nair M, Ali MK, Ajay VS, Shivashankar R, Mohan V, Pradeepa R, Deepa M, Khan HM, Kadir MM, Fatmi ZA, Reddy KS, Tandon N, Narayan KM, Prabhakaran D. CARRS Surveillance study: design and methods to assess burdens from multiple perspectives. BMC Public Health. 2012;12:701. doi:10.1186/1471-2458-12-701.CrossRefPubMedPubMedCentral

Saleheen D, Zaidi M, Rasheed A, et al. The Pakistan Risk of Myocardial Infarction Study: a resource for the study of genetic, lifestyle and other determinants of myocardial infarction in South Asia. Eur J Epidemiol. 2009;24:329–38.CrossRefPubMedPubMedCentral

Chowdhury R, Alam DS, Fakir II, Adnan SD, Naheed A, Tasmin I, Monower MM, Hossain F, Hossain FM, Rahman MM, Afrin S, Roy AK, Akter M, Sume SA, Biswas AK, Pennells L, Surendran P, Young RD, Spackman SA, Hasan K, Harshfield E, Sheikh N, Houghton R, Saleheen D, Howson JM, Butterworth AS, Cardiology Research Group, Raqib R, Majumder AA, Danesh J, Di Angelantonio E. The Bangladesh Risk of Acute Vascular Events (BRAVE) Study: objectives and design. Eur J Epidemiol. 2015;30:577–87.CrossRefPubMedPubMedCentral

10.

Kalra A, Glusenkamp N, Oetgen WJ, Virani SS. Contemporary data on cardiovascular diseases in Indians: American College of Cardiology’s PINNACLE India Quality Improvement Program. Indian Heart J. 2016;68:434–5.CrossRefPubMedPubMedCentral

11.

Das J, Hammer J, Leonard K. The quality of medical advice in low-income countries. J Econ Perspect. 2008;22:93–114.CrossRefPubMed

12.

• Pokharel Y, Wei J, Hira RS, Kalra A, Shore S, Kerkar PG, Kumar G, Risch S, Vicera V, Oetgen WJ, Deswal A, Turakhia MP, Glusenkamp N, Virani SS. Guideline-directed medication use in patients with heart failure with reduced ejection fraction in India: American College of Cardiology’s PINNACLE India Quality Improvement Program. Clin Cardiol. 2016;39:145–9. This paper provides performance measurement data on outpatient heart failure management in India from the PIQIP registry CrossRefPubMed

13.

Kalra A, Pokharel Y, Glusenkamp N, Wei J, Kerkar PG, Oetgen WJ, Virani SS, PINNACLE India Quality Improvement Program (PIQIP) Investigators. Gender disparities in cardiovascular care access and delivery in India: insights from the American College of Cardiology’s PINNACLE India Quality Improvement Program (PIQIP). Int J Cardiol. 2016;215:248–51.CrossRefPubMed

14.

Kalra A, Glusenkamp N, Anderson K, Kalra RN, Kerkar PG, Kumar G, Maddox TM, Oetgen WJ, Virani SS, PIQIP Investigators. American College of Cardiology (ACC)’s PINNACLE India Quality Improvement Program (PIQIP)-Inception, progress and future direction: a report from the PIQIP Investigators. Indian Heart J. 2016;68(Suppl 3):S1–4. doi:10.1016/j.ihj.2016.09.005.CrossRefPubMed

15.

Patel A, Vishwanathan S, Nair T, Bahuleyan CG, Jayaprakash VL, Baldridge A, Huffman MD, Prabhakaran D, Mohanan PP. Sex differences in the presentation, diagnosis, and management of acute coronary syndromes: findings from the Kerala-India ACS Registry. Glob Heart. 2015;10:273–80.CrossRefPubMedPubMedCentral

16.

Xavier D, Pais P, Devereaux PJ, Xie C, Prabhakaran D, Reddy KS, Gupta R, Joshi P, Kerkar P, Thanikachalam S, Haridas KK, Jaison TM, Naik S, Maity AK, Yusuf S, CREATE registry investigators. Treatment and outcomes of acute coronary syndromes in India (CREATE): a prospective analysis of registry data. Lancet. 2008;371:1435–42.CrossRefPubMed

17.

• Alexander T, Mullasari AS, Narula J. Developing a STEMI system of care for low- and middle-income countries: the STEMI-India model. Glob Heart. 2014;9:419–23. This paper describes the design of the nationwide ST-segment-elevation myocardial infarction India model for streamlining primary percutaneous coronary intervention in India CrossRefPubMed

18.

Alexander T, Mehta S, Mullasari A, Nallamothu BK. Systems of care for ST-elevation myocardial infarction in India. Heart. 2012;98:15–7.CrossRefPubMed

19.

Teo K, Lear S, Islam S, Mony P, Dehghan M, Li W, Rosengren A, Lopez-Jaramillo P, Diaz R, Oliveira G, Miskan M, Rangarajan S, Iqbal R, Ilow R, Puone T, Bahonar A, Gulec S, Darwish EA, Lanas F, Vijaykumar K, Rahman O, Chifamba J, Hou Y, Li N, Yusuf S, PURE Investigators. Prevalence of a healthy lifestyle among individuals with cardiovascular disease in high-, middle- and low-income countries: the Prospective Urban Rural Epidemiology (PURE) study. JAMA. 2013;309:1613–21.CrossRefPubMed

20.

•• Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A, Bahonar A, Chifamba J, Dagenais G, Diaz R, Kazmi K, Lanas F, Wei L, Lopez-Jaramillo P, Fanghong L, Ismail NH, Puoane T, Rosengren A, Szuba A, Temizhan A, Wielgosz A, Yusuf R, Yusufali A, McKee M, Liu L, Mony P, Yusuf S, PURE (Prospective Urban Rural Epidemiology) Study investigators. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310:959–68. This paper discusses the awareness, treatment, and control of hypertension comparing data from high-, upper-middle-, lower-middle-, and low-income countries, with data from South Asia from Bangladesh, India, and Pakistan CrossRefPubMed

21.

Miller V, Yusuf S, Chow CK, Dehghan M, Corsi DJ, Lock K, Popkin B, Rangarajan S, Khatib R, Lear SA, Mony P, Kaur M, Mohan V, Vijayakumar K, Gupta R, Kruger A, Tsolekile L, Mohammadifard N, Rahman O, Rosengren A, Avezum A, Orlandini A, Ismail N, Lopez-Jaramillo P, Yusufali A, Karsidag K, Iqbal R, Chifamba J, Oakley SM, Ariffin F, Zatonska K, Poirier P, Wei L, Jian B, Hui C, Xu L, Xiulin B, Teo K, Mente A. Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet Glob Health. 2016;4:e695–703.CrossRefPubMed

22.

World Health Organization. UN high-level meeting on NCDs (New York, 19–20 September 2011). Summary report of the discussions at the round tables. New York: United Nations; 2011.

23.

• Deepa M, Grace M, Binukumar B, Pradeepa R, Roopa S, Khan HM, Fatmi Z, Kadir MM, Naeem I, Ajay VS, Anjana RM, Ali MK, Prabhakaran D, Tandon N, Mohan V, Narayan KM, CARRS Surveillance Research Group. High burden of prediabetes and diabetes in three large cities in South Asia: the Center for cArdio-metabolic Risk Reduction in South Asia (CARRS) Study. Diabetes Res Clin Pract. 2015;110:172–82. This paper provides data on prevalence of prediabetes and diabetes in three urban cities in India and Pakistan; Chennai, Delhi, and Karachi CrossRefPubMedPubMedCentral

24.

Anand S, Shivashankar R, Ali MK, Kondal D, Binukumar B, Montez-Rath ME, Ajay VS, Pradeepa R, Deepa M, Gupta R, Mohan V, Narayan KM, Tandon N, Chertow GM, Prabhakaran D, CARRS Investigators. Prevalence of chronic kidney disease in two major Indian cities and projections for associated cardiovascular disease. Kidney Int. 2015;88:178–85.CrossRefPubMedPubMedCentral

25.

•• Ali MK, Bhaskarapillai B, Shivashankar R, Mohan D, Fatmi ZA, Pradeepa R, Masood Kadir M, Mohan V, Tandon N, Narayan KM, Prabhakaran D, CARRS investigators. Socioeconomic status and cardiovascular risk in urban South Asia: the CARRS Study. Eur J Prev Cardiol. 2016;23:408–19. This paper provides contemporary insights into the socioeconomic status of South Asian urban dwellers and its correlation with cardiovascular risk in Chennai and Delhi in India and Karachi in Pakistan CrossRefPubMed

26.

Berg CJ, Ajay VS, Ali MK, Kondal D, Khan HM, Shivashankar R, Pradeepa R, Mohan D, Fatmi Z, Kadir MM, Tandon N, Mohan V, Narayan KM, Prabhakaran D. A cross-sectional study of the prevalence and correlates of tobacco use in Chennai, Delhi, and Karachi: data from the CARRS study. BMC Public Health. 2015;15:483.CrossRefPubMedPubMedCentral

Titel: Overview of Coronary Heart Disease Risk Initiatives in South Asia
verfasst von: Ankur Kalra
Deepak L. Bhatt
Sanjay Rajagopalan
Kunal Suri
Sundeep Mishra
Romaina Iqbal
Salim S. Virani
Publikationsdatum: 01.06.2017
Verlag: Springer US
Erschienen in: Current Atherosclerosis Reports / Ausgabe 6/2017
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI: https://doi.org/10.1007/s11883-017-0662-1

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2017

Role of Inflammation in Heart Failure

The Role of Emerging Risk Factors in Cardiovascular Outcomes

Role of Non-Statins, LDL-C Thresholds, and Special Population Considerations: A Look at the Updated 2016 ACC Consensus Committee Recommendations

What is the Current Knowledge About the Cardiovascular Risk for Users of Cannabis-Based Products? A Systematic Review