Abstract
Aim
The purpose of the present study was to measure the frequency of CVDs and some of the risk factors and to familiarize people with information on the high rates of mortality and morbidity due to CVDs in the studied areas of Punjab, Pakistan.
Subjects
Cardiovascular diseases (CVDs) are the leading cause of sudden death. CVDs are a major health problem in Pakistan, and the number of patients is increasing daily.
Aim
The purpose of the present study was to measure the frequency of CVDs and some of the risk factors and to familiarize people with information on the high rates of mortality and morbidity due to CVDs in the studied areas of Punjab, Pakistan.
Method
A cross-sectional study was conducted to investigate the prevalence of cardiovascular diseases in the local population of 53 cities in Punjab, Pakistan. A total of 6351 individuals were contacted to collect data using a questionnaire from October 2014 to September 2015. Data were collected directly by meeting the participants or indirectly through relatives and friends.
Results
Of the participants, 49.2% (3127/6351) were male and 50.8% (3224/6351) female. The data showed that 17.5% (1109/6351) of the population had CVDs with 16.6% (519/3127) being male and 18.3% (590/3224) female.
Conclusion
This study concluded that CVDs are a serious problem for both genders and affected 17.5% of the studied population. Diseases are more common in females than males with young age of onset. An inactive lifestyle, low level of activity and family history of disease could be disease risk factors in the study area.
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References
Abbas S, Kitchlew A, Abbas S (2009) Disease burden of ischemic heart disease in Pakistan and its risk factors. Ann Pak Inst Med Sci 5:145–150
Ahmad M, Afzal S, Malik IA, Mushtaq S, Mubarik A (2005) An autopsy study of sudden cardiac death. J-Pakistan Med Assoc 55:149
Alwan AD, Galea G, Stuckler D (2011) Development at risk: addressing noncommunicable diseases at the United Nations high-level meeting. Bull World Health Organ 89:546–546
Barzi F, Patel A, Gu D, Sritara P, Lam T, Rodgers A, Woodward M (2007) Cardiovascular risk prediction tools for populations in Asia. J Epidemiol Community Health 61:115–121
Collins SP, Hinckley WR, Storrow AB (2005) Critical review and recommendations for nesiritide use in the emergency department. J Emergency Med 29:317–329
Diehm C, Schuster A, Allenberg JR, Darius H, Haberl R, Lange S, Pittrow D, von Stritzky B, Tepohl G, Trampisch H-J (2004) High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study. Atherosclerosis 172:95–105
Farooqui R, Haroon U, Niazi A, Rehan N, Butt TK, Niazi M (2010) Congenital heart diseases in neonates. J Rawalpindi Med Coll 14:31–32
Federman DG, Bravata DM, Kirsner RS (2004) Peripheral arterial disease. A systemic disease extending beyond the affected extremity. Geriatrics 59:26, 29–30, 32 passim
Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, Singh GM, Gutierrez HR, Lu Y, Bahalim AN (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9· 1 million participants. Lancet 377:557–567
Foroughi M, Ahranjani S, Ebrahimian M, Saieedi M, Safi M, Abtahian Z (2014) Coronary artery disease in Iranian young adults, similarities and differences Open J Epidemiol 4:19–24
Fowkes FGR, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, Norman PE, Sampson UK, Williams LJ, Mensah GA (2013) Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet 382:1329–1340
Franklin SS, Wong ND (2013) Hypertension and cardiovascular disease: contributions of the Framingham heart study. Glob Heart 8:49–57
Golomb BA, Dang TT, Criqui MH (2006) Peripheral arterial disease. Circulation 114:688–699
Gul AM, Hafizullah M, Zeb S, Shah I, Ali N, Ali J, Rauf MA, Irfan M (2014) Left ventricular systolic dysfunction as a surrogate for rheumatic myocarditis in patients with isolated rheumatic mitral stenosis. Pakistan Heart J 46
Gunaratne PS, Fernando A, Sharma VK (2009) Development of stroke care in Sri Lanka. Int J Stroke 4:38–39
Haq U, Lip G (2009) A prospective survey of acute hospital admissions with atrial fibrillation in Karachi. J Coll Physicians Surg Pak 39:200–2003
Hashmi M, Khan M, Wasay M (2013) Growing burden of stroke in Pakistan: a review of progress and limitations. Int J Stroke 8:575–581
Hosseini SK, Soleimani A, Salarifar M, Pourhoseini H, Nematipoor E, Abbasi SH, Abbasi A (2011) Demographics and angiographic findings in patients under 35 years of age with acute ST elevation myocardial infarction. J Tehran Heart Center 6:62
Hussain S, Sattar U, Azhar MA (2014) Risk factors for ischemic heart disease in southern Punjab. Pakistan Heart J 46
Jack DB (1997) One hundred years of aspirin. Lancet 350:437–439
Jafar T (2006) Blood pressure, diabetes, and increased dietary salt associated with stroke-results from a community-based study in Pakistan. J Hum Hypertens 20:83–83
Jafar TH, Qadri Z, Chaturvedi N (2007) Coronary artery disease epidemic in Pakistan-more electrocardiographic evidence of ischemia in women than in men. Heart 94:408–413. https://doi.org/10.1136/hrt.2007.120774
Joshi P, Islam S, Pais P, Reddy S, Dorairaj P, Kazmi K, Pandey MR, Haque S, Mendis S, Rangarajan S (2007) Risk factors for early myocardial infarction in south Asians compared with individuals in other countries. JAMA 297:286–294
Kaemmerer H, Hess J (2005) Adult patients with congenital heart abnormalities: present and future. Dtsch Med Wochenschr 130:97–101
Kamal AK, Itrat A, Murtaza M, Khan M, Rasheed A, Ali A, Akber A, Akber Z, Iqbal N, Shoukat S (2009) The burden of stroke and transient ischemic attack in Pakistan: a community-based prevalence study. BMC Neurol 9:58
Khan H, Jan H, Hafizullah M (2009) A hospital-based study on causes peculiar to heart failure. J Tehran University Heart Center 4:25–28
Khatri IA, Wasay M (2011) Can we stop the stroke epidemic in Pakistan? J Coll Physicians Surg Pak 21:195–196
Kumar BN, Selmer R, Lindman AS, Tverdal A, Falster K, Meyer HE (2009) Ethnic differences in SCORE cardiovascular risk in Oslo, Norway. Eur J Cardiovasc Prev Rehabil 16:229–234
Maron BJ, Spirito P, Roman MJ, Paranicas M, Okin PM, Best LG, Lee ET, Devereux RB (2004) Prevalence of hypertrophic cardiomyopathy in a population-based sample of American Indians aged 51 to 77 years (the strong heart study). Am J Cardiol 93:1510–1514
Mohammad Q (2014) Management of stroke-Bangladesh perspective. Bangladesh Med J 42:34–37
Morita H, Seidman J, Seidman CE (2005) Genetic causes of human heart failure. J Clin Invest 115:518. https://doi.org/10.1172/jci24351
Mosca L, Benjamin EJ, Berra K, Bezanson JL, Dolor RJ, Lloyd-Jones DM, Newby LK, Piña IL, Roger VL, Shaw LJ (2011) Effectiveness-based guidelines for the prevention of cardiovascular disease in women—2011 update. Circulation:CIR. 0b013e31820faaf31828
Muhammad Z, Hashmi A (2013) Frequency of diabetic cardiomyopathy among type-2 diabetics presenting as heart failure. J Coll Physicians Surg Pak 23:538–542
Park K (2005) Hospital waste management. Park’s Textbook of Preventive and Social Medicine M/s Banarasidas Bhanot Publications, New elhi:595–598
Regensteiner JG, Hiatt WR (2002) Current medical therapies for patients with peripheral arterial disease: a critical review. Am J Med 112:49–57
Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N, Hailpern SM, Ho M, Howard V, Kissela B (2008) Heart disease and stroke statistics—2008 update. Circulation 117:e25–e146
Samad A, Sehibzada WA, Nazir F, Khan AA (1996) Incidence of acute myocardial infarction. Pakistan J Cardiol 1
Sliwa K, Fett J, Elkayam U (2006) Peripartum cardiomyopathy. Lancet 368:687–693
Ueshima H, Sekikawa A, Miura K, Turin TC, Takashima N, Kita Y, Watanabe M, Kadota A, Okuda N, Kadowaki T (2008) Cardiovascular disease and risk factors in Asia. Circulation 118:2702–2709
Umbach DM, Weinberg CR (1997) Designing and analysing case-control studies to exploit independence of genotype and exposure. Stat Med 16:1731–1743
WHO (2008) The Global Burden of Disease. World Health Organization; 2008
WHO (2011) Global Status Report on Non communicable Diseases 2010. In: Global Status Report on Non communicable Diseases 2010, Geneva
Yang X-y, X-f L, Lü X-D, Liu Y-L (2009) Incidence of congenital heart disease in Beijing, China. Chin Med J 122:1128–1132
Yarmohammadian M, Esfahani MA-E, Yoosefi A, Shooshtarizadeh S (2012) A study about the effects of health behavior on life style changes of the people affected by cardiovascular diseases. Pak Heart J 38
Yusuf S, Reddy S, Ôunpuu S, Anand S (2001) Global burden of cardiovascular diseases: part II: variations in cardiovascular disease by specific ethnic groups and geographic regions and prevention strategies. Circulation 104:2855–2864. https://doi.org/10.1161/hc4701.099488
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The authors acknowledge the University of Sargodha for providing support to develop the research and manuscript. This research was done using the university's own resources and did not receive any grant or funds in any form.
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Zubair, F., Nawaz, S.K., Nawaz, A. et al. Prevalence of cardiovascular diseases in Punjab, Pakistan: a cross-sectional study. J Public Health (Berl.) 26, 523–529 (2018). https://doi.org/10.1007/s10389-018-0898-4
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DOI: https://doi.org/10.1007/s10389-018-0898-4