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Pattern of Cardiac Diseases in Bangladesh Nicvd
Pattern of Cardiac Diseases in Bangladesh Nicvd
BANGLADESH
Population : 143809000 143.8 million
Urban Population
: 21.5%
369 USD
62.6 M/F : 55.3 Male 53.3 Female 71 Male 73 Female 3.0 251 Male 258 Female 58 USD 3.5%
Healthy Life Expectancy at birth (Years) Child mortality/1000 Maternal Mortality Ratio/1000 Adult Mortality/1000 Per Capita Total Health Expenditure : : : :
4.89
4.18 3.35 2.91 2.42 2.36 2.20 1.81 1.70 1.65 1.48 1.21 1.15 1.10 1.10 1.04
5.87
3.41 3.12 3.31 2.65 2.65 2.18 1.51 1.42 1.80 1.14 1.70 1.32 1.14 0.76
3.54
5.24 3.67 3.36 2.10 1.97 2.23 2.23 2.10 1.44 1.97 1.21 0.39 0.79 1.05 1.44
:
:
7062
207 (2.9%)
Hypertension
: 83 (1.10%)
: 53 (0.75%)
: 24 (0.33%) : 13 (0.18%)
Arrhythmia
Others
Brig. A. Malik, BMRC Bulletin, 1976; 2:115-119
: 16 (0.22%)
: 18 (0.25%)
Hypertension Ischaemic Heart Diseases Rheumatic Heart Diseases Congenital Heart Diseases Others
Hypertension Ischaemic Heart Diseases Rheumatic Heart Diseases Congenital Heart Diseases Others
207 203 97
Hypertension
Ischaemic Heart Disease Rheumatic Heart Disease Congenital Heart Disease
1.10%
0.33% 0.75% 0.18% 0.25%
2.1%
1.3% 0.75% 0.22% 0.25%
2.65%
1.72% 0.98% 0.30% 0.30%
Others
2.5
1.5
0.5
Prevalence of CHD, sHTN and dHTN in NIDDM subjects at the time of diagnosis by sex and area
Prevalence (%)
Disease events
CHD
(SBP>140mmHg)
sHTN
dHTN
(DBP>90mmHg)
Sex
Men
Women M+W Area Rural Urban
295
398 693
16.6
20.1 18.6
19.3
26.1 23.2
11.2
15.3 13.6
174 519
17.8 18.9
18.4 24.9
5.7 16.2
From July1995-1997 4410 Cardiac Patients were Admitted in 13 Regional and Tertiary Hospitals 34% patients were of Ischaemic Heart Diseases
Chest & Heart Diseases of Bangladesh, 2001
Total
2004
630 213 55 23 210 1131 3247 1403 542 146 900 6238
%
52 22.4 8.6 2.3 14.4 100
2000
596 292 176 33 154 1251
2001
603 248 161 36 169 1217
2002
725 316 66 25 161 1346
2003
693 334 84 29 206 1346
Smoking
Hypertension Dyslipidaemia Diabetes Mellitus
No major risk factors:
J Bangladesh Coll Phy Surg 1996; 14:94-97 J. Inst. Postgrad. Med. Res. 1998;13:5-8 Chest and Heart Bulletin, 1998;22:49-52
52 - 70%
30 48% 29 51% 23 39%
6% - 9%
Bangladesh Cardiac Society : Organizationally no epidemiological survey. Individual Members : Mostly clinical research
Activities:
Seminars
Publication of Journal (Bangladesh Heart Journal) CME program Conferences International relations : WHF, APSC, SAARC Cardiac Society
Fund :
SUMMARY
Cardiovascular diseases are increasing in Bangladesh The Prevalence of the disease raised from 29 per thousand to 59 per thousand by 10 years. Ischaemic Heart Disease most common cardiovascular disease increased from 3.3 per thousand to 17 per thousand indicating 5 fold increase of the disease.
With the decline of the mortality due to Infectious and diarrhoeal diseases and deaths from perinatal cause cardiovascular diseases particularly
Ischaemic Heart Disease will be the major health problem and No. 1 killer disease in our country.
Contd
Socio-economic improvement and changes in life style in respect of increase in tobacco consumption and saturated fat intake, decrease in physical activity, increasing body weight and