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TORONTO – Deaths from cardiovascular disease are on the rise in India, causing more than a quarter of deaths in the country in 2015 and affecting most rural populations and young adults, suggests a study released today. 39th . Lancet Global Health .
This work is the first nationally representative study to measure cardiovascular mortality in India. Led by Dr. Prabhat Jha, director of the Center for Global Health Research at St. Michael's Hospital in Toronto, Canada, he revealed that mortality rates from ischemic heart disease – heart problems caused by narrowing of the arteries of the heart – In contrast, the probability of dying from a stroke decreased overall, but it increased in the northeastern states of India where a population of 30 to 69 years has grown rapidly in rural areas of India. one-third of premature deaths from stroke occurred and only one-sixth of the population lives. In these states, deaths from stroke were about three times higher than the national average.
"The discovery of a nationwide heart disease in India and the occurrence of a stroke was surprising," said Dr. Jha. Professor at the Dalla Lana School of Public Health at the University of Toronto. "This study also uncovered an important fact for the prevention of deaths from cardiovascular disease.Most deaths occurred in people with previously known heart disease, and at least half of them do not. did not take regular medications. "
Jha and his team also showed that young adults, especially those born after 1970, had the highest mortality rate due to heart problems caused by narrowing of the arteries of the heart.
Cardiovascular disease, mainly consisting of ischemic heart failure and stroke, is the leading cause of death worldwide.To date, most evidence of cardiovascular mortality in India came from small local studies or imprecise modeling exercises.
"This work provides us with more detailed information than we do." 9 could not have predicted based on previous studies, "said Dr. Jha.
This research is part of the Million Death Study Study, one of the largest studies of premature deaths in the world. In India, most deaths occur at home and without medical care. Hundreds of specially trained census personnel in India knocked on doors to question the household members about the deaths. Two doctors independently examined these "verbal autopsies" to establish the most likely cause of death.
"Making progress in the fight against the leading cause of death in India is necessary to make progress at the global level." "We have demonstrated the unexpected patterns of heart attacks and strokes, both of which must be researched and actioned if the world is to achieve the United Nations Sustainable Development Goals. to reduce cardiovascular mortality by 2030. "
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