Dr Rishi Sethi
Economic Burden of
Cardiovascular Diseases
Cardiovascular diseases
Risk factors
&
prevention
In Terms of Attributable
Deaths
Raised blood pressure (13 per cent of global
deaths is attributed),
Tobacco use (9 per cent),
Raised blood glucose (6 per cent),
Physical inactivity (6 per cent) and
Overweight and obesity (5 per cent).
33%
67%
Non
Hypertensiv
e
Age-wise distribution of
Hypertensives
Total Hypertensives: 24,502
33%
13%
25%
29%
18-30 years
31-45 years
46-60 years
Above 60
years
With 1/4th of
people with HTN
falling between
31-45 years, it
can no longer be
called an old age
disease
Even Hypertension
strikes early among
Indians
Undiagnosed Hypertension
Total Hypertensives: 24,502
38%
62%
Uncontrolled Hypertension
Total Hypertensives on medication: 8,060
Despite
medications, 42%
of hypertensive
people had
uncontrolled blood
pressure, putting
them at high risk
for heart disease
42%
58%
Controlled
Summary
One third of Indians above 18 years have hypertension
Even Hypertension strikes early among Indians
2/3 of the people with high BP are not aware of their
disease
Nearly half of known hypertensive people are not well
controlled
Other risk factors are commonly prevalent among
hypertension.
Tobacco use
Cause nearly 10 per cent of all CVD.
Higher risk in female smokers, young men, and
heavy smokers.
Currently about 1 billion smokers in the world
today.
Within two years of quitting, the risk of coronary
heart disease is substantially reduced, and within
15 years the risk of CVD returns to that of a nonsmoker
Teo
KK, Ounpuu S, Hawken S, et al. INTERHEART Study
Investigators. Tobacco use and risk of myocardial infarction in 52
countries in the INTERHEART study: a case-control study. Lancet.
2006;368(9536):647658.
Cholesterol/lipids
Globally, one third of ischaemic heart disease is
attributable to high cholesterol.
Prevalence of raised total cholesterol among
adults is around 9.7 percent.
Global prevalence of raised total cholesterol
among adults was 39 percent.
Unhealthy diet
High
dietary intakes of
Saturated fat,
Trans-fats and salt, and
Low intake of fruits, vegetables and fish are
linked to cardiovascular risk.
Physical inactivity
Defined as less than five times 30 minutes of
moderate activity per week, or less than three times
20 minutes of vigorous activity per week, or
equivalent.
Approximately 3.2 million deaths and each year are
attributable to insufficient physical activity.
20 to 30 per cent increased risk of all cause mortality
compared to those who are physically active.
Higher prevalence in high-income countries.