Thursday, September 27, 2012

World HEART Day takes place on 29 September each year Bihar Capital is organising its first East India Heart Valve seminar

http://www.world-heart-federation.org/fileadmin/user_upload/images/world-heart-day/2012/WHF_Coeur_Final_Small.jpg

This year  we will make 2012 the year of cardiovascular disease (CVD) prevention among women and children because: 
 
Women/children and CVD are not synonymous:

  • CVD is commonly considered an “older persons” and a “man’s” disease
  • Women underestimate their CVD risk; even though almost half of the 17.3 million annual deaths occur in women
Children are particularly at risk, since they have little control over their environment and can be limited in choices to live heart­-healthily
Unless action is taken to enable heart-­healthy activity, the children of today are at increased CVD risk later in life
Women/mothers are often the « gate keeper » to their family’s health hence a key influencer in keeping their hearts healthy 
 
Bihar Capital is hosting its first East India Heart Valve symposium on the occasion of World Heart Day here  in which several experts would discuss the reason behind the rise in the incidence of rheumatic heart disease in the country.

According to experts, the incidence of rheumatic heart disease is higher in India than what is believed. Rheumatic heart disease was thought to be on the wane in India because of improving standards of living but the estimated echocardiographically detected rheumatic heart disease in India is as bad as in Mozambique (21.5 cases per 1000).

Prevalence of rheumatic heart disease among children in northern India is as high as 20.4/1000 school children as against 1/1000 children earlier believed. The adult average ranges between 120 and 200 per 100,000 populations, said an expert.

According to Dr Ajit Pradhan, organizing secretary of the symposium - if only the preventive aspect and health care delivery system is improved, this major health hazard can be taken care of and done away with, as in the West. To address this major health problem, ST Iude Medical in association with JeevaK Heart Hospital & Research Institute, Patna, several experts are gathering here.

Valvular heart disease is one of the commonest heart disease afflicting the Indians, and people in other developing nations. The developed countries have witnessed a dramatic decline in incidence of rheumatic fever and rheumatic heart disease in the 20 thcentury but it is a major health care concern in developing countries.

Most common cause of valvular heart disease is secondary to rheumatic fever and is called rheumatic heart disease, where heart valves are affected. Patients affected with this chronic disabling life threatening illness end up with Open heart surgery where their valves are replaced-----with its own set of problems, said another expert.

Prevention of this disease is very important but, unfortunately penicillin - the basic injection for prevention and treatment is quite often not available, as most pharmaceutical company have stopped manufacturing it.

 The result is that only 36% of patient with moderate or severe disease and only 20% of those, who have undergone valve-replacement surgery in India are receiving secondary prophylaxis with penicillin.
Amongst the speakers are - Dr. Ajay Kaul of Escorts hospital, 
                                           Dr. Pramod Kumar, HoD Fortis hospital, Shalimar Bagh Delhi , 
                                           Dr. Ajit Pradhan 
                                           Dr. S S Chatterjee and 
                                           Dr. R K Agarwal (all both from Patna).

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