Indian Journal of Public Health Research & Development

  • Year: 2014
  • Volume: 5
  • Issue: 2

Prevalence and Spectrum of Cardiac Disease in a Rural Populace of Coastal Andhra Pradesh

1Associate Professor, Department of Medicine, GSL Medical College, Lakshmipuram, NH-216, Rajanagaram, Rajahmundry, Andhra Pradesh

2Associate Professor, Department of Obstetrics and Gynaecology, GSL Medical College, Lakshmipuram, NH-216, Rajanagaram, Rajahmundry, Andhra Pradesh

3Lecturer, Department of Community Medicine, GSL Medical College, Lakshmipuram, NH-216, Rajanagaram, Rajahmundry, Andhra Pradesh

Abstract

By the year 2020 India will have more number of cardiac cases than any other country in the world. Epidemiological transition has brought about a significant change in the disease pattern in the last four decades. Studies regarding the prevalence of cardiac disease in this region are few.

The objective of this study was to examine the prevalence and pattern of cardiac disease

in the rural population of coastal Andhra Pradesh.

Under Rajiv Arogyasri, a community health insurance scheme 213 health camps were conducted in five districts of costal Andhra Pradesh and 22508 subjects were screened for cardiac disease between December 2007 and November 2011. Cardiac screening included clinical examination, electrocardiography and echocardiography. After screening 1970 subjects were found to have cardiac disease and were admitted in the hospital for further investigations and treatment.

The cardiac disease prevalence rate in this study was 8.75%. Coronary artery disease(CAD) was found in 73% of the subjects, Rheumatic heart disease(RHD) in 17%, Congenital heart disease(CHD) in 3.35%, Cardiomyopathy in 3.35%, Complete heart block in 2.74% and Pericardial disease in 0.41% subjects.

Cardiac disease prevalence rates were high in the rural population of costal Andhrapradesh. Coronary artery disease accounted for 3/4ths of the disease burden followed by rheumatic heart disease. Congenital heart disease, cardiomyopathy, conduction abnormalities and pericardial disease together contributed for 10% of the cardiac disease.

Keywords

Prevalence, Cardiac Disease, Andhra Pradesh