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What is Heart Disease?

Heart : The most hard-working muscle of our body – pumps 4-5 liters of blood every minute during rest

Supplies nutrients and oxygen rich blood to all body parts, including itself

Coronary arteries surrounding the heart keep it nourished with blood

What is Atherosclerosis 
what is coronary artery disease?

Over time, fatty deposits called plaque build up within the artery walls. The artery becomes narrow. This is atherosclerosis

When this occurs in the coronary arteries, heart does not get sufficient blood, the condition is called coronary artery disease, or coronary heart disease

Myth: fat deposits at old age!

It starts from 2 years of age

From First Decade From Fourth Decade From Third Decade

Are other organs affected?

Coronary Heart Disease

Angina MI (Heart Attack)

Ischemic Sroke

Peripheral Vascular Disease

Sudden Cardiac Peripheral

What are the symptoms of Coronary artery disease?

No symptoms for long period Chest pain for short period on exertion also known as Angina or minor heart attack Myocardial Infarction or major heart attack-Severe chest pain, death of heart muscle, heart failure, irregular heart beats  

Sudden Death

How Big is the Problem?

No. 1 killer disease worldwide

12 Million deaths annually

During last 30 years large declines in developed countries -rising health awareness and government programs

Alarming increase in developing countries especially India

Why Should I (Indian) be Worried?

Indians More susceptible that any other ethnic group

3.4 times more than Americans

6 times more than Chinese

20 times more than Japanese

Occurs at lower cholesterol

Get the disease at much younger age

5-10 years earlier than other communities

Disease follows more severe and malignant course

3 times higher rate of second heart attack and two times higher mortality than whites

Why Me?

Genetic predisposition Poor handling of fats and metabolic syndrome

Diabetes, obesity, high BP, Coronary artery disease

Environmental insults

Urbanization

Sudden change in lifestyle

What Increases Risk?

You can’t help it ! You can !!

Age:      High Cholesterol

Men > 45;     Smoking

Women > 55   High Blood Pressure

Sex     Diabetes

Race     Obesity

Family History   Alcohol  

Physical Inactivity