A STUDY ON CARDIOVASCULAR DISEASE PATTERN OF ADMITTED CASES IN NEWLY EMERGED NATIONAL HEART CENTRE

Abstract

Cardiovascular disease is one of the global leading causes of death . Although in
developed countries overall cardiovascular death is declining due to long term decline
of rheumatic heart disease (RHD), cerebro vascular and hypertensive heart disease,
heart disease is still the leading cause of death. In developing countries prevalence of
coronary heart disease (CHD) is in increasing trend and cardiovascular disease pattern
is changing. Cardiovascular disease pattern of this region is revealed in this study.
Total 300 study subjects, admitted from May 2000 to April 2001, 174 (58%) male and
126 (42%) female and age ranged from 5 to 83 years were analyzed retrospectively.
Proportionate distribution of all admitted cases was calculated and arranged in
according with sequence order.
Rheumatic heart disease was found the commonest, which constituted 27.3%, followed
by coronary heart disease (21.7%) and hypertension (20.7%) respectively. Chronic
obstructive pulmonary disease (COPD) with cor pulmonale (7.7%) was fourth in
sequence order then respectively came diabetes mellitus (DM) coexisted with CHD or
hypertension, dilated cardiomyopathy (DCM), cardiac arrhythmia without organic
heart disease, congenital heart disease, infective endocarditis, rheumatic fever,
pericardial effusion etc. Readmission rate within one year was 12.3% and mortality
rate was 2.7%. Conclusion: Rheumatic heart disease is the commonest heart disease
followed by coronary heart disease and hypertension. COPD with cor pulmonale,
diabetes coexisted with CHD or hypertension, DCM and cardiac arrhythmia without
organic heart disease are also common heart diseases.

Key Words: Cardiovascular diseases, Disease pattern.