Ankur Kalra1,2,3,4, Deepak L Bhatt5, Sanjay Rajagopalan6, Kunal Suri1, Sundeep Mishra7, Romaina Iqbal8, Salim S Virani9,10. 1. Kalra Hospital SRCNC (Sri Ram Cardio-Thoracic and Neurosciences Centre) Pvt. Ltd., New Delhi, India. 2. Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, USA. 3. Weill Cornell Medical College, New York, NY, USA. 4. Safety, Quality, Informatics and Leadership, Harvard Medical School, Boston, MA, USA. 5. Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA, USA. 6. Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center; Division of Cardiovascular Medicine, Case Western Reserve University, Cleveland, OH, USA. 7. All India Institute of Medical Sciences, New Delhi, India. 8. Aga Khan University, Karachi, Pakistan. 9. Health Policy, Quality & Informatics Program, Michael E. DeBakey Veterans Affairs Medical Center Health Services Research and Development Center for Innovations, 2002 Holcombe Blvd, Houston, TX, 77030, USA. virani@bcm.edu. 10. Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA. virani@bcm.edu.
Abstract
PURPOSE OF REVIEW: Cardiovascular disease (CVD) is now the leading cause of morbidity and mortality worldwide. Industrialization and economic growth have led to an unprecedented increment in the burden of CVD and their risk factors in less industrialized regions of the world. While there are abundant data on CVD and their risk factors from longitudinal cohort studies done in the West, good-quality data from South Asia are lacking. RECENT FINDINGS: Several multi-institutional, observational, prospective registries, and epidemiologic cohorts in South Asia have been established to systematically evaluate the burden of CVD and their risk factors. The PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP), the Kerala Acute Coronary Syndrome (ACS), and Trivandrum Heart Failure registries have focused on secondary prevention of CVD and performance measurement in both outpatient and inpatient settings, respectively. The Prospective Urban and Rural Epidemiology (PURE), Centre for Cardiometabolic Risk Reduction in South Asia (CARRS), and other epidemiologic and genetic studies have focused on primary prevention of CVD and evaluated variables such as environment, smoking, physical activity, health systems, food and nutrition policy, dietary consumption patterns, socioeconomic factors, and healthy neighborhoods. The international cardiovascular community has been responsive to a burgeoning cardiovascular disease burden in South Asia. Several collaborations have formed between the West (North America in particular) and South Asia to catalyze evidence-based and data-driven changes in the federal health policy in this part of the world to promote cardiovascular health and mitigate cardiovascular risk.
PURPOSE OF REVIEW: Cardiovascular disease (CVD) is now the leading cause of morbidity and mortality worldwide. Industrialization and economic growth have led to an unprecedented increment in the burden of CVD and their risk factors in less industrialized regions of the world. While there are abundant data on CVD and their risk factors from longitudinal cohort studies done in the West, good-quality data from South Asia are lacking. RECENT FINDINGS: Several multi-institutional, observational, prospective registries, and epidemiologic cohorts in South Asia have been established to systematically evaluate the burden of CVD and their risk factors. The PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP), the Kerala Acute Coronary Syndrome (ACS), and Trivandrum Heart Failure registries have focused on secondary prevention of CVD and performance measurement in both outpatient and inpatient settings, respectively. The Prospective Urban and Rural Epidemiology (PURE), Centre for Cardiometabolic Risk Reduction in South Asia (CARRS), and other epidemiologic and genetic studies have focused on primary prevention of CVD and evaluated variables such as environment, smoking, physical activity, health systems, food and nutrition policy, dietary consumption patterns, socioeconomic factors, and healthy neighborhoods. The international cardiovascular community has been responsive to a burgeoning cardiovascular disease burden in South Asia. Several collaborations have formed between the West (North America in particular) and South Asia to catalyze evidence-based and data-driven changes in the federal health policy in this part of the world to promote cardiovascular health and mitigate cardiovascular risk.
Entities:
Keywords:
CARRS; Cardiovascular care; India; Kerala; PIQIP; PURE
Authors: Mohan Deepa; Mundu Grace; Bhaskarapillai Binukumar; Rajendra Pradeepa; Shivashankar Roopa; Hassan M Khan; Zafar Fatmi; Muhammad M Kadir; Imran Naeem; Vamadevan S Ajay; Ranjit Mohan Anjana; Mohammed K Ali; Dorairaj Prabhakaran; Nikhil Tandon; Viswanathan Mohan; K M Venkat Narayan Journal: Diabetes Res Clin Pract Date: 2015-09-25 Impact factor: 5.602
Authors: Clara K Chow; Koon K Teo; Sumathy Rangarajan; Shofiqul Islam; Rajeev Gupta; Alvaro Avezum; Ahmad Bahonar; Jephat Chifamba; Gilles Dagenais; Rafael Diaz; Khawar Kazmi; Fernando Lanas; Li Wei; Patricio Lopez-Jaramillo; Lu Fanghong; Noor Hassim Ismail; Thandi Puoane; Annika Rosengren; Andrzej Szuba; Ahmet Temizhan; Andy Wielgosz; Rita Yusuf; Afzalhussein Yusufali; Martin McKee; Lisheng Liu; Prem Mony; Salim Yusuf Journal: JAMA Date: 2013-09-04 Impact factor: 56.272
Authors: Denis Xavier; Prem Pais; P J Devereaux; Changchun Xie; D Prabhakaran; K Srinath Reddy; Rajeev Gupta; Prashant Joshi; Prafulla Kerkar; S Thanikachalam; K K Haridas; T M Jaison; Sudhir Naik; A K Maity; Salim Yusuf Journal: Lancet Date: 2008-04-26 Impact factor: 79.321
Authors: Amisha Patel; Sunitha Vishwanathan; Tiny Nair; C G Bahuleyan; V L Jayaprakash; Abigail Baldridge; Mark D Huffman; Dorairaj Prabhakaran; P P Mohanan Journal: Glob Heart Date: 2015-09-26
Authors: Rajiv Chowdhury; Dewan S Alam; Ismail Ibrahim Fakir; Sheikh Daud Adnan; Aliya Naheed; Ishrat Tasmin; Md Mostafa Monower; Farzana Hossain; Fatema Mahjabin Hossain; Md Mostafizur Rahman; Sadia Afrin; Anjan Kumar Roy; Minara Akter; Sima Akter Sume; Ajoy Kumer Biswas; Lisa Pennells; Praveen Surendran; Robin D Young; Sarah A Spackman; Khaled Hasan; Eric Harshfield; Nasir Sheikh; Richard Houghton; Danish Saleheen; Joanna M M Howson; Adam S Butterworth; Rubhana Raqib; Abdulla Al Shafi Majumder; John Danesh; Emanuele Di Angelantonio Journal: Eur J Epidemiol Date: 2015-05-01 Impact factor: 8.082
Authors: Ankur Kalra; Nathan Glusenkamp; Karen Anderson; Ram N Kalra; Prafulla G Kerkar; Ganesh Kumar; Thomas M Maddox; William J Oetgen; Salim S Virani Journal: Indian Heart J Date: 2016-09-20