Food Facts (diabetes vegetarianism cardiology cholesterol diabetes mellitus)
Special Features of CAD among Indians
Commonly manifests at earlier age, usually a decade earlier
(around 45-50 years); 3-25 per cent are less than 40 years of age.
Indians in 30-39 years have 10 times greater risk of AMI than
Caucasians of same age.
Age standardised mortality ratio (SMR) for CAD is 313 higher
in the age group of 20-29 years compares to Whites.
Indians with CAD has more extensive triple vessel disease (54
per cent against 21 per cent) than western world; commonly manifests
with AMI without prior Angina. ****ysis of Coronary risk factors often
fails to explain marked differences in CAD rates among different
ethnic groups.
In spite of their wining and dining habits, France has the
lowest rate of CAD
In America and African countries, the incidence of CAD is
lower despite high prevalence of obesity, diabetes mellitus and
hypertension, elevated Lp(a) and low socio-economic status in African
countries. On the contrary, the prevalence of CAD in India is higher
despite lower prevalence of smoking (3 per cent against 27 per cent),
hypertension (14 per cent against 19 per cent), elevated cholesterol
(. 240 mg/dl) (17 per cent against 23 per cent) and obesity (31 per
cent against 3 per cent) and higher prevalence of spiritual faith and
vegetarianism. As per Framingham's Study, 30-35 per cent Indians with
CAD lack traditional risk factors except for Diabetes Mellitus (8 per
cent against 1 per cent in the West).
Dr (Prof) A K Maity, the author is senior consultant cardiologist,
former director of Institute of Post-Graduate Medicine Education and
Research and former professor and head-department of cardiology, SSKM
Hospital-Kolkata
Ray Audette
Author "NeanderThin"
http://www.NeanderThin.com
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