Current Scenario of Heart Diseases in Nepal: At a glance

Shakya, Sujata; Sharma, Deewakar; Bhatta, Yadav Kumar Deo

doi:10.3126/njh.v8i1.8333

Cited by 7 publications

(6 citation statements)

References 2 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hospital-based prevalence study of NCDs in 31 hospitals across Nepal found that 36.5% admitted patients were NCDs, of which 38 % were the CVD 11 . Different hospital based studies show that the prevalence of CVD was 31% 12 , 5 to 40% based on the data of the cardiac camps of three consecutive years (2008-2011) throughout Nepal 13 . Another hospital based shows that the majority of the deaths were neonates, less than one month accounted for 12.9% and over 60 years accounted for 36.8%.…”

Section: Introductionmentioning

confidence: 99%

Heat Stress Impacts on Cardiac Mortality in Nepali Migrant Workers in Qatar

et al. 2019

View full text Add to dashboard Cite

Background: Qatar is a major destination country for Nepali migrant workers (NMWs; main age range 25–35 years) in the construction trade. These 120,000+ NMWs are exposed to various occupational hazards, including excessive heat, and 3–4 workers die each week. Our study aimed to show whether heat exposure caused deaths. Methods: The worker population and mortality data of NMWs were retrieved from government institutions in Nepal. Heat exposure was assessed by monthly estimates of daily wet bulb globe temperature (WBGT), for in-shade conditions, from data collected at the Doha weather station from 2009 to 2017. Working in the sun during the middle of the day would add 2–3°C to the in-shade WBGT values. Daily deaths and their causes were obtained from the records of the Foreign Employment Promotion Board (FEPB) in Nepal, 2009–2017. Interviews with returning NMWs about their working conditions and the impacts of these conditions added information. The association between the heat variable and mortality was tested with standard statistical methods. Results: The average annual death rate for NMWs in Qatar was 150 deaths/100,000. According to interviews, the majority of NMWs were found working in high WBGT (>31°C) each working day during hot months. The major cause of these deaths was recorded as cardiovascular problems (cardiovascular disease; CVD). Unfortunately, the causes of death were poorly described, and many deaths were listed as “cardiac arrest.” We included these deaths in the broader category of “cardiovascular causes.” There was a strong correlation between average monthly afternoon heat levels (WBGT) and CVD mortality. It is likely that a large proportion of these CVD deaths during hot months were due to serious heat stroke. Global studies show that approximately 15% of deaths in the age group 25–35 years are due to CVD causes. However, in this NMW population, the figures were 22% during the cool season and 58% during the hot season. Conclusions: The increased CVD mortality during hot periods is most likely due to severe heat stress. As many as 200 of the 571 CVD deaths during 2009–2017 could have been prevented if effective heat protection had been implemented as a part of local occupational health and safety programs. There is an urgent need for protection against such heat effects among NMWs, and rising temperatures from ongoing climate change are further increasing the health risks. Cause of death records for workers dying in hot conditions should be more precise than “cardiac arrest.”

show abstract

Section: Introductionmentioning

confidence: 99%

Heat Stress Impacts on Cardiac Mortality in Nepali Migrant Workers in Qatar

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Combined data from different sources indicate the problem is common. [3] A hospital based prevalence of non-communicable disease from different hospitals across the country found cardiovascular disease as the most common (40%) among non-communicable diseases. [4] Risk factors for this disease such as hypertension, dyslipidemia, diabetes, smoking, and obesity are controllable.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Risk Factors among First Year Medical Students

Dangol¹,

Koju²,

Lanjekar³

et al. 2017

J Lumbini Med Coll

View full text Add to dashboard Cite

Introduction: Detection of cardiovascular risk in young age is important to motivate them to modify life styles and seek health care early to lower the chances of acquiring cardiovascular disease in later age. This study was done to assess cardiovascular risk factors among first year medical students. Methods: A cross-sectional study was conducted throughout September and October 2017 in which all first year medical students from a medical college were assessed for the presence of cardiovascular risk factors. Participants’ demography, family history of illness, anthropometric measurements, and blood reports of lipid profile and fasting glucose were acquired. Data were analyzed with Statistical Package for Social Sciences (SPSS-21). Result: There were 99 participants; 55 males and 44 females. One or more risk factors were present in 87 (87.9%) participants. Moreover, 67.7% (n = 67) participants had more than one risk factors. Low HDL-cholesterol was the most common (n = 55, 55.6%) risk factor followed by elevated triacylglycerol (n = 47, 47.5%) and family history of hypertension (n = 45, 45.5%). There was no significant difference in presence of various risk factors between genders. Conclusion: There was higher prevalence of cardiovascular risk factors among first year medical students. Majority of them had more than one risk factors. Low HDL-cholesterol was the most common risk factor. The risk factors were comparable in males and females.

show abstract

“…10,11,12 As the severity of MS increases, the incidence of thrombus formation in LA and LAA increases. 8 The present study evaluated the cases of severe MS for the presence of LAA clot using TEE.…”

Section: Discussionmentioning

confidence: 99%