Cardiac deaths on the rise

Deaths from heart-related diseases are escalating in Bangladesh. The middle-aged and the elderly are mostly being struck down with the diseases.
Sources said most of the deaths per year are for cardiovascular diseases next to cancer here.
Almost half the deaths at hospitals countrywide in 2017 had been due to heart diseases, reveals a bulletin of the health directorate.
The deaths were reported in 514 public hospitals from January 2016 to September 2017.
Most of the patients suffered major non-communicable diseases like cardiovascular, peripheral vascular, cerebrovascular or stroke, cancer, diabetes, chronic pulmonary and renal diseases.
Prof Dr Asit Baran Adhikary, chairman of cardiac surgery department at Bangabandhu Sheikh Mujib Medical University, said fatty food intakes, smoking, excessive alcohol, depression, hypertension and other factors lead to coronary diseases.
According to public health experts, changing dietary habits, rapid urbanisation, tobacco use, uncontrolled growth, consumption of processed foods and beverages, indoor air pollution, road traffic injuries, lack of awareness of healthful behavioural patterns and psychological pressure also account for heart diseases.
World Health Organization said an estimated 17.7 million people died from cardiovascular diseases in 2015, representing 31 percent of all global deaths. Of them, an estimated 7.4 million were due to coronary diseases and 6.7 million for stroke.
According to WHO, non-communicable diseases form 59 percent of the total deaths in Bangladesh—cardiovascular diseases 17 percent, chronic respiratory diseases 11 percent, cancers 10 percent, injuries 9 percent, diabetes 3 percent and others 10 percent.
Meanwhile, Bangladesh Bureau of Statistics estimates that cardiovascular and cerebrovascular diseases are the major causes of deaths, followed by asthma and respiratory diseases.
Cardiac diseases have an age-standardised mortality rate of 411 per 100,000 people. Cardiovascular and hypertension have been showing an increasing trend. Mortality rate by the diseases is 17 percent.
The bulletin said patients’ death rate in medical colleges is 37.73 percent, 33.58 percent in district hospitals and 33 percent in upazila health complexes due to heart diseases till December 2017.
Dr Asit said, “People can easily avoid smoke, excessive alcohol and control cholesterol in blood to prevent heart attacks. Eating vegetables and physical exercise acts as deterrent to coronary heart diseases.”
“More than 400 heart surgeries were done at BSMMU in the past one year where most of the surgeries were successful. The mortality rate after surgery is less than 4 percent only,” he added.
However, the treatment of heart diseases is now better in Bangladesh. Almost all the medical college hospitals and some district-level hospitals are providing treatment to heart patients.
National Heart Foundation sources said some 17,818 heart patients were admitted to the hospital and 2,141 operated. Of them, mortality rate is 10 percent for children and less than 5 percent for adults.
When contacted, Dr Md Ehteshamul Huq Choudhury, general secretary of Bangladesh Medical Association, said, “Approximately 95 percent patients had to go abroad for better treatment once, but the picture is opposite now. Only 5 percent go abroad at present.”
“With advanced medical technology in our country, people are now thinking of getting treatment here for reasonable cost and nursing by doctors,” he uttered.

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