Publication: Coronary Artery Disease in Nepal: Current Perspective, Challenges, Need for National Practice Guidelines, and Potential Solutions
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
South Asians are estimated to have a 40% increased risk for coronary artery disease as
compared to populations from other regions. Nepal, as a South Asian country, should
also analyze the burden of coronary artery disease and its risk factors to minimize
cardiovascular morbidity and mortality. We reviewed the barriers to cardiovascular
care and its services in low- and middle-income countries, including Nepal. The
identified barriers included coronary artery disease risk factors, access, cost,
adherence to cardiovascular care, awareness, knowledge gaps, and socioeconomic
and health system challenges. The possible strategies to reduce coronary artery
disease included national, regional, and local perspectives. It also highlighted the
involvement of community workers and local leaders, education, patient-centered
intervention, easy access to drugs and treatments, rehabilitation and public health
measures, innovation within the health care system, and multi-sectoral involvement.
This review provides insights into the current situation of coronary artery disease
and its possible solutions.
KEY WORDS
Coronary artery disease, Disease burden, Nepal, Risk factors, South Asia
Description
Prajapati D,1,2 Bhandari N,3,4 Gautam P,5 Dhital R,6 Shrestha A3,7
1Department of Cardiology
Shahid Gangalal National Heart Center
Bansbari, Kathmandu, Nepal
2National Academy of Medical Sciences
Kathmandu, Nepal
3Institute for Implementation Science and Health
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
4Authentic Leadership Institute Nepal, Kathmandu, Nepal
5Harvard T.H. Chan School of Public Health, Global
Health and Population, Boston, MA, US
6Health Action and Research, Kathmandu, Nepal
7Department of Public Health
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Coronary artery disease, Disease burden, Nepal, Risk factors, South Asia