Publication:
Coronary Artery Disease in Nepal: Current Perspective, Challenges, Need for National Practice Guidelines, and Potential Solutions

creativeworkseries.issn1812-2027
dc.contributor.authorPrajapati, D
dc.contributor.authorBhandari, N
dc.contributor.authorGautam, P
dc.contributor.authorDhital, R
dc.contributor.authorShrestha, A
dc.date.accessioned2025-12-28T07:10:53Z
dc.date.available2025-12-28T07:10:53Z
dc.date.issued2022
dc.descriptionPrajapati 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
dc.description.abstractABSTRACT 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
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3913
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectCoronary artery disease
dc.subjectDisease burden
dc.subjectNepal
dc.subjectRisk factors
dc.subjectSouth Asia
dc.titleCoronary Artery Disease in Nepal: Current Perspective, Challenges, Need for National Practice Guidelines, and Potential Solutions
dc.typeArticle
dspace.entity.typePublication
local.article.typeReview Article
oaire.citation.endPage513
oaire.citation.startPage505
relation.isJournalIssueOfPublicatione13d35fa-feec-42ac-b07f-e16ecf3ca759
relation.isJournalIssueOfPublication.latestForDiscoverye13d35fa-feec-42ac-b07f-e16ecf3ca759
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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