World Heart Day emphasizes the urgent need for global awareness and action against cardiovascular diseases (CVDs), which account for 3.9 million deaths annually in the WHO South-East Asia Region. This burden is largely driven by modifiable risk factors, including unhealthy diets, tobacco use, and physical inactivity. Initiatives like SEAHEARTS aim to improve prevention and management strategies, targeting better hypertension and diabetes control to reduce CVD-related mortality and enhance overall heart health across the region.
Cardiovascular diseases (CVD) have emerged as a significant public health challenge in Pakistan, contributing substantially to morbidity and mortality rates across the country. Situated at the crossroads of Central Asia, the Middle East, and South Asia, Pakistan is the fifth most populous country in the world, with a growing burden of non-communicable diseases (NCDs) like CVDs.
In recent years, the incidence of CVD has escalated alarmingly. According to the 2019 Global Burden of Disease study, Pakistan reported an age-standardized incidence rate of 918.18 per 100,000 people, which is notably higher than the global average of 684.33 per 100,000. The age-standardized death rate from CVD in Pakistan stands at 357.88 per 100,000, compared to 239.85 per 100,000 globally. Furthermore, a National Socioeconomic Registry Survey indicated that 18.9% of surveyed participants self-reported having CVD.
Several risk factors contribute to the high prevalence of CVD in Pakistan:
Pakistan faces unique challenges in managing CVD. The country has a high burden of rheumatic heart disease and early-onset coronary artery disease. Furthermore, there is currently no comprehensive national strategy to monitor, prevent, and manage CVD in both rural and urban populations, which constitute 37% of the total population.
Despite the urgent need for effective intervention, comprehensive data on CVD prevalence and outcomes are sparse. Recent initiatives, such as the Cardiac Registry of Pakistan, aim to monitor the quality of interventional procedures and the management of acute coronary syndromes. However, ongoing efforts are required to enhance vital registration systems, improve cause-of-death documentation, and conduct regular community health surveys to track CVD trends.
Lets create an awareness on the world heart day because the rising incidence of cardiovascular diseases in Pakistan necessitates urgent action. With a high prevalence of risk factors and limited healthcare resources, public health strategies must focus on prevention, early detection, and management of CVD. Strengthening health systems and promoting awareness are essential steps toward addressing this growing public health crisis and improving cardiovascular health outcomes across the country.
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