23% of heart failure patients die within a year of
diagnosis
In India, 23 per cent of heart
failure patients die within one year of diagnosis, a study revealed on Tuesday,
adding that the country is next to Africa where the rate stands at 34 per cent.
Of the total deaths, 46 per cent were due to cardiac issues, while non-cardiac
causes led to 16 per cent deaths in patients, at one year, according to the
first comprehensive study on heart failures conducted across six geographies
globally. The International Congestive Heart Failure (INTER-CHF) study said
that death rate of patients due to heart failures in Southeast Asia is 15 per
cent, seven per cent in China, nine per cent both in South America and West
Asia, significantly lower than in Indian patients.
"In India, heart-related
diseases occur a decade early than the people of west. Lack of awareness, out
of pocket expenditure and lack of infrastructure are corroborating to the
heart-related diseases," said Sundeep Mishra, Professor of Cardiology at All
India Institute of Medical Sciences (AIIMS). The study was aimed at
measuring mortality at one year in patients, due to heart failure in India,
Africa, China, the Middle East, South East Asia and South America.
During the study, 5,823 patients
across 108 centres in six geographies were enrolled. Patients were followed up
at six months and one year from enrolment. The mean age of patients was 59
years, with a male to female ratio of 60:40. The primary outcome of the study
was to record all cause mortality within one year. A previous study by AIIMS,
published in the journal of Practice of Cardiovascular Sciences, highlighted
that late diagnosis results in one third of patients dying during hospital
admission and one-fourth dying within three months of diagnosis.
Calling for a community based
approach to resolve the issue, Mishra said a lot of Indians also do not
understand the difference between heart failure and heart attack because of
which they do not consult doctors. According to the World Health
Organisation, heart failure impacts more than 60 million people worldwide.
The risk of death of heart failure
patients is comparable to that of patients with advanced cancer. It currently
costs the world economy $108 billion every year.
27.07.2017
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