An Observational Study Showing Incidence of Heart Disease in the Male Population from North India.
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Date
2015-10
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Abstract
Background: Structural Heart Disease (SHD) is a preventable cause of mortality. As age advances the morbidity rates due
to SHD increases. SHD is more common in rural areas and lower socio-economic status because of poor hygiene and poor
nutrition. The aim of this study was to find the incidence of heart disease in a male north Indian population. Method: A team
consisting of three doctors examined all the candidates presenting over a period of one and a half years for enrollment at a
particular Centre. The age group of this population was between 18 years to 22 years. All candidates underwent medical
examination. Candidates having suspicion of SHD were referred to the physician/cardiologist. All those persons whose
disability was within permissible limits were taken as fit and the others were taken as unfit. Results: Total 4223 candidates
reported in the above period. 334 candidates who had disabilities were lost to follow-up and excluded, leaving a total of 3889
candidates. After specialist review, 1471 candidates were found unfit for various causes, out of which 283 were for cardiac
murmurs. Many candidates were found to be suffering from multiples disabilities. Conclusion: Our study found an incidence
rate of 72.7 per thousand which is much higher than that of other studies. The possible reasons for this could be that the
persons are primarily from rural background and low socioeconomic strata which have a comparatively incidence of SHDs.
Also contributing to the higher incidence may be the fact of stricter application of physical standards for enrollment in the
army.
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Keywords
Cardiac Murmurs, Socio-economic status, Structural Heart Disease
Citation
Mishra B K, Kumar Sushil. An Observational Study Showing Incidence of Heart Disease in the Male Population from North India. Annals of International Medical and Dental Research. 2015 Oct-Dec; 1(3): 166-169.