Prof. Kundi speaks on primary prevention of CAD


Dr. Izhar Ul Hasans’ Memorial Lecture

Prof. Kundi speaks on primary
prevention of CAD

KARACHI: Prof. Asad Kundi, Professor of Cardiology at National Institute of Cardiovascular Diseases delivered Dr.Izhar ul Hasan Memorial lecture on primary prevention of coronary artery disease at Jinnah Medical and Dental College Medicare Campus Karachi recently.
Cardiovascular diseases, Prof. Kundi said are the leading cause of death in the modern world.1 Majority of patients dying of heart attack die within first few hours and may not have enough time to see their doctor. Primary Prevention is the most cost effective strategy to face this challenge. Coronary heart disease (CHD) risk factors like age, (male) sex and family history cannot be intervened. Modifiable risk factors obesity, smoking, hypertension etc requires major life style changes.2 These are simple to understand but difficult to acquire. ”Demanding a U turn in Life style, from some one of age 40 and above, is in fact asking too much”. This explains an important fact, why prevention, most economical and cost effective strategy, is most difficult to practice even by the health care providers.
Where have we gone wrong? Perhaps we are missing the target population. We need to”Nip the evil in the bud”.3 However there are strong scientific evidences that healthy life style changes acquired at any age, have substantial impact on the mortality and morbidity. Thus Skillful counseling by multidimensional task force of health care provider, educationalist, electronic and print media can facilitate implementation of guideline recommendations among the masses.


1. AHA Statistical Update Heart Disease and Stroke Statistics—2012 update A Report from the American Heart Association Circulation 2012; 125:e2-e220.
2. Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients without Coronary or Other Atherosclerotic Vascular Diseases, AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update
3. American Heart Association Guidelines for Primary Prevention of Atherosclerotic Cardiovascular Disease Beginning in Childhood (>2years) Circulation 2003, 107:1562-1566