Speakers highlight the importance of preventing Cardiac Diseases, Chronic Kidney Disease

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World Heart Day meeting during Cardio Live 2014

Speakers highlight the importance of preventing
Cardiac Diseases, Chronic Kidney Disease

Early recognition and effective treatment can help
reduce morbidity and mortality

KARACHI: Prof. Aijaz Ahmad Vohra from Ziauddin Medical University along with Prof. Feroze Memon, Dr. Ishtiaq Rasool and Prof. Waqar Kazmi chaired the World Heart Day meeting during the Cardio Live 2014 organized by National Institute of Cardiovascualr Diseases Karachi on Sunday September 28th 2014. Dr. Abdul Rashid Khan was the moderator.

Prof. Khawar Kazmi from Aga Khan University was the first speaker who discussed why we need Cardiovascular Diseases Prevention. He pointed out that CVD deaths account for 67% of Disability Adjustable Lost Years of Life. CVD resulted in 31 billion deaths in the last ten years as per World Bank Report. Almost 40% children remain malnourished. I feel pain while dong interventional procedures, putting stents because if we had prevented these diseases, these people would not have come to the Cath Lab. We need to create heart healthy environment. It is important that we have regular exercise, make an effort to walk, if we cannot walk outside, one can walk in the room or in the house. Pakistan Cardiac Society needs to put in a lot more effort, he remarked.

Prof. Mansoor Ahmad from Karachi Institute of Heart Diseases speaking about life style modifications said that our role models are different from the world. We are ashamed of many of these role models who eventually suffer form stroke and peripheral artery disease. Cholesterol, smoking, obesity, diabetes mellitus, hypertension, use of alcohol, physical inactivity are the known risk factors. While one cannot do much about age, sex, race and family history, we can certainly modify the other risk factors. Now we hardly have many schools with playgrounds. Smoking does increase blood pressure, decrease HDL, damage arteries and blood cells, increase heart attacks. People with diabetes, he remarked, have two to three times higher risk of heart attack and stroke.

Prof. Khalida Soomro from Dow University of Health Sciences discussed management of heart diseases in women and pointed out that mortality among women from cardiovascular diseases is much more than breast cancer. American Heart Association Guidelines lays emphasis on increased use of fish, fruits and vegetables to prevent cardiovascular diseases, she remarked.

Prof. Yakoob Ahmedani from Baqai Institute of Diabetes and Endocrinology (BIDE), spoke about primary prevention of diabetes. He pointed out that almost 40% of these patients have family history of diabetes. During 2013, 5.1 million deaths occurred due to diabetes while United States has achieved two third reductions in myocardial infarction and deaths during the same period. Our own studies have proved that with adequate management of diabetes, one can achieve 50% reduction in stroke and amputations. Our study has also showed that the prevalence of metabolic syndrome in children was 9.8% and obesity was 3.4%. He then referred to the Stop Diabetes Programme in Pakistan which they have started. Under this programe BIDE has trained three hundred forty doctors in treatment of diabetes leading to a diploma in diabetes, one hundred eight diabetes educators have also been trained. It is planned to have over three thousand diabetic clinics all over the country and link the leading twelve diabetic centers so that they can share their knowledge and experience thereby leading to improved care of people with diabetes.

Prof. Waqar Kazmi from Karachi Medical and Dental College talked about Cardiovascualr diseases and chronic kidney failure.CKD, he said, was a major public health problem. Cardiac co morbidity is very high. Even in mild CKD mortality is high. He pointed out that according to estimates there are twenty one million people with stage two and stage three chronic kidney diseases in Pakistan. Anaemai is common and reflects an early complication of chronic kidney disease.

Prof. Aijaz Ahmad Vohra in his concluding remarks said that let us prevent the cardiovascular diseases and chronic kidney disease. He commended the BIDE team because they always present their own data. They are going to the community and doing research. He also suggested that let us serve healthy heart food at our medical conferences and set an example. Early recognition of CKD is very important and treatment of anaemia will also benefit the patients.

Prof. Khan Shah Zaman Director of National Institute of Cardiovascular Diseases in his concluding remarks said that in this meeting we had invited many people from different disciplines to make sure that it is a multidisciplinary meeting so that we look at the patient as a whole. That is why the guest speakers at the meeting included gynecologists, endocrinologists, nephrologists, and neurologist’s apart from cardiologists.

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