Title: Association of Known Risk Factors (Smoking and Hypercholesterolemia) With Acute Coronary Syndrome– A Case Control Study in a Tertiary Care Hospital in Kerala

Authors: Indra.N, Sharon.M.P

 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.130

Abstract

Background and Rationale

Over the last decade, cardiovascular disease has become the single largest cause of death worldwide. It is predicted that more cardiovascular risk burden will be borne by the Indian subcontinent in the next decade according to recent epidemiological studies1. There exists significant difference in the prevalence of coronary artery disease with respect to gender, age and ethnicity. Cardiovascular disease [CVD] has emerged as a major health burden in developing countries2. [CVD] is the leading cause of death in India and in the southern Indian state of Kerala5.

In India, prevalence of coronary artery disease (CAD) has been reported as being 11% in 20013. India has the highest burden of acute coronary syndrome [ACS] in the world4.

The health status of Kerala population differs from that of other Indian states owing to its higher literacy rate, better distribution of its healthcare facilities among rural and urban areas, and its better access to healthcare institutions.

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Corresponding Author

Dr Indra. N

Assistant Professor, Department of Physiology, Believers Church Medical College, Thiruvalla, Kerala, India