“Prevention is always better than cure’’ probably has more relevance to cardiology as compared to most other medical fields. Heart attacks and strokes are the leading causes of deaths in our country. Most heart attacks and strokes develop secondary to the process called atherosclerosis (blockage of the blood vessels due to lipid deposition) developing in the arteries supplying the heart or the brain. Contrary to popular belief it takes decades for this process called atherosclerosis to develop into significant disease.
You would be aware of the fact that the only scientifically validated treatment for significant stenosis (blocks) is revascularisation procedures like Coronary Angioplasty or Bypass Surgery.
Identifying risk factors and thereby the high risk groups, initiating life-style changes in them would definitely help prevent the progress of the process of atherosclerosis.
For identifying individuals at a risk of cardiovascular disease we would be doing blood tests specific for this along with a detailed history and cardiac workup to look at surrogates for atherosclerotic CVD. Further to this, we would be utilising an internationally validated scoring system for assessing both the 10 year and life- long risk scores in each individual in this program.
A successful implementation of the program would help bring down the risk in individuals. Life style changes would help reduce the risk after successful implementation of the program so also it would help identify individuals with significant disease before they were to present with complications of the same.
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