Recommendations of the Second Indo-US Health Summit on Prevention and Control of Cardiovascular Disease among Asian Indians

摘要

Asian Indians, those living in India and also the Diasporas, have one of t he highest rates of coronary artery disease (CAD) in the world. Amongurban Indians the prevalenceof CAD is as high as 10-12%. The CAD among Indians is usually more advanced at the time of presentation compared to whites or other Asians. The overall social and economic impact of the disease is much greater because the CAD in Asian Indians affects a younger and working population. While the mortality and morbidity from CAD has been declining in the western world, it has been climbing among the Indian population. Both established and novel risk factors and a possible genetic predisposition in part due to lipoprotein(a) [Lp(a)] excess and higher prevalence of diabetes appear to significantly contribute to this epidemic. The effects of established as well as novel risk factors are multiplicative not just additive, the total being more than the sum of parts.