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Rapid response to:

Editorials

Tackling cardiovascular disease in Africa

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7519.711 (Published 29 September 2005) Cite this as: BMJ 2005;331:711

Rapid Response:

Impact of cardiovascular disease is underrecognised in developing countries

To
The Editor

Sir

I read the editorial, I have some opinion regarding the impact of cardiovascular diseases in developing world. Deaths due to infectious diseases cause acute mortality on a mass scale that's why they get greater attention, whereas heart disease causes mortality throughout the year and at the same time most of the deaths attributed to an infectious etiology are actually due to cardiac disease, and infection may be the precipitating factor. At the same time most of the data in these countries comes from hospitals, and because infectious diseases mostly present with acute clinical signs and symptom they get the clinical attention early. Hypertension and hyperlipidemia like conditions are mostly recognised only after the development of complications, and this may be the reason for underrepresentaton of heart diseases in developing world. Here it is also important to highlight that the proportion of deaths due to heart disease may be less than infectious diseases, but overall mortality due to heart disease is more in developing countries in comparison to developed world due to less infrastrucure and less attention as well.

Dr ALOK KUMAR SINGH M.D

SENIOR RESIDENT DEPARMENT OF CARDIOLOGY,
INSTITUTE OF MEDICAL SCIENCES,
B.H.U VARANASI, 221005 INDIA

Competing interests:
None declared

Competing interests: No competing interests

05 October 2005
ALOK KUMAR SINGH
Senior Resident Deptt of Cardiology
Dr Rameshwar Nath Chaurasia,
INSTITUTE OF MEDICAL SCIENCES B.H.U VARANASI INDIA 221005