Coronary Artery Disease in Nepal: Current Perspective, Challenges, Need for National Practice Guidelines, and Potential Solution

Authors

  • D. Prajapati Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal
  • N. Bhandari Institute for Implementation Science and Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • P. Gautam Harvard T.H. Chan School of Public Health, Global Health and Population, Boston, MA, USA
  • R. Dhital Health Action and Research, Kathmandu, Nepal
  • A. Shrestha Institute for Implementation Science and Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

DOI:

https://doi.org/10.3126/kumj.v20i4.54291

Keywords:

Coronary artery disease, Disease burden, Nepal, Risk factors, South Asia

Abstract

South Asians are estimated to have a 40% increased risk for coronary artery disease as compared to populations from other regions. Nepal, as a South Asian country, should also analyze the burden of coronary artery disease and its risk factors to minimize cardiovascular morbidity and mortality. We reviewed the barriers to cardiovascular care and its services in low- and middle-income countries, including Nepal. The identified barriers included coronary artery disease risk factors, access, cost, adherence to cardiovascular care, awareness, knowledge gaps, and socioeconomic and health system challenges. The possible strategies to reduce coronary artery disease included national, regional, and local perspectives. It also highlighted the involvement of community workers and local leaders, education, patient-centered intervention, easy access to drugs and treatments, rehabilitation and public health measures, innovation within the health care system, and multi-sectoral involvement. This review provides insights into the current situation of coronary artery disease and its possible solutions.

Downloads

Download data is not yet available.
Abstract
50
PDF
71

Author Biographies

D. Prajapati, Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal

and National Academy of Medical Sciences, Kathmandu, Nepal

N. Bhandari, Institute for Implementation Science and Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

and Authentic Leadership Institute Nepal, Kathmandu, Nepal

A. Shrestha, Institute for Implementation Science and Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

and Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Downloads

Published

2022-12-31

How to Cite

Prajapati, D., Bhandari, N., Gautam, P., Dhital, R., & Shrestha, A. (2022). Coronary Artery Disease in Nepal: Current Perspective, Challenges, Need for National Practice Guidelines, and Potential Solution. Kathmandu University Medical Journal, 20(4), 505–513. https://doi.org/10.3126/kumj.v20i4.54291

Issue

Section

Review Articles