Kamili Ma, Dar Ih, Ali G, Wazir Hs, Hussain S
Department of Medicine, Government Medical College, Srinagar.
Indian Heart J. 2007 Jan-Feb;59(1):44-9.
Coronary Heart Disease (CHD) is one of the major causes of mortality and morbidity in the general population of both the developing and developed countries. Prevalence of CHD in the Indian subcontinent is presently one of the highest and is further on an increase. In the state of Jammu and Kashmir the population like any other developing community, is undergoing lifestyle changes but the unusual stress and strain for the last 15 years of the disturbed situation in the state apparently has contributed to increase the prevalence of CHD. Therefore an epidemiological study was conducted to assess the prevalence of CHD in both rural and urban areas of the valley. This study was carried out in the rural and urban areas of the twin districts of Anantnag and Srinagar by random sampling. The total population of the study area comprised of 44,305 persons out of which the target population was 13,893. The study was carried out on 3128 (23%) subjects (2284 males and 844 females) aged 40 years and above. In rural areas the study was conducted in a cluster of 3 villages in each district on 1552 persons (1088 males and 464 females) and in urban areas it was carried out in 3 mohallas (closed locality) in each district on 1576 persons (1196 males and 380 females). A complete history and clinical examination was done and Rose Questionnaire was recorded for angina. ECG was done in all subjects. Chi square test was used for statistical analysis. The overall prevalence of CHD in the population studied by all diagnostic measures was 7.54%. The overall rural prevalence was 6.70% and urban prevalence was 8.37%. Prevalence of CHD was higher in males, 7.88% and slightly lower in females, 6.63%.
冠心病（CHD）是发展中国家和发达国家普通人群中主要的死亡和发病原因之一。目前，印度次大陆的冠心病患病率是全球最高的地区之一，并且仍在进一步上升。在查谟和克什米尔邦，像其他发展中社区一样，人们的生活方式正在发生变化，但该邦过去15年动荡局势带来的异常压力和紧张显然导致了冠心病患病率的上升。因此，开展了一项流行病学研究，以评估该山谷农村和城市地区冠心病的患病率。本研究通过随机抽样在阿南特纳格和斯利那加这两个双子区的农村和城市地区进行。研究区域的总人口为44305人，其中目标人群为13893人。该研究针对3128名（23%）年龄在40岁及以上的受试者（2284名男性和844名女性）进行。在农村地区，在每个区的3个村庄集群中对1552人（1088名男性和464名女性）进行了研究，在城市地区，在每个区的3个居民区（封闭区域）对1576人（1196名男性和380名女性）进行了研究。进行了完整的病史和临床检查，并记录了用于诊断心绞痛的罗斯问卷。对所有受试者进行了心电图检查。采用卡方检验进行统计分析。通过所有诊断措施研究的人群中冠心病的总体患病率为7.54%。农村总体患病率为6.70%，城市患病率为8.37%。冠心病患病率男性较高，为7.88%，女性略低，为6.63%。
