DOORSTEP INTERACTIVE HEART AWARENESS PROGRAM IN RAILWAY POPULATION- A REPORT OF 3 YEARS’ FOLLOW UP

Abstract

The incidences of the heart disease at younger ages are increasing rapidly in the society irrespective to the gender, age, case, creed, socioeconomic distribution, etc. The heart disease is preventable as the major cause seems to be an unhealthy lifestyle. The objective of this study is to conduct a heart and lifestyle awareness and modification drive program at the doorstep, to identify asymptomatic hypertension, diabetes, and ischemic heart disease. Also to report mortality and morbidity associated with the acute coronary event and cardiac complications taken as the objective of the study. In this cohort study, a total of 4178 patients were Counselled at the doorstep and acute severity cases were compared with that of control (non-counseled) patients. As a result of the study, it was found that Hypertensive and Diabetic emergencies were significantly low in the Counselled group. Doorstep heart awareness program with active participation through difficult but highly effective in preventing major cardiac events and very helpful in identifying the asymptomatic pattern of hypertension, diabetes and ischemic heart diseases.