Coronary Heart Disease
in the Philippines

What is Coronary Heart Disease?

“Coronary Heart Disease” also known as “Ischemic Heart Disease” have remained the world’s leading cause of death over the years.

Coronary heart disease (ischemic heart disease/coronary artery disease) is the result of the growth of plaque, a waxy substance, inside the coronary arteries. The gradual accumulation of this substance can partly or completely interrupt blood flow in the large arteries of the heart. Some kinds of this circumstance may be caused by disease or injury influencing how the arteries function in the heart. Another kind of ischemic heart disease is the coronary microvascular disease. It happens when the heart’s small arteries do not work usually.

“Coronary heart disease is a term used for patients who have blockage usually in the heart. Commonly, it is caused by atherosclerotic plaque due to cholesterol build up over the years. Coronary heart disease is still the leading cause of death worldwide according to statistics that can still end up having a heart attack. 

Recently, we noted a trend of young patients having a heart attack. The youngest I’ve encountered a patient with such disease is 30 years old.

-Cardiologist from Perpetual Help Medical Hospital

Common Modifiable Risk Factors

High Blood Pressure

High Blood Pressure

Uncontrolled high blood pressure can result in hardening and thickening of your arteries, narrowing the channel through which blood can flow.

Diabetes

Diabetes

Diabetes is associated with an increased risk of coronary artery disease. Type 2 diabetes and coronary artery disease share similar risk factors, such as obesity and high blood pressure.

High Cholesterol Level

High Cholesterol Level

High levels of cholesterol in your blood can increase the risk of formation of plaque and atherosclerosis. High cholesterol can be caused by a high level of low-density lipoprotein (LDL) cholesterol, known as the “bad” cholesterol. A low level of high-density lipoprotein (HDL) cholesterol, known as the “good” cholesterol, can also contribute to the development of atherosclerosis

Obesity

Obesity

Being overweight increases the chance of having a heart
attack. This is in part because people who are overweight are
more likely to have high blood pressure, diabetes and high
blood fats.

Smoking

Smoking

People who smoke have a significantly increased risk of heart disease. Exposing others to your secondhand smoke also increases their risk of coronary artery disease.

Sedentary Lifestyle

Sedentary Lifestyle

Lack of exercise also is associated with coronary artery disease and some of its risk factors, as well.

Worldwide Mortality

According to the World Health Organization, cardiovascular diseases or CVDs are still the leading cause of deaths worldwide.  56.9 million deaths worldwide in 2016. Ischaemic heart disease and stroke are the world’s biggest killers, accounting for a combined 15.2 million deaths in 2016. These diseases have remained the leading causes of death globally in the last 15 years. Chronic obstructive pulmonary disease claimed 3.0 million lives in 2016, while lung cancer (along with trachea and bronchus cancers) caused 1.7 million deaths. 

2016

Ischemic Heart Disease
15.2 million
Stroke
3.0 million
Chronic Obstructive Pulmonary Disease
1.7 million

(According to the World Health Organization article published in 2018)

Philippines Mortality Rate on Coronary Heart Disease

Heart health is also one of the most important aspects that should be prioritized. Based on the Philippine Statistics Authority list of Deaths in the Philippines 2017 released on June 10, 2019, results showed that ischemic heart disease or coronary heart disease was the top leading cause of death of both male and female in the country with a total of 84,120 deaths out of 579,237.

2017

Ischemic Heart Disease
84,120
Neoplasm
64, 125
Cerebrovascular Diseases
59, 774
Pneumonia
57, 210
Diabetus Mellitus
30, 932
Hypertensive Diseases
26, 471
Chronic Lower Repiratory Infections
24, 818
Respiratory Tuberculosis
22, 523
Other Heart Diseases
22, 134
Other Diseases
15,717

(According to the Philippine Statistics Authority published in 2019)

In recent years, heart and stroke patients are no longer the usual “seniors.” They are now getting younger and cut through all social classes. Stroke and heart attacks are no longer the diseases of the rich or the sedentary. 

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