Good healthcare helps you manage your body and maintain your daily life free from illness and health ailments. It is very important to stay healthy regardless of your age and gender. And you can do this only when you take good care of your body. A regular visit to a doctor and a full body check-up will let you keep track of the changes happening in your body and will definitely help you diagnose ailments with just a few symptoms.
Healthcare in Trivandrum
Kerala has had a long history of healthcare. It is one state that is well known for its great education, awareness of important things and famous healthcare institutions. Thiruvananthapuram, also called as Trivandrum is the capital city of Kerala. The city is known to be largest in Kerala with a population of 1.99 million (2016). Thiruvananthapuram is a major Information Technology hub in India and contributes 55% of Kerala’s software exports (as of 2015). Trivandrum is a major academic hub, with institutions like the University of Kerala, the regional headquarters of Indira Gandhi National Open University, and many other schools and colleges along with many space research centers. The city also hosts many medical colleges marking the private sector, dental colleges, R&D facility, paramedical and nursing institutions, and medical device manufacturing industries. Every hospital in India will have at least 2 nurses from Kerala.
Kerala today is very famous for its rapid decline in population growth rate, highest mean age at marriage, a very high level of acceptance and awareness of family planning methods and fertility control and a moderate decline in the mortality rate. Kerala has stand-alone healthcare infrastructure with major factors helping the growth like a wide network of health infrastructure and manpower, policies of successive state governments and other social factors like women’s education, general health awareness and clean health habits of the people. Trivandrum is well served by both, government and private hospitals. Factors like rising levels of education, increase in household incomes and greater health consciousness among people has helped Trivandrum and Kerala as a whole to develop great healthcare infrastructure in the city. The city serves the healthcare needs of the people with its best super specialty hospitals and other 411 government hospitals like PHCs, CHCs and day clinics. Kerala best knows that development in the health sector can be achieved through the provision of better living conditions, smooth traffic flow, increased green open spaces, better solid waste management system, etc. All this has thereby helped in improving the health status of the general population.
Disease prevalence in Trivandrum
We see there is a shift in the burden of diseases all over the world. Chronic non-communicable diseases have replaced communicable diseases as the most common cause of death worldwide. About 80% of the burden occurs in developing countries like India. The top killer NCDs in India can be listed as cardiovascular diseases, cancer, chronic respiratory diseases and diabetes and are responsible for almost 82% of deaths in India. Kerala is a state where the health statistics are at par with other developed countries. The state has almost 93% of literacy rate and the general awareness of people is really high.
Trivandrum the capital city of Kerala, is operational with more than 400 health institutions that include general and government hospitals, private hospitals, PHCs and CHCs, clinics and nursing homes. The city with almost 2 million population is seeing rapid urbanization, increasing affluence, international migration, changing age structure and changing lifestyle. All these factors have been influencing the health of the people and the city has been witnessing an ever-increasing burden of Non-communicable diseases. Heart diseases were the major reason behind the mortality of people in Trivandrum during the period between 2005 and 2015. The second major killer was asthma followed by cancer and diabetes. The causes for the deaths have remained unchanged for almost 6 decades says an article published by the Times of India in July 2017. Other diseases that proved to be fatal in the city were hypertension, chronic respiratory diseases, chronic kidney and liver diseases and mental health conditions due to neurological disorders.
The city also faces challenges like any other place in India such as lack of peripheral centers for early detection of diseases, lack of Rapid Diagnostic Test (RDT) kits in health institutions, lack of safe drinking water and unhygienic environment, the problem of migrant laborers and lack of manpower in urban areas. The other factors that influence the burden of these diseases can be listed as high use of tobacco, obesity, Hypercholesterolemia, alcohol use, unhealthy diet and physical inactivity.
Chronic heart disease top killer in Trivandrum, Kerala
Chronic heart disease being the top killer in Trivandrum accounts for 20% of the deaths in the city, among which approximately 60% are men and 40% are women. It is well known that Indians have a higher prevalence of coronary artery disease (CAD) than any other ethnic groups and they also seem to develop the disease at an earlier age. This imposes a huge burden on the society and the health administration of the government.
What could be the cause of this high prevalence in the city? Previously it was believed that the higher prevalence of CAD was due to risk factors, like hyperhomocysteinemia, high levels of C Reactive Proteins (CRP) or Lipoprotein (a) but the INTERHEART study showed up other conventional risk factors that may affect the condition of the heart and more than 90 % of the population is affected by myocardial infarction. The recent studies also showed that the prevalence of diabetes is also very high in the city and being over-weight and obesity is also a significant problem raising the risk of CADs in Trivandrum. The prevalence of hypertension is around 28% in the city among the population aged between 15 to 64 years and this is more common among men than in women. A study by Kerala University of health sciences shows that their people have very high mean cholesterol levels. And other factors affecting the rise in heart diseases in the city are Smoking, high consumption of alcohol and unhealthy diet plans of the people.
Types of heart diseases
Heart diseases are different types of heart conditions that affect your heart. There different types of heart diseases that affect different parts of the organ and occur in different ways. They can be differentiated as
- Coronary artery disease – a blood vessel disease that usually occurs because of plaque deposits that contain cholesterol that damage the coronary arteries.
- Arrhythmias – a heart rhythm problem or irregular heartbeat. Several ways a heartbeat can lose its rhythm are tachycardia (the heart beats too fast), bradycardia (the heart beats too slowly), premature ventricular contractions, or additional, abnormal beats and fibrillation when the heartbeat is irregular
- Congenital heart defects – the heart defects you’re born with. The three types of defects known are Septal defects, a hole between the two chambers of the heart, Obstruction defects where the flow of blood through various chambers of the heart is partially or totally blocked and Cyanotic heart disease which causes a shortage of oxygen around the body
- Dilated cardiomyopathy – due to weak heart muscles the heart chambers become dilated and cannot pump blood properly. This condition is also known as ischemic heart disease, one of the common conditions today people suffer from.
5. Myocardial infarction – also commonly known as heart attack occurs when a part of the heart muscle is damaged due to interrupted blood flow. This is also caused due to a blood clot that develops in one of the coronary arteries. The other names for this condition are cardiac infarction and coronary thrombosis.
6. Heart failure – is a chronic condition of the heart when your heart gradually fails to work properly. This condition usually occurs with prolonged high blood pressure or coronary heart disease.
7. Hypertrophic cardiomyopathy – this is a genetic disorder. In this condition the wall of the left ventricle thickens, making it harder for blood to be pumped out of the heart
8. Mitral regurgitation – this is a condition when the mitral valve in the heart does not close tightly enough and allows the blood to flow back into the heart when it should leave.
9. Pulmonary stenosis – a condition where the pulmonary valve is too tight and it becomes hard for the heart to pump blood from the right ventricle into the pulmonary artery.
Heart attack and Ischemic heart disease are the common conditions of cardiovascular diseases that have been a reason for mortality in Trivandrum.
Symptoms of heart diseases – you cannot ignore!
The symptoms of heart or cardiovascular diseases bother an individual depending on which condition the heart is affected from. Some of the common symptoms that cannot be ignored are chest pain, breathlessness, and severe heartburn and heart palpitations. Angina or chest pain is the most common symptom for many heart diseases and it normally lasts under 10 minutes. Angina or angina pectoris is usually triggered by stressful events or physical exertion and occurs when a part of the heart does not receive enough oxygen properly.
The signs of a heart attack are similar to angina except that attacks occur during rest and can be more severe. The symptoms of an attack can sometimes resemble indigestion, stomach ache, and heartburn. Traveling pain in the body, an example from the chest to the arms, neck, back, abdomen, or jaw, lightheadedness and dizziness, profuse sweating and nausea and vomiting are also few symptoms of a heart attack.
Congenital heart disease is a heart defect from the birth and the symptoms may not appear until a person is older than 13 years. The general symptoms of this heart disease include sweating, high levels of fatigue, fast heartbeat and breathing, breathlessness, chest pain, a blue tint to the skin and clubbed fingernails. In some severe cases, these symptoms may show up at birth as well.
Tests for heart diseases, do whole body check-ups help diagnose heart diseases?
Heart disease is caused by damage to the heart due to different heart conditions. And this damage can be easily diagnosed by a few simple cardiac risk markers blood test and an ECG. There are different lifestyle risk factors that increase the chances of a heart disease like high blood pressure and cholesterol, smoking, overweight and obesity, diabetes, family history, an unhealthy diet of junk food diet, age factor, a history of preeclampsia during pregnancy and staying in a stationary position for extended periods of time, such as sitting at work. Heart diseases are common after the age of 50 but today people of the age group 25 to 39 are also at a greater risk of heart diseases due to the shift in lifestyle. Other tests include chest X-ray, an echocardiogram, Holter monitoring, stress test and Cardiac Catheterization. You may be ordered for more detailed imaging tests like Cardiac computerized tomography (CT) scan and Cardiac magnetic resonance imaging (MRI) that can help the doctors measure the pressures in your heart chambers using a dye that helps the doctors see the blood flow through your heart, blood vessels, and valves to check for abnormalities.
Full body health check-ups in Trivandrum @ 80% discount
The tests you’ll need to diagnose your heart disease depend on what condition you might have and the results of the physical examination your doctor performs. The doctor may ask about your personal and family medical history before advising you any type of tests. The first test to be considered is an ECG, besides blood tests and a chest X-ray to diagnose heart disease.
A Full Body health check-up with bookmyscans offers 7 blood tests as cardiac risk marker tests which include Apolipoprotein – B (Apo-B), Apo B / Apo A1 ratio (Apo B/A1), Lipoprotein (a) [lp(a)], Homocysteine, High sensitivity c-reactive protein (hs-crp), Apolipoprotein – A1 (Apo-A1) and Lipoprotein-associated phospholipase a2 (LP-PLA2) along with ECG and chest X-ray to diagnose the condition of your heart. We also offer more than 70 other tests and scans that help the doctor diagnose and detect diseases that may not be showing up symptoms yet but may need your attention. We offer a full body check-up in Trivandrum at assured 80% discount on market standard rates with promised best quality results. We are partnered with diagnostic centers that are approved and certified by AERB, ISO and NABL and we also audit our partners periodically to make sure they are technically competent to produce best quality results.
Do not wait for your heart to tell you there is a problem. Just book an appointment with Bookmyscans.com at the center of your choice and one nearest to you. Early diagnosis will definitely help you avoid heavy treatment costs and improve your quality of life.
Health tip: Your heart keeps you going. To have a healthy heart take a diet that includes a low-fat and low-sodium diet, get at least 30 minutes of moderate exercise, quit smoking, and limit alcohol intake.