CARDIOLOGY IN THE 21ST CENTURY

Abstract

While entering the 21st century there is no doubt in
the minds of health workers of the developing
countries especially, those of the subcontinent that
ischaemic heart disease has become the major
problem of middle aged adults in this region.STRATEGIES for prevention of coronary artery
disease in Pakistan (lessons from the developed
countries):Majority of the patients of
coronary artery disease in Pakistan have mixed
Hyperlipidemid that is, Elevated TG, LDL and low
HDL levels.Depending upon the size and density of LDL
molecule circulating LDL exists either as small dense
LDL or large and fluffy LDL.Mortality from acute myocardial have registered a
significant decrease from 30% to about 7-10% in the
Aspirant thrombolytic era (7).Both systolic and diastolic dysfunction could be
guantitated with non-invasive technique by 2-D and
Doppler technique in the majority of patients. To
accurately measure LV dysfunction arising from
ischemic onshough and the component of
reversibility is the foculs of wide spread research.