3 out of every 10 Nigerian has a cardiovascular disease – Expert

By
Healthfacts.ng
-

Did you know that out of every 10 Nigerian, 3 have cardiovascular disease? The statistics are pretty alarming. Can anything be done to prevent cardiovascular diseases or we just have to sit down and hope? To find out, the HealthfactsNG team set out to discuss with Dr. Akinsanya Olusegun-Joseph, a Consultant Cardiologist who works with the Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria. He has been practicing medicine for about 19 years and has been a Consultant Cardiologist for over 7 years.

Dr. Akinsanya Olusegun-Joseph, a Consultant Cardiologist

How would you define cardiovascular diseases in lay man’s terms?

It’s a set of diseases that basically affect the heart and blood vessels. Usually, it extends beyond the heart affecting some basic organs of the body which we refer to as vital organs. And so, we have cardiovascular diseases involving the brain, kidneys and of course the heart and blood vessels.

In that case, what is the most prevalent cardiovascular disease among Nigerians?

Well from various studies, the commonest cardiovascular disease in Nigeria is Stroke. It’s the commonest cause of cardiovascular admission in various hospitals or health centres followed by heart failure but the commonest risk factor is hypertension. Hypertension on its own is not a cardiovascular disease; we classify it as a risk factor. It affects the major organs of the body and can affect more than one organ at the same time.  Most stroke patients, for example, have hypertensive heart disease.

Is there any significant difference between the incident rate of cardiovascular diseases in males and females especially in Nigeria?

More males are affected compared to females and it’s not only in Nigeria; it’s a global thing. This is because women secrete a hormone called oestrogen which affords them a high protection from cardiovascular diseases till menopause. Another reason for this higher male incidence is difference in lifestyle. For example, more males tend to smoke than females, and cigarette smoking is a major risk factor.

human heart
The human heart [source: www.medicinenet.com]
What are the risk factors that make Nigerians prone to having these cardiovascular diseases and which one of them is the commonest?

Well, the commonest is hypertension and it’s almost becoming an epidemic in Nigeria. The risk factors for hypertension also come in as risk factors for cardiovascular diseases. Other risk factors include:

  • Excess salt consumption: An individual that is in the habit of consuming excess salt has a high risk of being hypertensive compared to someone who does not take much salt. However, if we exclude hypertension, salt intake on its own is a risk factor for cardiovascular disease. Studies have shown that it is an independent risk factor for heart disease, stroke etc.
  • Diabetes mellitus is a major risk factor. Also, increased consumption of high cholesterol ladden food. Examples of these would include fried food, processed/preserved meals, fast food, red meat (the skins (shaki), intestines (inu eran, roundabout), isiewu, brokoto, etc.)
  • Family history of hypertension, diabetes mellitus, stroke, etc.
  • Obesity
  • Sedentary lifestyle: The level of physical activity for a lot of people has drastically reduced. For example, a bank executive director gets to the office and sits from morning till closing hours with little or no physical activity. If he/she needs to move from one floor to another, he/she would prefer to use the elevator instead of the stairs. This sort of sedentary lifestyle creates a significant risk for cardiovascular diseases.
  • Smoking: is a risk factor for hypertension, heart attack, stroke etc.
  • Age of the individual: As one grows older, the chances of having cardiovascular disease generally increases.
  • Black race: By the virtue of our race as Negroes, we are at greater risk for cardiovascular diseases compared to Caucasians, Hispanics, etc.
  • Anxiety disorders: increases sympathetic drive. Anxiety is a risk factor for hypertension, heart attack etc.
  • Type A personalities: people who are aggressive goal getters, have a short temper and are unable to control their emotions, etc.
  • Type D personalities: people who are apathetic, lethargic, depressed, etc.

Sadly, there are newer risk factors and it’s more worrisome because we have not finished dealing with the traditional risk factors. A classic example of these new risk factors is the Human immunodeficiency virus (HIV). A person living with HIV has a higher risk of developing cardiovascular disease. Furthermore, the drugs used to treat HIV also pose a great risk for cardiovascular disease in people living with HIV/AIDS.

Low birth weight (LBW) is another new risk factor. This means that an unborn child can be at risk even before coming into the world. A baby born with a low birth weight (that is birth weight less than 2.5 kg) is at risk of developing cardiovascular disease; and the lower the birth weight, the higher the risk. In other words, the smaller the baby, the more he/she is at risk of having cardiovascular disease. LBW predisposes the baby to endothelial dysfunction, with increased risk of developing coronary artery disease, stroke, chronic kidney disease later in life.

To bring this home, environmental pollution is also a newer risk factor. Noise and air pollution in our society need to be seriously addressed. These days you can have about 3 or more religious houses on one street holding their meetings at the same time and making a lot of noise. The inhabitants of such areas have a high risk of coming down with hypertension, heart attack and stroke because of constant exposure to noise.

Of course, we also have our power generators and rickety vehicles that ply our roads. The fumes released by the generators and vehicles cause air pollution which is also a risk factor for cardiovascular diseases.

What are the signs and symptoms of some of these cardiovascular diseases?

We have a variety of symptoms which include:

  • Breathlessness on exertion: An example is when someone walks for a short distance and after a little while the person starts getting breathless.
  • Chest pain on exertion: It is more relevant to those that have angina pain. When a patient exerts him/herself and feels pain in the middle of the chest or the left side of the chest and each time the pain comes it is usually as a result of activity, and relieved by rest. Some others experience such pain at the height of emotional outburst.
  • Awareness of heartbeat/palpitation: It’s a non-specific symptom e.g. when someone is anxious or excited, but it can occur in heart related diseases.
  • Difficulty in breathing while lying down flat
  • Easy fatigability
  • Early satiety (easy fullness after taking small quantity of food)
  • Leg swelling
  • Cough: It could be dry cough at the beginning but as it progresses the patient can start having some whitish (foamy) sputum when they cough.
  • Fainting spells
  • Additional heart sounds while listening to the heart with a stethoscope
  • Facial swelling
  • Increased urinary frequency

For stroke, there is usually transient (Transient Ischemic attack) or complete loss of function of one side of the body, e.g. the right hand or the left hand and legs. There can also be transient loss of vision.

Are there diagnostic evaluation that can be done to know if someone could end up having some of these diseases or diagnostic tests to easily detect the disease in its earliest stage?

Well, that is why we say prevention is always better and cheaper than cure. Some of the things we advocate are

  • Regular health checks at least once in a year. We also advocate that people should explore all possible windows of opportunity for a health screening. For example, pre-employment screening, pre-admission screening, etc.
  • Always request to have your blood pressure checked when you go to the hospital.
  • Know your numbers. Check your weight, height, BMI, blood cholesterol level and blood sugar level regularly.
  • Health education

What are the preventive measures and lifestyle changes that the average Nigerian can adopt to prevent him/herself from having some of these cardiovascular diseases?

  • We need to cut down on our salt and fried foods intake.
  • For children and adults, reduce the sachets of spices/sauce used to prepare their noodles to the barest minimum.
  • Be more physically active. Build simple and regular exercises into your routine day-to-day activities e.g. walking up and down the staircase, skipping, running on the spot etc. WHO advocates that walking 10,000 steps in a day will help you to keep fit and attain a proper health status.

Wow! It’s been an exceptional and enlightening time with you, sir. Do you have any final words for our readers?

I have also had a great time sharing with you. On a final note, I would like to say that good and sound health is achievable; we only need to work towards it. Prevention of illness is far better than cure. 80% of the causes of cardiovascular diseases are preventable. This means you don’t need to have a cardiovascular disease if you know what to do and do it!

Let us know what you have learnt from this interview in the comment section below. You can also ask follow-up questions here.

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  738. I’ve come across that right now, more and more people are attracted to cameras and the field of photography. However, really being a photographer, you should first shell out so much of your time deciding the exact model of digicam to buy and also moving out of store to store just so you might buy the least expensive camera of the trademark you have decided to pick. But it won’t end right now there. You also have to contemplate whether you should purchase a digital dslr camera extended warranty. Thanks a lot for the good points I received from your website.

  741. Based on my observation, after a in foreclosure process home is sold at a sale, it is common for any borrower in order to still have some sort ofthat remaining unpaid debt on the loan. There are many loan merchants who make an effort to have all costs and liens repaid by the upcoming buyer. However, depending on selected programs, rules, and state legal guidelines there may be a few loans that aren’t easily fixed through the transfer of personal loans. Therefore, the obligation still rests on the borrower that has received his or her property in foreclosure. Many thanks sharing your thinking on this blog.

  742. You actually make it appear so easy with your presentation however I to find this topic to be actually something that I think I might by no means understand. It kind of feels too complicated and extremely broad for me. I’m having a look ahead for your next put up, I will try to get the dangle of it!

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  762. Hmm is anyone else experiencing problems with the images on this blog loading? I’m trying to find out if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.

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  780. Good post here. One thing I would like to say is most professional job areas consider the Bachelor Degree like thejust like the entry level standard for an online degree. While Associate Degrees are a great way to get started, completing your current Bachelors presents you with many doors to various occupations, there are numerous online Bachelor Course Programs available through institutions like The University of Phoenix, Intercontinental University Online and Kaplan. Another issue is that many brick and mortar institutions give Online variants of their degree programs but often for a extensively higher charge than the providers that specialize in online college diploma programs.

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  785. Эта статья является настоящим источником вдохновения и мотивации. Она не только предоставляет информацию, но и стимулирует к дальнейшему изучению темы. Большое спасибо автору за его старания в создании такого мотивирующего контента!

  786. Я хотел бы выразить признательность автору за его глубокое понимание темы и его способность представить информацию во всей ее полноте. Я по-настоящему насладился этой статьей и узнал много нового!

  787. One more issue is that video gaming became one of the all-time main forms of entertainment for people spanning various ages. Kids play video games, plus adults do, too. The actual XBox 360 is one of the favorite video games systems for people who love to have hundreds of activities available to them, in addition to who like to experiment with live with other folks all over the world. Thanks for sharing your ideas.

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  794. Это помогает читателям получить полную картину и сформировать собственное мнение на основе предоставленных фактов.

  799. Мне понравилась организация статьи, которая позволяет легко следовать за рассуждениями автора.

  800. I have observed that rates for on-line degree pros tend to be a fantastic value. For example a full Bachelor’s Degree in Communication from The University of Phoenix Online consists of 60 credits from $515/credit or $30,900. Also American Intercontinental University Online makes available Bachelors of Business Administration with a whole school feature of 180 units and a price of $30,560. Online studying has made having your degree so much easier because you can certainly earn your own degree in the comfort of your home and when you finish from office. Thanks for all your other tips I have certainly learned through the blog.

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  812. Автор предлагает анализ различных точек зрения на проблему без призыва к одной конкретной позиции.

  814. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three e-mails with the same comment. Is there any way you can remove me from that service? Bless you!

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  819. Thanks for your post right here. One thing I would really like to say is the fact that most professional career fields consider the Bachelor’s Degree like thejust like the entry level requirement for an online course. Even though Associate Diplomas are a great way to get started on, completing the Bachelors opens many entrances to various professions, there are numerous internet Bachelor Diploma Programs available through institutions like The University of Phoenix, Intercontinental University Online and Kaplan. Another thing is that many brick and mortar institutions present Online variants of their diplomas but commonly for a substantially higher payment than the corporations that specialize in online college diploma programs.

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  827. Статья содержит обоснованные аргументы, которые вызывают дальнейшую рефлексию у читателя.

  828. Физические методы ОЗДС включают использование ультразвуковых устройств, электромагнитных отпугивателей и других средств, которые воздействуют на нервную систему дератов, не нанося при этом вреда людям и животным. Такие методы могут быть особенно эффективными в тех местах, где использование химических препаратов ограничено или нежелательно, например, в пищевой промышленности, в медицинских учреждениях или в детских учреждениях.

  829. What i do not realize is actually how you’re now not actually a lot more well-favored than you might be now. You’re so intelligent. You realize thus considerably in terms of this subject, made me in my opinion believe it from numerous various angles. Its like men and women aren’t interested unless it is one thing to do with Girl gaga! Your own stuffs great. All the time handle it up!

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