Health

Cardiovascular Diseases Account for 17% of Deaths in Goa: Dr Roque Wiseman Pinto


Cardiovascular diseases account for 17 per cent of all deaths in Goa, making them the single largest cause of mortality in the state, senior pathologist Dr Roque Wiseman Pinto said on Saturday.

Dr Pinto was speaking at an interactive presentation titled ‘Life’s Journey – The Long Haul’, organised as part of the centenary celebrations of Clube Tennis de Gaspar Dias in Panaji. Drawing from his long engagement with medical records and postmortem data, including a 2008 study on mortality patterns in Goa, he underlined the growing burden of heart disease in the state.

“At the medical records department, I studied postmortem reports, pathology findings and death certificates and found that cardiovascular diseases were the most common cause of death among people in Goa, accounting for about seventeen per cent,” Dr Pinto said.

He attributed the rise in heart ailments to lifestyle factors such as smoking, alcohol consumption and drug use, along with underlying conditions like hypertension and diabetes. According to him, cardiac conditions including myocardial infarction, arrhythmias and heart failure are increasingly affecting younger individuals. “Usually heart attacks would occur in older people, sixty years and above, but in the last ten years we have seen younger people with heart attacks,” he noted.

Dr Pinto also highlighted the high prevalence of diabetes in Goa, stating that nearly one in four people in the state are affected. He warned that uncontrolled diabetes can lead to serious complications such as kidney failure, stroke, dementia and organ damage. He pointed out that diabetic foot remains a major concern, with Goa Medical College performing an average of one amputation daily, either of a toe or an entire leg.

Addressing cancer, he said that around 30 per cent of cases are linked to smoking and passive smoking. He explained that cancer develops due to genetic changes, including in oncogenes and repair genes, and that environmental and lifestyle factors such as pollution, alcohol, certain occupations, infections and food additives also contribute to risk.

On pollution, Dr Pinto cited extensively studied cases in Delhi, where air pollution has been linked to construction activity, vehicular emissions and industrial operations. In Goa, he identified mining areas, coal handling, industrial estates and road construction as emerging concerns. He warned that pollution can lead to severe lung and respiratory diseases and may even affect unborn children through the placenta.

Emphasising preventive healthcare, Dr Pinto stressed that lifestyle choices remain the primary determinant of health outcomes and urged individuals to adopt healthier habits to reduce the growing burden of disease in the state.

Health Scope

ENHANCED EXTERNAL COUNTERPULSATION (EECP)


By Dr. Milind Desai

Enhanced External Counterpulsation (EECP) is transforming the way chronic heart conditions are managed. Designed for patients with chronic stable angina, heart failure, or those unsuitable for invasive procedures like angioplasty or bypass surgery, EECP is a safe, outpatient therapy that improves circulation and heart function.

What is EECP?

EECP involves the use of inflatable cuffs wrapped around the legs. These cuffs inflate and deflate in sync with the patient’s heartbeat. During the resting phase of the heart (diastole), the cuffs inflate sequentially from calves to thighs, pushing oxygen-rich blood back toward the heart. This improves coronary perfusion and oxygen delivery.

Mechanism of Action

  1. Inflation & Deflation: Cuffs inflate in a wave-like motion from lower to upper legs during diastole, deflating just before the heart contracts (systole).
  2. Improved Circulation: This increases venous return and coronary perfusion while lowering cardiac workload.
  3. Collateral Formation: Over time, EECP encourages the development of natural bypass vessels, improving long-term blood flow.

Indications for EECP

  • Chronic stable angina not responsive to medication
  • Patients who cannot undergo angioplasty or bypass surgery
  • Heart failure with reduced ejection fraction

Benefits of EECP

  • Significant reduction in angina episodes
  • Improved exercise capacity and daily function
  • Enhanced blood supply to heart tissue
  • Completely non-invasive, safe, and cost-effective

Treatment Protocol

A typical EECP course involves 35 one-hour sessions, usually 5–6 times per week. The therapy is performed on an outpatient basis, and the patient remains awake and relaxed during each session.

Safety Profile

EECP is generally well-tolerated with minimal side effects and no absolute contraindications in most patients. It is an excellent option for individuals looking for alternatives to invasive heart procedures.

 EECP offers hope to patients suffering from debilitating heart conditions who want a non-surgical treatment path. It not only improves blood flow and reduces symptoms but also enhances overall quality of life. For many, it represents a second chance at a more active and healthier lifestyle — without the risks of surgery.