Pre-hospital thrombolysis.

Global Trends in Coronary Artery Disease coronary heart disease (cHd) is a major cause of morbidity and mortality in India like the rest of the world. Although rates of coronary heart disease have been decreasing over the past three decades in the western world, this is not true in India where we are seeing a rising trend. This decreasing trend has not been consistent across age groups, gender or socio-economic class. A more rapid reduction has been seen in younger age groups (45-54 years), in men and in higher socio-economic groups. In addition, the rate of decline in the UK has been slower then that in other developed counties (e.g. denmark, Norway, Australia).1