Cardiology at a Crossroads: From Volume to Value in the IndianContext

Abstract

Cardiovascular disease remains the leading cause of death in India, despite major advances in cardiology. This editorial highlight the growing disconnect between technological progress and equitable, outcome-driven care. Key challenges include early-onset coronary artery disease, gaps between guidelines and real-world practice, limited emphasis on prevention, and variability in access to evidence-based therapies. The need for context-sensitive guidelines, indigenous research, ethical practice, and strengthened training is emphasized. The potential of digital health to reduce care disparities is discussed, alongside the importance of patient-centered, value-based cardiology. A balanced approach integrating innovation, affordability, and prevention is essential for improving cardiovascular outcomes in India.