Introduction: Coronary artery disease (CAD) is a major health issue in developing nations. Kerala has a significant number of people at risk as heart disease has a large number of predisposing and rampant etiological factors, many of which are controllable. Aims and Objectives: To study the prevalence of risk factors and their association with coronary artery disease, a cross sectional community based study was conducted in Tholur Panchayat of Thrissur, Kerala, among adults over 25 years of age. Methodology: Information on socio-demographics, education, occupation, monthly income, personal history of hypertension, diabetes, dyslipidemia, coronary artery disease and family history of heart disease was collected using a structured interview schedule. The data was entered in Microsoft Excel and analyzed using Epi-info. Result: The prevalence of cardiovascular disease was 9.5% and among them 17.6% were males and 4.8% of them were females. Education and occupation, family history of heart disease, other co - morbidities like diabetes, hypertension and dyslipidemia play their own roles in the development of heart disease. Conclusion: The prevalence of coronary artery disease correlates with significant controllable risk factors like diabetes mellitus, hypertension and dyslipidemia. So early detection and proper treatment of these co-morbidities before developing end organ damage play a vital role in the prevention of coronary artery disease.
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