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Disease Prevention

The moving target of global cardiovascular health

The cardiovascular community has witnessed an important transition over the past two decades—from awareness of the global nature of the cardiovascular disease epidemic, to identification of interventions to control it, and now to a resolution that global action is urgently required.

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Figure 1: Timeline of the response to the global cardiovascular disease epidemic, highlighting the transition from awareness to resolution to action.

References

  1. The World Bank. World Development Report 1993: Investing in Health (Oxford University Press, Oxford, 1993).

  2. Institute of Medicine. Control of Cardiovascular Disease in Developing Countries: Research, Development, and Institutional Strengthening (eds Howson, C. P., Reddy, K. S., Ryan, T. J. & Bale, J. R.) (National Academy Press, Washington DC, 1998).

  3. Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T. & Murray, C. J. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 367, 1747–1757 (2006).

    Article  Google Scholar 

  4. Yusuf, S. et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet 364, 937–952 (2004).

    Article  Google Scholar 

  5. Wilson, P. W. et al. Prediction of coronary heart disease using risk factor categories. Circulation 97, 1837–1847 (1998).

    Article  CAS  Google Scholar 

  6. Leeder, S., Raymond, S. & Greenberg, H. A Race Against Time: The Challenge of Cardiovascular Disease in Developing Economies (Trustees of Columbia University, New York, 2004).

    Google Scholar 

  7. WHO. Preventing Chronic Diseases: A Vital Investment: WHO Global Report (WHO, Geneva, 2005).

  8. Beaglehole, R., Ebrahim, S., Reddy, S., VoÛte, J. & Leeder, S. for the Chronic Disease Action Group. Prevention of chronic diseases: a call to action. Lancet 370, 2152–2157 (2007).

    Article  Google Scholar 

  9. Daar, A. S. et al. Grand challenges in chronic non-communicable diseases. Nature 450, 494–496 (2007).

    Article  CAS  Google Scholar 

  10. Asaria, P., Chisholm, D., Mathers, C., Ezzati, M. & Beaglehole, R. Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use. Lancet 370, 2044–2053 (2007).

    Article  Google Scholar 

  11. Gaziano, T. A. Economic burden and the cost-effectiveness of treatment of cardiovascular diseases in Africa. Heart 94, 140–144 (2008).

    Article  CAS  Google Scholar 

  12. Gaziano, T. A., Opie, L. H. & Weinstein, M. C. Cardiovascular disease prevention with a multidrug regimen in the developing world: a cost-effectiveness analysis. Lancet 368, 679–686 (2006).

    Article  CAS  Google Scholar 

  13. Lim, S. S. et al. Prevention of cardiovascular disease in high-risk individuals in low-income and middle-income countries: health effects and costs. Lancet 370, 2054–2062 (2007).

    Article  Google Scholar 

  14. Smith, S. C. Jr et al. Principles for national and regional guidelines on cardiovascular disease prevention: a scientific statement from the World Heart and Stroke Forum. Circulation 109, 3112–3121 (2004).

    Article  Google Scholar 

  15. Grundy, S. M. et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 110, 227–239 (2004).

    Article  Google Scholar 

  16. [No authors listed.] Sesame Workshop. World Heart Federation [online], http://www.world-heart-federation.org/what-we-do/children-youth/sesame-workshop/ (2009).

Download references

Acknowledgements

This article has been reviewed and approved by the institute of Medicine Committee on Preventing the Global epidemic of Cardiovascular Disease: Meeting the Challenges in Developing Countries.

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Correspondence to Valentin Fuster.

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Vedanthan, R., Fuster, V. The moving target of global cardiovascular health. Nat Rev Cardiol 6, 327–328 (2009). https://doi.org/10.1038/nrcardio.2009.48

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