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Heart. 2013 Feb;99(3):159-62. doi: 10.1136/heartjnl-2012-302300. Epub 2012 Sep 9.

Contributions of treatment and lifestyle to declining CVD mortality: why have CVD mortality rates declined so much since the 1960s?

Author information

1
Department of Public Healthand Policy, University of Liverpool, Liverpool, UK. moflaher@liverpool.ac.uk

Abstract

Developed countries have enjoyed substantial falls in cardiovascular disease (CVD) mortality. However, low and middle income countries are drowning in a rising tide of CVD and other non-communicable diseases. Current and future trends in CVD mortality will therefore require increasing attention in the 21st century. The success of clinical cardiology in providing evidence-based cost-effective treatments should be celebrated. However, the growing understanding of CVD mortality trends highlights the crucial role of tobacco, diet, alcohol and inactivity as key drivers. Pro-active public health approaches focused on 'upstream' population-wide policies are increasingly recognised as being potentially powerful, rapid, equitable and cost-saving. However, the future political challenges could be substantial.

PMID:
22962283
DOI:
10.1136/heartjnl-2012-302300
[Indexed for MEDLINE]

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