© 2004 by BMJ Publishing Group & British Cardiac Society
EDUCATION IN HEART
Coronary disease
Cardiovascular disease: different strategies for primary and secondary prevention?
Correspondence to:
Correspondence to:
Professor Richard Hobbs
Primary Care Clinical Sciences Building, University of Birmingham, Birmingham B15 2TT, UK; f.d.r.hobbs@bham.ac.uk
| The first 150 words of the full text of this article appear below. |
Despite public apprehension over the risks of developing cancer, in most countries the public has more to fear from cardiovascular disease (CVD). Coronary heart disease (CHD) and stroke, the principal manifestations of CVD, are the first and second most common causes of death worldwide.1 The World Health Organization predicts that, by 2020, coronary heart disease will become the world’s most important cause of death and disability and, further, the most important cause of premature death. Overall CVD therefore leads to substantial patient morbidity and, through the management of stroke and heart failure, results in the highest healthcare utilisation costs for any disease in many countries. Strategies to prevent CVD therefore have global significance and should be as high a priority for healthcare systems (if for no other reason than to reduce expenditure) as for individuals. Both primary and secondary prevention strategies are essential, the former at least partly
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This article has been cited by other articles:
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El Fakiri, F, Bruijnzeels, M A, Hoes, A W
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