EDITORIALS
Global burden of cardiovascular disease
1 Cardiovascular Medicine, University of Birmingham, Birmingham, UK
2 Department of Medicine, Groote Schuur Hospital, Cape Town, South Africa
3 Population Health Research Institute, McMaster University, Hamilton, Canada
4 All India Institute of Medical Sciences, New Delhi, India
5 Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
6 CTSU, University of Oxford, Oxford, UK
7 London Chest Hospital, London, UK
Correspondence to:
Professor J E Sanderson, Department of Cardiovascular Medicine The Medical School University of Birmingham, Edgbaston Birmingham B15 2TT, UK; j.e.sanderson@bham.ac.uk
See article on page 1176
Keywords: cardiovascular disease; global burden; epidemiology
| The first 150 words of the full text of this article appear below. |
It was estimated in 1998 that 85% of the global burden of cardiovascular diseases occurred in low and middle income countries.1 2 Furthermore, about half the deaths in the 1990s attributable to cardiovascular diseases in these countries were in those below the age of 70 years compared with only a quarter in the developed countries.2
Although the mortality rate of cardiovascular diseases and prevalence of major cardiovascular risk factors has generally decreased in economically developed countries, the corresponding mortality rate and risk prevalence has substantially increased in China, other East Asian societies and now India, which have been undergoing rapid demographic, social and economic changes.3–5 Dietary and lifestyle changes associated with economic growth and increasing wealth have led to a marked increase in obesity and diabetes in Asia that may further increase the burden of cardiovascular diseases.6–8 In sub-Saharan Africa, where infectious diseases remain the leading cause of death, hypertension and
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