FEATURED EDITORIAL
What explains declining coronary mortality? Lessons and warnings
1 Division of Public Health, University of Liverpool, Liverpool, UK
Correspondence to:
Professor S Capewell, Division of Public Health, University of Liverpool, Whelan Building, Quadrangle, Liverpool L69 3GB, UK; capewell@liverpool.ac.uk
| The first 150 words of the full text of this article appear below. |
One of the most important health achievements during the 20th century was the unravelling of the causes of vascular diseases (CVDs). Developing the risk factor paradigm helped us to understand the unparalleled rise and fall in CVD mortality rates seen in many Western countries. Despite the substantial decrease in the past 40 years, CVD is still an important burden for societies across the world. Annually in the UK, there are 200 000 deaths from CVD (60 000 premature with health and social costs exceeding 30 billion.1
Dealing with this burden will be challenging. The US healthcare system is already facing economic crisis. Today’s planners require renewed efforts to control this disease. We are very fortunate, because this group of diseases has been extensively studied. We have detailed knowledge of its causation and what effects can come from evidence-based therapeutic interventions.
Since the 1980s, coronary heart disease (CHD) mortality rates have
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