Cardiovascular disease in developing countries : Myths, realities, and opportunities.
The burden of cardiovascular disease (CVD), especially ischemic heart disease and stroke, varies remarkably between regions of the world, with declining rates in Europe, North America, and Australia/New Zealand, burgeoning epidemics in the former socialist economies and India, and relatively lower impact in developing regions such as sub-Saharan Africa.
The basis for a prediction of a global CVD epidemic lies in the « epidemiologic transition, » in which control of infectious, parasitic, and nutritional diseases allows most of the population to reach the ages in which CVD manifests itself.
In fact, CVD is already the leading cause of death not only in developed countries but, as of the mid-1990s, in developing countries as well.
A variety of myths have attempted to minimize the rationale for CVD control in developing countries.
In reality, CVD affects men, not only the elderly, and the rich, but rather a broad spectrum of the population.
Moreover, as a cause of disability it will be a world leader by 2020.
Finally, there is evidence that the epidemic can be curtailed.
Projections to the year 2020 predict an expansion of the CVD epidemic to the developing world, with CVD exceeding infectious and parasitic diseases in all regions except sub-Saharan Africa.
These estimates, in fact, may be conservative, because several factors may allow multiplication of risk. (...)
Mots-clés Pascal : Répartition géographique, Epidémiologie, Mortalité, Ischémie, Myocarde, Accident cérébrovasculaire, Perspective, Traitement, Article synthèse, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Cardiopathie coronaire, Myocarde pathologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie
Mots-clés Pascal anglais : Geographic distribution, Epidemiology, Mortality, Ischemia, Myocardium, Stroke, Perspective, Treatment, Review, Cardiovascular disease, Vascular disease, Coronary heart disease, Myocardial disease, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0307741
Code Inist : 002B12B01. Création : 16/11/1999.