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

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

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiology / methods*
  • Cardiovascular Diseases / mortality*
  • Cardiovascular Diseases / therapy*
  • Forecasting*
  • Global Health
  • Humans
  • Life Style*
  • Public Health*
  • Risk Factors
  • Survival Rate / trends