Journal
HEART
Volume 99, Issue 3, Pages 159-162Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/heartjnl-2012-302300
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Funding
- UK Medical Research Council
- MedCHAMPS project
- EC FP7 [223705]
- UK Higher Education Funding Council
- MRC [MR/K006665/1, G0900847] Funding Source: UKRI
- Medical Research Council [MR/K006665/1, G0900847, MC_PC_13042] Funding Source: researchfish
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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.
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