Cited by 1,141Cardiovascular Health and Risk FactorsHealthcare Systems and Public HealthGlobal Health and Epidemiology

Global Burden of Cardiovascular Diseases: Part II: Variations in Cardiovascular Disease by Specific Ethnic Groups and Geographic Regions and Prevention Strategies

Yusuf, Salim, Reddy, Srinath, Ôunpuu, Stephanie, Anand, Sonia·2001·Circulation

Abstract

This two-part article provides an overview of the global burden of atherothrombotic cardiovascular disease. Part I initially discusses the epidemiological transition which has resulted in a decrease in deaths in childhood due to infections, with a concomitant increase in cardiovascular and other chronic diseases; and then provides estimates of the burden of cardiovascular (CV) diseases with specific focus on the developing countries. Next, we summarize key information on risk factors for cardiovascular disease (CVD) and indicate that their importance may have been underestimated. Then, we describe overarching factors influencing variations in CVD by ethnicity and region and the influence of urbanization. Part II of this article describes the burden of CV disease by specific region or ethnic group, the risk factors of importance, and possible strategies for prevention.

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Crossref · 10.1161/hc4701.099488

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  • The classic model of epidemiologic transition does not fully reflect the heterogeneity of the burden of cardiovascular disease across countries.

    “As they have noted, the classic model of “epidemiologic transition” does not fully reflect the heterogeneity of the burden of cardiovascular disease across countries.”

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  1. [2]2. Marmot M. Coronary heart disease: rise and fall of a modern epidemic. In: Marmot M, Elliot P, eds. Coronary Heart Disease Epidemiology . Oxford: Oxford University Press, 1995:3-19.
  2. [5]5. Law MR, Wald N. Why heart disease mortality is low in France: the time-lag explanation. Br Med J . 1999;318:1471-1480.
  3. [27]27. Reddy KS. Cardiovascular disease in India. World Health Stat Q . 1993; 46:101-7.
  4. [31]31. Balarajan R. Ethnicity and variations in mortality from coronary heart disease. Health Trends . 1996;28:45-51.
  5. [37]37. Ramachandran A, Dharmaraj D, Snehalatha C, et al. Prevalence of glucose intolerance in Asian Indians. Diabetes Care . 1992;15: 1348-1355.
  6. [63]63. Pearson TA, Jamison DT, Trejo-Gutierrez H. Cardiovascular disease. In: Jamison DT, ed. Disease Control Priorities in Developing Countries . New York, NY: Oxford University Press; 1993:577-599.

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Authors
Yusuf, S., Reddy, S., Ôunpuu, S., & Anand, S.
Affiliations
  • Population Health Research Institute (CA)
  • From the Population Health Research Institute and Division of Cardiology (S.Y., S.O., S.A.), McMaster University, Hamilton, Ontario, Canada; and the All India Institute of Medical Sciences (S.R.), New Delhi, India.
Venue
Circulation
Published
2001-12-04
Volume
104
Issue
23
Pages
2855-2864
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W3175048990
Cited by
1,141
References
80
Citations by year
2026: 9 · 2025: 28 · 2024: 31 · 2023: 33 · 2022: 28 · 2021: 23 · 2020: 34 · 2019: 40 · 2018: 50 · 2017: 38 · 2016: 53 · 2015: 75 · 2014: 83 · 2013: 73 · 2012: 83
FWCI
17.14
Type
journal article
Language
en
Open access
closed
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
  • Circulation
Funders
  • Heart and Stroke Foundation of Canada
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
  • Health Sciences › Health Professions › Health Information Management › Global Health and Epidemiology
Keywords
atherothrombotic cardiovascular disease, epidemiological transition, chronic disease, developing countries, cardiovascular risk factors, ethnic differences, regional variation, urbanization, cardiovascular disease prevention
MeSH terms
Africa, Asia, Cardiovascular Diseases, Europe, Female, Humans, Male, Risk Factors, Global Health

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