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European Heart Journal Advance Access published online on August 5, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm323
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Coronary disease surveillance: a public heath imperative

Véronique L. Roger*

Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA

* Tel: +1 507 284 0519; fax: +1 507 266 0228. E-mail address: roger.veronique@mayo.edu

This editorial refers to ‘Contribution of changes in incidence and mortality to trends in the prevalence of coronary heart disease in the United Kingdom: 1996 to 2005’ by A.R. Davies et al., doi:10.1093/eurheartj/ehm272

The first 10% of the full text of this article appears below.

Coronary heart disease (CHD) is the leading cause of death in the Western world, thereby constituting an immense public health problem. While CHD mortality declined in the last four decades, the use of age-adjusted rates to describe CHD mortality obscures the fact that the decline largely represents the postponement of CHD deaths until older age. In fact, the burden of CHD is increasing in parallel with the increase in life expectancy.1 As the burden of prevalent CHD is increasing, identifying persons with CHD, measuring its incidence and outcome and how these vary over time and across populations is essential to understand the determinants of the trends in CHD. This in turn is crucial to define the relative contributions of risk factor reduction and therapeutic improvements, which is necessary to design effective interventions to reduce CHD.

The monitoring (otherwise termed surveillance) of CHD requires several . . . [Full Text of this Article]


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Related articles in EHJ:

Contribution of changes in incidence and mortality to trends in the prevalence of coronary heart disease in the UK: 1996–2005
Alisha Ruth Davies, Liam Smeeth, and Emily Marjatta Dorothea Grundy
EHJ 2007 28: 2142-2147. [Abstract] [FREE Full Text]