Global Shifts in Cardiovascular Disease, the Epidemiologic Transition, and Other Contributing Factors: Toward a New Practice of Global Health Cardiology
- PMID: 27886780
- PMCID: PMC5134924
- DOI: 10.1016/j.ccl.2016.08.004
Global Shifts in Cardiovascular Disease, the Epidemiologic Transition, and Other Contributing Factors: Toward a New Practice of Global Health Cardiology
Abstract
One of the major drivers of change in the practice of cardiology is population change. This article discusses the current debate about epidemiologic transition paired with other ongoing transitions with direct relevance to cardiovascular conditions. Challenges specific to patterns of risk factors over time; readiness for disease surveillance and meeting global targets; health system, prevention, and treatment efforts; and physiologic traits and human-environment interactions are identified. This article concludes that a focus on the most populated regions of the world will contribute substantially to protecting the large gains in global survival and life expectancy accrued over the last decades.
Keywords: Cardiology; Demography; Developing countries; Epidemiology; Global health; Health transitions.
Copyright © 2016 Elsevier Inc. All rights reserved.
Conflict of interest statement
Financial conflicts of interest The authors have nothing to disclose.
Figures

References
-
- Fogel RW. Secular trends in physiological capital: implications for equity in health care. Perspect Biol Med. 2003 Summer;46(3 Suppl):S24–S38. - PubMed
-
- Berwick DM. Era 3 for Medicine and Health Care. JAMA. 2016 Apr 5;315(13):1329–1330. - PubMed
-
- Bauchner H, Berwick D, Fontanarosa PB. Innovations in Health Care Delivery and the Future of Medicine. JAMA. 2016 Jan 5;315(1):30–31. - PubMed
-
- Miller BM, Moore DE, Jr, Stead WW, Balser JR. Beyond Flexner: a new model for continuous learning in the health professions. Acad Med. 2010 Feb;85(2):266–272. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources