Screening for cardiovascular disease risk and subsequent management in low and middle income countries : challenges and opportunities

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Serval ID
serval:BIB_CEE5D697A4B0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Screening for cardiovascular disease risk and subsequent management in low and middle income countries : challenges and opportunities
Journal
Public Health Reviews
Author(s)
Bovet P., Chiolero A., Paccaud F., Banatvala N.
ISSN
2107-6952
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
36
Number
135
Pages
1-15
Language
english
Abstract
Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the leading cause of premature mortality in low and middle income countries (LMICs). Identifying and managing individuals at high risk of CVD is an important strategy to prevent and control CVD, in addition to multisectoral population-based interventions to reduce CVD risk factors in the entire population.
Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs.
Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability of affordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). This also emphasises the need to re-orient health systems in LMICs towards chronic diseases management.
Keywords
Main NCDs, Primary Health Care Level, Strengthen Health System, Voluntary Global Target, World Health Assembly
Pubmed
Open Access
Yes
Create date
03/12/2015 14:39
Last modification date
04/11/2019 9:45
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