Primary Prevention of Cardiovascular Disease in Asia: Challenges A Narrative Review

被引：0

作者：

Dalakoti, Mayank ^{[1
,2
,3
]}

Lin, Norman H. Y. ^{[1
]}

Yap, Jonathan ^{[4
,5
]}

Cader, Aaysha ^{[6
]}

Dipanker, Prajapati ^{[7
]}

Lee, Derek ^{[8
]}

Shariff, Raja Ezman Raja ^{[9
]}

Cuenza, Lucky ^{[10
]}

Honda, Satoshi ^{[11
,18
]}

Malis, Vorn ^{[12
]}

Jiang, Haowen ^{[13
]}

Hirachan, Anish ^{[14
]}

Chimura, Misato ^{[15
]}

Yeo, Tee Joo ^{[1
]}

Yeo, Khung Keong ^{[4
,5
]}

Tan, Jack Wei Chieh ^{[4
,5
]}

Tromp, Jasper ^{[2
,16
,17
]}

Loh, Poay Huan ^{[1
]}

Chew, Nicholas W. S. ^{[1
]}

Wong, Scott ^{[1
,2
]}

Sia, Ching-Hui ^{[1
,2
]}

Tan, Benjamin Y. Q. ^{[2
]}

Johar, Sofian

Lip, Gregory Y. H. ^{[19
,20
,21
]}

Yang, Eugene ^{[22
]}

Virani, Salim S. ^{[23
,24
]}

Hageman, Steven ^{[25
]}

Liu, Hueiming ^{[26
]}

Di Angelantonio, Emanuele ^{[3
]}

Dorairaj, Prabhakaran ^{[27
]}

Koh, Angela S. ^{[2
]}

Chin, Calvin ^{[2
]}

Al Mahmeed, Wael ^{[1
,2
,28
]}

Chan, Mark Y. ^{[1
,2
]}

Foo, Roger

机构：

[1] Natl Univ Heart Ctr, Dept Cardiol, Singapore, Singapore

[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[3] Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England

[4] Natl Heart Ctr Singapore, Dept Cardiol, Singapore, Singapore

[5] Duke NUS Med Sch, Singapore, Singapore

[6] Ibrahim Cardiac Hosp & Res Inst, Dept Cardiol, Dhaka, Bangladesh

[7] Shahid Gangalal Natl Heart Ctr, Dept Cardiol, Kathmandu, Nepal

[8] Queen Elizabeth Hosp, Dept Cardiol, Hong Kong, Peoples R China

[9] Univ Teknol MARA, Dept Cardiol, Shah Alam, Selangor, Malaysia

[10] Philippines Heart Ctr, Dept Cardiol, Quezon City, Philippines

[11] Natl Cerebral & Cardiovasc Ctr, Dept Cardiol, Suita, Osaka, Japan

[12] Intercare Med Ctr, Dept Cardiol, Phnom Penh, Cambodia

[13] Lee Kong Chian Sch Med, Singapore, Singapore

[14] Mediciti Hosp Nepal, Dept Cardiol, Lalitpur, Nepal

[15] Osaka Univ, Dept Cardiovasc Med, Grad Sch Med, Osaka, Japan

[16] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore

[17] Natl Univ Singapore, Natl Univ Hlth Syst, Singapore, Singapore

[18] Raja Isteri Pengiran Anak Saleha Hosp, Dept Cardiol, Bandar Seri Begawan, Brunei

[19] Univ Liverpool, Liverpool John Moores Univ, Liverpool Ctr Cardiovasc Sci, Liverpool, England

[20] Liverpool Heart & Chest Hosp, Liverpool, England

[21] Aalborg Univ, Dept Clin Med, Aalborg, Denmark

[22] Univ Washington, Div Cardiol, Sch Med, Seattle, WA USA

[23] Aga Khan Univ, Dept Med, Karachi, Pakistan

[24] Baylor Coll Med, Sect Cardiovasc Res, Houston, TX USA

[25] Univ Med Ctr Utrecht, Utrecht, Netherlands

[26] George Inst Global Hlth, Sydney, Australia

[27] Ctr Chron Dis Control India, Delhi, India

[28] Cleveland Clin Abu Dhabi, Heart & Vasc Inst, Abu Dhabi, U Arab Emirates

来源：

JACC-ADVANCES | 2025年 / 4卷 / 04期

基金：

英国医学研究理事会; 新加坡国家研究基金会;

关键词：

Asia; challenges in CVD prevention; CVD prevention; primary prevention; AIR-POLLUTION; HIGH-INCOME; RISK; PREVALENCE; MIDDLE;

D O I：

10.1016/j.jacadv.2025.101670; 10.1016/j.jacadv.2025.101670

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

IMPORTANCE Asia is home to 60% of the world's population, including the world's 2 most populous countries, India (1.1B) and China (1.2B). With cardiovascular disease burden and mortality increasing, the role of preventive cardiology is increasingly important. OBSERVATIONS The challenges in addressing the cardiovascular disease burden in Asia include unique cardiometabolic features of the different populations, heterogeneity of risk factors among Asian countries, differing levels of health literacy and socioeconomic status, suboptimal infrastructure to support preventive care especially in the primary care sector, high out-of-pocket costs, and environmental pollution. CONCLUSIONS Asia is a large continent that comprises diverse populations with varying cultures, socioeconomic status, and health literacy levels. Effective preventive cardiology may require differential health care resource allocation and financing models. (JACC Adv. 2025;4:101670) (c) 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons. org/licenses/by-nc-nd/4.0/).

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