What is the best strategy for reducing deaths from heart disease?
Coronary artery disease is a major cause of death worldwide. Two very different approaches have been proposed as a way of reducing these deaths. The "high risk" approach uses tools such as risk factor scoring and carotid ultrasound to try and identify those at highest risk, and then treats them aggressively. The "population" approach aims to shift the distribution of risk factors across a population in a beneficial direction with the goal of reducing heart disease in the whole population.
Makover
Michael E
ME
New York University School of Medicine, New York, New York, USA. mmakover@optonline.net
Ebrahim
Shah
S
D050197:Atherosclerosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control; D002339:Carotid Arteries / Q000000981:diagnostic imaging*; D003362:Cost-Benefit Analysis; D006331:Heart Diseases / Q000401:mortality* / Q000517:prevention & control*; D006801:Humans; D010347:Patient Care Planning; D018570:Risk Assessment; D017539:Tunica Intima / Q000000981:diagnostic imaging; D014463:Ultrasonography