title: Cardiovascular diseases in populations: secular trends and contemporary challenges-Geoffrey Rose lecture, European Society of Cardiology meeting 2014.
abstract: Geoffrey Rose pioneered the concept that, to reduce the burden of disease, improving the population distribution of a risk factor was preferable to interventions that target high-risk individuals. Reflecting on this concept prompted us to ask if temporal trends in the burden of cardiovascular disease support this hypothesis. This perspective article summarizes the Geoffrey Rose lecture given at the European Society of Cardiology meeting in 2014 and examines how cardiovascular diseases have evolved over the past three decades focusing on temporal trends in myocardial infarction and heart failure.
authors.affiliation: Department of Health Sciences Research and Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA roger.veronique@mayo.edu.
authors.forename: Véronique L
authors.initials: VL
authors.lastname: Roger
mesh_terms: D002318:Cardiovascular Diseases / Q000401:mortality* / Q000517:prevention & control; D017281:Cost of Illness; D005060:Europe / Q000453:epidemiology; D005260:Female; D006333:Heart Failure / Q000401:mortality / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D008297:Male; D009026:Mortality / Q000639:trends; D009203:Myocardial Infarction / Q000401:mortality / Q000517:prevention & control; D020521:Stroke / Q000401:mortality / Q000517:prevention & control; D014481:United States / Q000453:epidemiology
keywords: Epidemiology; Heart Disease; Medical care; Prevention