Journal of Hypertension
Volume 32, Issue 5, 2014, Pages 951-960

Cardiovascular risk assessment in low-resource settings: A consensus document of the European Society of Hypertension Working Group on Hypertension and Cardiovascular Risk in Low Resource Settings (Article)

Modesti P.A.* , Agostoni P. , Agyemang C. , Basu S. , Benetos A. , Cappuccio F.P. , Ceriello A. , Del Prato S. , Kalyesubula R. , O'Brien E. , Kilama M.O. , Perlini S. , Picano E. , Reboldi G. , Remuzzi G. , Stuckler D. , Twagirumukiza M. , Van Bortel L.M. , Watfa G. , Zhao D. , Parati G.
  • a Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy
  • b Centro Cardiologico Monzino, IRCCS, Milan, Italy
  • c Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands
  • d University of California, San Francisco, CA, United States
  • e INSERM UMR S1116, Université de Lorraine, Nancy, France
  • f University of Warwick, Warwick Medical School, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom
  • g Institut d'Investigacions Biomèdiques August Pi i Sunyer IDIBAPS, Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas, Barcelona, Spain
  • h Section of Metabolic Diseases and Diabetes, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
  • i Makerere University, Kampala, Uganda
  • j Conway Institute, University College Dublin, Dublin, Ireland
  • k Benedict Medical Center, Kampala, Uganda
  • l Clinica Medica II, University of Pavia, Pavia, Italy
  • m Institute of Clinical Physiology, CNR, Pisa, Italy
  • n Department of Internal Medicine, University of Perugia, Perugia, Italy
  • o IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Bergamo, Italy
  • p Department of Sociology, University of Oxford, Oxford, United Kingdom
  • q Faculty of Medicine and Health Sciences, Heymans Institute of Pharmacology, Ghent University, Ghent, Belgium
  • r Faculty of Medicine and Health Sciences, Heymans Institute of Pharmacology, Ghent University, Ghent, Belgium
  • s Department of Geriatrics, CHU Nancy, Nancy, France
  • t Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University, Beijing, China
  • u Department of Health Sciences, University of Milano-Bicocca, Italy, Department of Cardiology, S. Luca Hospital, IRCCS Istituto Auxologico Italiano, Milan, Italy

Abstract

The Global Burden of Diseases, Injuries, and Risk Factors Study 2010 confirms ischemic heart disease and stroke as the leading cause of death and that hypertension is the main associated risk factor worldwide. How best to respond to the rising prevalence of hypertension in resource-deprived settings is a topic of ongoing public-health debate and discussion. In low-income and middle-income countries, socioeconomic inequality and cultural factors play a role both in the development of risk factors and in the access to care. In Europe, cultural barriers and poor communication between health systems and migrants may limit migrants from receiving appropriate prevention, diagnosis, and treatment. To use more efficiently resources available and to make treatment cost-effective at the patient level, cardiovascular risk approach is now recommended. In 2011, The European Society of Hypertension established a Working Group on 'Hypertension and Cardiovascular risk in low resource settings', which brought together cardiologists, diabetologists, nephrologists, clinical trialists, epidemiologists, economists, and other stakeholders to review current strategies for cardiovascular risk assessment in population studies in low-income and middle-income countries, their limitations, possible improvements, and future interests in screening programs. This report summarizes current evidence and presents highlights of unmet needs. © 2014 Wolters Kluwer Health / Lippincott Williams & Wilkins. 2014 Wolters Kluwer Health / Lippincott Williams & Wilkins.

Author Keywords

migrants and minority groups cardiovascular risk low-income and middle-income countries global cardiovascular and cerebrovascular health

Index Keywords

vulnerable population cardiovascular risk lowest income group Europe developing country Cardiovascular Diseases Developing Countries human risk assessment Societies, Medical medical society priority journal hypertension resource allocation nephrologist social status Humans consensus chronic kidney disease high risk population population research European Union Article cardiologist middle income group health care system cost effectiveness analysis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898402437&doi=10.1097%2fHJH.0000000000000125&partnerID=40&md5=a2f5470882dde6d33510e696a3ff1efc
DOI: 10.1097/HJH.0000000000000125
ISSN: 02636352
Cited by: 48
Original Language: English