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

Pietro A. Modesti, Piergiuseppe Agostoni, Charles Agyemang, Sanjay Basu, Athanase Benetos, Francesco P. Cappuccio, Antonio Ceriello, Stefano Del Prato, Robert Kalyesubula, Eoin O'Brien, Michael O. Kilama, Stefano Perlini, Eugenio Picano, Gianpaolo Reboldi, Giuseppe Remuzzi, David Stuckler, Marc Twagirumukiza, Luc M. Van Bortel, Ghassan Watfa, Dong ZhaoGianfranco Parati

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)951-960
Number of pages10
JournalJournal of Hypertension
Volume32
Issue number5
DOIs
Publication statusPublished - 2014

Keywords

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

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    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., ... Parati, G. (2014). 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. Journal of Hypertension, 32(5), 951-960. https://doi.org/10.1097/HJH.0000000000000125