2017
DOI: 10.1590/1516-3180.2017.1355190817
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Cardiovascular secondary prevention in primary care setting: an immediate necessity in Brazil and worldwide

Abstract: Cardiovascular diseases (CVD) such as coronary heart disease, stroke and peripheral arterial diseases are the leading causes of death worldwide. 1 The decline in age-adjusted mortality rates observed since the late 1960s was initially attributed partially to two concomitant factors. First, case-fatality rates have decreased due to better awareness of early symptoms and introduction of pre-hospital care, coronary care units, new drugs and surgical interventions. Second, reduction in the numbers of cigarettes sm… Show more

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Cited by 7 publications
(7 citation statements)
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“…Previous studies in Brazil have identified the most formidable barriers preventing access to cardiac rehabilitation, which include transportation difficulties, low income, lack of insurance coverage and low educational level. [2][3][4] Regarding stroke, a previous study showed that less than 50% of patients with stroke who are attended in public hospitals and healthcare centers have any medical follow-up after their hospitalization at the time of the event. 5 Recent data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) have presented similar results.…”
mentioning
confidence: 99%
“…Previous studies in Brazil have identified the most formidable barriers preventing access to cardiac rehabilitation, which include transportation difficulties, low income, lack of insurance coverage and low educational level. [2][3][4] Regarding stroke, a previous study showed that less than 50% of patients with stroke who are attended in public hospitals and healthcare centers have any medical follow-up after their hospitalization at the time of the event. 5 Recent data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) have presented similar results.…”
mentioning
confidence: 99%
“…15 However, the challenge pointed out previously in this Journal is to put cardiovascular prevention into primary care. 16 This is an action that will effectively reduce the social gap regarding mortality, 17 morbidity 18 and disability 19 due to stroke, which is still a neglected disease in Brazil. 20…”
mentioning
confidence: 99%
“…Baixo nível socioeconômico está associado a maior prevalência de fatores de risco cardiovasculares e a pior sobrevida (Santos et al, 2015;Lotufo, 2017).…”
Section: Doença Isquêmica Coronariana No Brasilunclassified
“…Segundo os dados do Global Burden of Disease (GBD) 2016, o número de óbitos devido a DIC aumentou 19,0% (16,2% a 22,1%) de 2006 a 2016, em razão do crescimento populacional no período, do aumento da expectativa de vida e de alguns fatores de risco, como obesidade e diabetes (GBD, 2017;Santos et al, 2015). Porém, quando padronizado por idade, houve uma redução no número de óbitos de 11,6% (9,3 a 13,6%), provavelmente em decorrência de estratégias bem-sucedidas, melhorias no tratamento hospitalar e melhores opções para a prevenção (GBD, 2017;Lotufo, 2017).…”
Section: Introductionunclassified
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