August 2011 Br J Cardiol 2011;18:180–84
Gill Richardson, Hugo C van Woerden, Rhiannon Edwards, Lucy Morgan, Robert G Newcombe
Introduction Cardiovascular disease (CVD) is a major cause of morbidity and mortality, particularly in deprived communities.1 Community or primary care based vascular risk assessment programmes are being introduced in England,2 Scotland and Wales, and are becoming central to USA health reform plans.3 However, the evidence base for these programmes is still emerging.4 The World Health Organization (WHO) estimate that better use of existing preventative measures could reduce the global burden of disease by as much as 70%5 based on some evidence from CVD prevention interventions that target risk factor management.6-8 However, the most effective
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