Paradoxically, low-income countries experience higher rates of major cardiovascular events and death despite a lower risk-factor burden, likely due to poorer risk factor control and lower use of proven therapies.
May highlight gaps in care delivery in low-income countries; leaves open optimal global prevention strategies.
Although the risk-factor burden was lowest in low-income countries, the rates of major cardiovascular disease and death were substantially higher in low-income countries than in high-income countries. The high burden of risk factors in high-income countries may have been mitigated by better control of risk factors and more frequent use of proven pharmacologic therapies and revascularization. (Funded by the Population Health Research Institute and others.).
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Yusuf et al. (2014) studied this question.
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