Key result
Hypertension control and healthcare response linked to ~45% drop in heart disease deaths in Cuba.
Effect estimate: 45% reduction
OBJECTIVES: An adequate description of the trends in cardiovascular disease (CVD) is not available for most of the developing world. Cuba provides an important exception, and we sought to use available data to offer insights into the changing patterns of CVD there. METHODS: We reviewed Cuban public health statistics, surveys, and reports of health services. RESULTS: CVD has been the leading cause of death since 1970. A 45% reduction in heart disease deaths was observed from 1970 to 2002; the decline in stroke was more limited. There are moderate prevalences of all major risk factors. CONCLUSIONS: The Cuban medical care system has responded vigorously to the challenge of CVD; levels of control of hypertension are the highest in the world. Nonindustrialized countries can decisively control CVD.
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Cooper et al. (2005) conducted a review in Cardiovascular disease. Medical care system and cardiovascular disease prevention strategies was evaluated on Heart disease deaths (45% reduction). From 1970 to 2002, a 45% reduction in heart disease deaths was observed in Cuba, driven by high levels of hypertension control and a vigorous medical care system response.
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