As Americans and citizens of other industrializing countries began
to enjoy lives of increasing affluence and ease during the first
half of the 20th century, a rising tide of heart attacks and
strokes displaced infectious diseases as the leading cause of
death, killing millions in the United States and throughout the
world. Although cardiovascular disease remains serious and
widespread, the significant decline of per capita deaths is one of
the greatest accomplishments of modern public health and medicine.
Death rates from heart attack and stroke have fallen dramatically
by 80% in the past 50 years -- the progress has been hard won by a
combination of basic and applied laboratory research, broad and
far-reaching epidemiological studies by physicians, scientists, and
public health experts. Cardiovascular disease is no longer viewed
as an as an inevitable feature of the natural course of aging, and
complacency has given way to hope. This book focuses on
developments that influenced the rise and decline of cardiovascular
mortality since 1900, but also includes insider insights from the
author, a 42-year NIH employee.
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