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March 20, 2013

Improving Cardiovascular Health: A Balance Between Discovery and Delivery

Author Affiliations

Author Affiliations: American College of Cardiology Foundation, Washington, DC (Drs Zoghbi and Holmes); Mayo Clinic Foundation, Rochester, Minnesota (Dr Holmes); and The Methodist DeBakey Heart and Vascular Center, Houston, Texas (Dr Zoghbi).

JAMA. 2013;309(11):1117-1118. doi:10.1001/jama.2013.2416

The past 30 years have seen major shifts in cardiovascular science and medicine. In the United States, mortality due to cardiovascular disease (CVD) has declined by more than 60% as a result of new therapeutic approaches, including the introduction of statins, better anticoagulants, angiotensin-converting enzyme inhibitors, devices such as implantable cardioverter-defibrillators, and—perhaps foremost—the application of evidence-based scientific guidelines.1 There is every reason to believe further progress will occur during the next few decades, although some signs suggest that the current emphasis may change.