Primary Prevention of Cardiovascular Disease in Asia: Opportunities and Solutions

• Published in: JACC. Advances (Online) Vol. 4; no. 4; p. 101676
• Main Authors: Dalakoti, Mayank, Lin, Norman H.Y., Yap, Jonathan, Cader, Aaysha, Dipanker, Prajapati, Lee, Derek, Raja Shariff, Raja Ezman, Cuenza, Lucky, Honda, Satoshi, Malis, Vorn, Jiang, Haowen, Hirachan, Anish, Chimura, Misato, Yeo, Tee Joo, Yeo, Khung Keong, Jack Wei Chieh, Tan, Tromp, Jasper, Loh, Poay Huan, Chew, Nicholas W.S., Wong, Scott, Sia, Ching-Hui, Tan, Benjamin Y.Q., Johar, Sofian, Lip, Gregory Y.H., Yang, Eugene, Virani, Salim S., Hageman, Steven, Liu, Hueiming, Di Angelantonio, Emanuele, Dorairaj, Prabhakaran, Koh, Angela S., Chin, Calvin, Al Mahmeed, Wael, Chan, Mark Y., Foo, Roger
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.04.2025
• Subjects: Cardiovascular; cardiovascular disease prevention in Asia; opportunities and solutions; primary prevention; cardiovascular disease prevention in Asia; opportunities and solutions; SPC; BP; NCD; CVD; OOP; UHC; CHW; CV; primary prevention; CVRF; WHO; blood pressure; cardiovascular disease; single-pill combination; World Health Organization; community health worker; cardiovascular; cardiovascular risk factor; universal health coverage; noncommunicable disease; out-of-pocket
• ISSN: 2772-963X; 2772-963X
• DOI: 10.1016/j.jacadv.2025.101676

Asia faces a rapidly rising burden of cardiovascular disease (CVD). Preventive cardiology efforts may help address the CVD epidemic. Solutions to address the CVD burden include a cardiovascular risk assessment framework, improving health screening efforts, better cardiovascular risk factor management, novel innovation strategies encompassing targeted lifestyle measures, and strengthening governmental efforts. With the region's wide socioeconomic and other disparities, contextualizing and practical adaptation of various strategies into local practices, especially in low-middle-income countries, will determine the success of CVD prevention efforts. A differential approach addressing cardiovascular risk factor screening, prevention, and management that considers the context-specific socioeconomic, governmental, and cultural aspects in diverse Asian populations may help reduce the rapidly rising CVD trajectory in Asia. [Display omitted] •There is potential to adapt evidence-based solutions for enhanced primary prevention of CVD in Asia.•Possible solutions delivered within a cardiovascular risk assessment framework may target health screening, risk factor management, targeted lifestyle measures, and strengthening governmental efforts.•With the region's wide socioeconomic and other disparities, contextualizing and practical adaptation of various strategies into local practices, especially in low-middle-income countries, will determine the success of CVD prevention efforts.