Prevention of Coronary Heart Disease 2020: If Not Now, When?
*Corresponding Author: Charles Katzenberg, Division of Cardiology, University of Arizona, Arizona, USA, Email: ckatzenberg123@gmail.comReceived Date: Jan 25, 2020 / Accepted Date: Feb 10, 2020 / Published Date: Feb 17, 2020
Citation: Katzenberg C (2020) Prevention of Coronary Heart Disease 2020: If Not Now, When?. J Card Pulm Rehabil 4: 127.
Copyright: © 2020 Katzenberg C. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract
Prevention of Coronary Heart Disease remains an urgent challenge. We have made progress over the past 50 years, but in the last few years coronary heart disease mortality curves have flattened and begun to trend upwards coincident with worldwide epidemics of diabetes and obesity.
We understand the problem. We know what to do. We understand the multiple paths toward prevention. What is missing is uniform acknowledgement from medical practitioners, hospitals, insurers, government and the general public that a problem exists, followed by unified commitment of financial, educational and program resources commensurate with shining a bright light on Prevention. Why are we so complacent with treating disease rather than preventing it? The answer may lie in the current economics of healthcare where financial incentives are not aligned with prevention and health promotion.
The Hippocratic Oath contains the clause, “I will prevent disease whenever I can, for prevention is preferable to cure.”