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Canadian Journal of Cardiology

Beginning With the End in Mind: The Case for Primordial and Primary Cardiovascular Prevention in Youth

      Abstract

      Cardiovascular disease remains the leading cause of death worldwide. Although there is little direct evidence that ties the presence of risk factors in childhood with adult cardiovascular disease, there are multiple indirect lines of evidence that, when synthesized, make a strong case for maintaining cardiovascular health through childhood and adolescence as well as screening for and treating risk factors when they develop to diminish lifetime risk. This review summarizes these lines of evidence and asserts that it is imperative that primordial and primary cardiovascular risk reduction begins early.

      Résumé

      La maladie cardiovasculaire demeure la principale cause de décès dans le monde. Bien que les preuves directes associant la présence de facteurs de risque dans l’enfance à la maladie cardiovasculaire à l’âge adulte soient rares, il existe plusieurs sources de données indirectes qui, prises dans leur ensemble, semblent fortement montrer que le maintien d’une bonne santé cardiovasculaire durant l’enfance et l’adolescence ainsi que le dépistage et le traitement précoces des facteurs de risque permettent de réduire le risque à vie. Nous présentons un résumé de ces sources de données et faisons valoir qu’il est impératif de prendre le plus tôt possible les mesures qui s’imposent pour réduire le risque cardiovasculaire primordial et primaire.
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