This chapter discusses trends in coronary heart disease (CHD) and cardiovascular disease (CVD) in developing countries. According to the Global Burden of Disease Study, developing countries contributed 3.5 million of the 6.2 million global deaths attributable to CHD in 1990. he projections envisage that these countries will account for 7.8 million of the 11.1 million deaths related to CHD in 2020. Nearly half of these deaths will occur below the age of seventy years, in contrast to less than a quarter of CHD deaths in the rich industrial countries. Proportional mortality rates of deaths attributable to CVD have also risen in these countries, from 24.5% in 1990 to 28.5% in 1998.
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