The European Society of Cardiology
Foreword
a Glasgow, UK
b Osaka, Japan
* James Shepherd, MB, Chb, PhD, FRCPath Department of Pathological Biochemistry, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.
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Coronary heart disease (CHD) no longer remains a concern limited to Western, developed nations; rather, the condition now traverses both ethnic and cultural boundaries. Cardiovascular disease, the worlds leading cause of death, comprises almost one-third of the overall mortality rate, with proportions found regionally in Europe and the Americas, at 52% and 33%, respectively.1 Although CHD still accounts for fewer deaths in Southeast Asian and Western Pacific nations, the disease is rapidly gaining prevalence similar to that of its Western counterparts. We are challenged, then, to compare the nature and course of CHD in these differing cultures and to determine