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The burden of ischemic heart disease relative to other causes of heart disease remains low particularly in the black Africans majority. Stroke caused predominantly by hypertension is now a major cause of disability and premature death. Third, the burden of risk factors for atherosclerosis is increasing rapidly in most urban and some rural regions. A concerted effort to understand the primary drivers of this increase in cardiac risk factors is required to prevent a future epidemic of atherosclerosis and its sequelae.<\/jats:p>","DOI":"10.1136\/heartjnl-2012-303585","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T20:59:17Z","timestamp":1368737957000},"page":"1230-1235","source":"Crossref","is-referenced-by-count":35,"title":["Recent advances in the epidemiology, outcome, and prevention of myocardial infarction and stroke in sub-Saharan Africa"],"prefix":"10.1136","volume":"99","author":[{"given":"Mpiko","family":"Ntsekhe","sequence":"first","affiliation":[{"name":"Department of Medicine, The Cardiac Clinic, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albertino","family":"Damasceno","sequence":"additional","affiliation":[{"name":"The Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,5,16]]},"reference":[{"key":"2025100707592834000_99.17.1230.1","doi-asserted-by":"crossref","unstructured":"Mathers CD Lopez AD Murray CJL . 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