This editorial refers to ‘Increasing mortality from ischemic heart disease in China from 2004-2010: disproportionate rise in rural areas and elderly subjects’, by X. Zhang et al., on page 47.

Ischaemic heart disease (IHD) has become increasingly common in China and has overtaken haemorrhagic stroke in recent years as the country’s leading cause of death.1 Models forecast that the incidence of coronary heart disease in China will rise to over 2.5 million events per year by 2030, which represents a 50% increase over the 2010 incidence.2 Also, in contrast to USA and other developed countries, the mortality rate associated with IHD in China is increasing.3

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Efforts to reduce the burden of IHD in China must start with a detailed understanding of the underlying epidemiologic...

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