Korean Circ J.  2021 May;51(5):383-398. 10.4070/kcj.2021.0001.

Implementation of National Health Policy for the Prevention and Control of Cardiovascular Disease in South Korea: Regional-Local Cardio-Cerebrovascular Center and Nationwide Registry

Affiliations
  • 1The Korean Cardiac Research Foundation, Seoul, Korea
  • 2Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea
  • 3Department of Internal Medicine, College of Medicine, Chungbuk National University, Chungbuk National University Hospital, Cheongju, Korea
  • 4Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea

Abstract

Cardiovascular disease (CVD) remains the leading cause of morbidity, mortality, and health care costs in South Korea. The prevalence of preventable and treatable risk factors for CVD such as obesity, hypercholesterolemia, and smoking has continued to increase, despite improvements management of hypertension. Active leadership, participation, and support of professional organizations and medical institutions in national cardiovascular registries and regional treatment network have proven to be effective models to reduce the global burden of CVD in the Europe and North America. Regional treatment network systems for ST-segment elevation myocardial infarction have established to coordinate percutaneous coronary intervention (PCI) treatment centers, non-PCI treatment centers, and emergency centers especially across the Europe. The Act on the Prevention and Management of Cardio-cerebrovascular Disease was enacted in South Korea in 2017 to establish the legal frameworks and a comprehensive plan for the prevention and management CVD and risk factors. To fully achieve the goal of a NationalHealth Plan for Cardiovascular Disease, it is necessary to embark on a nationwide registry project and to promote the regional acute treatment accessibility which can therefore play a key role in achieving the objectives of the 2017 Act. In this regard, the Korean Society of Cardiology advocates a national project for health promotion and cardiovascular prevention to improve cardiovascular outcomes, which includes the expansion and establishment of regional cardiocerebrovascular centers (CCVCs) and new local CCVCs.

Keyword

Cardiovascular diseases; Risk factors; ST elevation myocardial infarction; Healthcare; Registries

Figure

  • Figure 1 Trends in cigarette smoking in South Korea.Source: Generated from Korea National Health and Nutrition Examination Survey, KCDC.10)

  • Figure 2 Trends in intake of energy and macronutrients.Source: Generated from Korea National Health and Nutrition Examination Survey, KCDC.10)

  • Figure 3 Trends in aerobic physical activity.Source: Generated from Korea National Health and Nutrition Examination Survey, KCDC.10)

  • Figure 4 Trends in the prevalence of chronic diseases.Source: Generated from Korea National Health and Nutrition Examination Survey, KCDC.10)

  • Figure 5 National and regional mortality of ischemic heart disease from Statistics Korea, 2015.

  • Figure 6 Flowchart for reperfusion strategy based on 2017 ESC guidelines for the management of STEMI.Adapted from Ibanez B, James S, Agewall S, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018;39:119‐77.45)EMS = emergency medical services; ESC = European Society of Cardiology; PCI = percutaneous coronary intervention; STEMI = ST-segment elevation myocardial infarction.


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