Preventing Cardiovascular Deaths: Challenges in Thailand’s Imminent Aging Society

Abstract

Cardiovascular disease (CVD) remains a significant public health issue worldwide and in Thailand, with highest mortality rates despite advancements in medical technology. As Thailand transitions into an aging society, with 30% of its population projected to be over 60 years old in the next 20 years, consequently managing cardiovascular disease in the elderly becomes critical. Cardiovascular disease prevention can be categorized into non-modifiable risk factors (age, gender, genetics) and modifiable risk factors (lifestyle behaviors, socioeconomic factors). Especially in postmenopausal women, due to estrogen insufficiency, prevalence of dyslipidemia significantly increases which sharply rises cardiovascular disease mortality rate. Current guidelines emphasize both primary and secondary prevention through lifestyle modifications and pharmacological interventions. Effective cardiovascular disease prevention and control in Thailand's aging society require multi-faceted strategies, including health promotion, healthcare system development, and stakeholder collaboration. A holistic approach addressing lifestyle changes and psychological well-being is essential. Clinical preventive medicine aims to improve quality of life and ensure healthy aging, reinforcing that prevention is preferable to late-stage treatment.