At first glance, it might seem odd for an American medical society to have an international presence. What could be the motivation? Is it just a way for the American College of Cardiology (ACC) to increase its membership? Or is it an expansionistic impulse to influence indigenous care systems with American models? In a word: no. Cardiovascular disease (CVD) is a global problem, complex in its manifestations and mediated by cultural influences, such as diet and lifestyle factors. Comparisons across the globe of issues and approaches to CVD can provide crucial insights, unattainable within any one homogeneous group. In this President's Page we want to describe the ACC's efforts in the international arena.
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