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The number one killer in Canada is cardiovascular disease according to Health Canada In fact in the year 2009 alone there was an overall average of 68342 individuals who died as a result of having major cardiovascular disease Statistics Canada 2012 These results are astounding and suggest that more is needed to prevent the emergence of the disease not only in Canada but on a global scale Therefore the purpose of this paper is to analyze the current literature on the significance of dark chocolate as a primary prevention strategy for cardiovascular disease The outline of the paper is as follows the natural history of cardiovascular disease including its incidence and prevalence web of causation the primary prevention strategies followed by a review of the effects of dark chocolate on cardiovascular health and lastly the gaps in current research and conclusionNatural historyThe natural history of a disease includes its life cycle or natural progression without intervention from onset to final outcome Blackboard Notes A closer look at the natural history of cardiovascular disease reveals that it is a disease of the circulatory system that mainly affects the heart and blood vessels and includes six major types These includes ischemic heart disease cerebrovascular disease stroke peripheral vascular disease heart failure rheumatic heart disease and congenital heart disease Public Health Agency of Canada 2013 However the most common form of cardiovascular disease occurs as a result of atherosclerosis a build-up of plague on the arterial walls says Macphee and Daugherty 2008 and without more aggressive treatment the individual could ultimately develop rupture of the atherosclerotic plaques which could travel into the blood stream and cause cardiac ischemia where rapid treatment is needed to prevent death of the cardiac muscles and eventually heart failure Macphee Daugherty 2008 p 2Incidence and prevalence According to researchers Grassi Desideri Ferri 2010 cardiovascular diseases are the first cause of morbidity and mortality in western countries with hypertension affecting about
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