Similarly, American Heart Association (AHA)/American College of Cardiology (ACC), National Heart, Lung and Blood Institute, British Heart Foundation, Heart Foundation of Australia and New Zealand, the European Society of Cardiology and the European Heart Network have been very effective in reaching out to the public through the media.

However, governments are usually very bureaucratic, slow and ineffective. To give an example, for the past several years the Pakistan cardiac society have been knocking at the doors of the Government of Pakistan for a hearing and a policy statement on heart disease. Governments, especially in the developing countries, can do a lot by way of legislation against the use of tobacco for e.g. and for labeling of processed foods to declare their fat and sodium content. The government must have the political will to eradicate the disease by proper transfer of technology to the states. The Government of Pakistan has failed to provide an impetus to eradicate RHD as it mostly affects the poor.

The fundamental contribution of lifestyle behaviors to the prevention and reduction of risk factors, and the high prevalence of risk factors in most population groups, mandate a public health approach to preventing CVD. In countries are Pakistan, communities carry very strong beliefs food rich in fat. E.g saturated fat is better than oil etc. The influence of myths on patient behavior and the effect of dispelling myths are important areas for study.