Environmental Exposures and Cardiovascular Disease - A Challenge for Health Equity Worldwide


The cost for this online activity is $15. This presentation was recorded LIVE on December 7, 2017 and is approximately 45 minutes. 

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Target Audience

Health professionals.


  • Describe how environmental exposures are associated with cardiovascular disease.
  • Recognize the inter-relatedness of cardiovascular disease epidemiology in the United States and throughout the Americas.


Melissa Burroughs Peña, MD, MS
Assistant Professor of Medicine, Division of Cardiology, University of California, San Francisco


  • MS - Duke University, Global Health and Cardiovascular Medicine
  • MD - Harvard Medical School

Cardiovascular disease is the leading killer in the US and throughout the Americas – and Dr. Melissa Burroughs Peña, a cardiologist with a keen interest in Latin America, is an emerging leader in improving heart health across the region. The widespread availability of fast food, growing rates of obesity and diabetes, and low access to preventive treatments such as statins contribute to the "perfect storm" of heart disease that is impacting Latin America, said Dr. Burroughs Peña. Unfortunately, it also hits patients at much younger ages than the US. "It’s not just grandmothers having heart attacks, but people in their 30s, 40s and 50s who are supporting families and can no longer work," said Dr. Burroughs Peña. "It can sink a family very quickly, and is devastating to local communities and national economies." To learn more about Dr. Burroughs Peña, visit her faculty spotlight or biography.

Relevant to the content of this CME activity, Dr. Burroughs Peña indicated she has no financial relationships with commercial interests to disclose.


  • Brook RD et al (2010) Circulation, 121: 2331-78 
  • Burnett et al.  Envirn Health Persp 2014; 122:397-403 
  • Burroughs Peña and Rollins (2017) Cardiology Clinics
  • Mills (2009) Nature Clinical Practice: Cardiovascular Medicine 6(1): 36-44
  • Smith et al Ann Rev Pub Health 2014;  35: 185-206

Terms of Use and Privacy Policy

Date of original release: December 8, 2017
Most recent review/update: December 8, 2017
Termination date: December 7, 2020

Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credits
  • 0.75 AOA Category 2­B
  • 0.75 CE Contact Hour(s)
Course opens: 
Course expires: 

Continuing Education Credit

  • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University (DMU) is accredited by the IMS to provide continuing medical education for physicians. DMU designates this enduring materials activity for 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 0.75 AOA Category 2-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • Other healthcare providers: This live activity is designated for 0.75 AMA PRA Category 1 Credit(s)™.

Educational Grants

No commercial interest provided financial support for this continuing education activity. 

Available Credit

  • 0.75 AMA PRA Category 1 Credits
  • 0.75 AOA Category 2­B
  • 0.75 CE Contact Hour(s)


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