Prevention of cardiovascular diseases through comprehensive health screening is possible if risk factor modification is made from young to middle age generation. For successful aging, prevention of heart failure and cognitive impairment in the elderly are particularly important. To preserve diastolic heart function by adequate blood pressure control and primary prevention of coronary heart disease through conventional risk factor modification are useful. However, such outcome appears decades later, and long-term life style modification is usually difficult. Evidence about effectiveness of precise screening procedures using modern technology such as ultrasound and long-term risk factor modification are lacking. Since Japan is a leading country in comprehensive health evaluation system, we need to construct reliable database concerning long-term outcomes using modern screening procedures. Improving prevention of cardiovascular diseases through reliable database could be a touchstone of our future health evaluation and promotion system.
