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Salim Yusuf (born 26 November 1952) is an
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
n-born
Canadian Canadians (french: Canadiens) are people identified with the country of Canada. This connection may be residential, legal, historical or cultural. For most Canadians, many (or all) of these connections exist and are collectively the source of ...
physician, the Marion W. Burke Chair in Cardiovascular Disease at
McMaster University Medical School The Michael G. DeGroote School of Medicine, known as the McMaster University School of Medicine prior to 2004, is the medical school of McMaster University in Hamilton, Ontario, Canada. It is operated by the McMaster Faculty of Health Sciences. ...
. He is a
cardiologist Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular ...
and
epidemiologist Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
.


Early life and education

Born in the town of
Kottarakkara Kottarakkara (IAST: Koṭṭārakkara), also transliterated as ''Kottarakara'', is a town and municipality in the Kollam district of the Kerala, India. The town is close to Kollam Port, which has a rich history linked to the early medieval pe ...
in
Kerala Kerala ( ; ) is a state on the Malabar Coast of India. It was formed on 1 November 1956, following the passage of the States Reorganisation Act, by combining Malayalam-speaking regions of the erstwhile regions of Cochin, Malabar, South ...
, Yusuf studied medicine at St. John's Medical College in Bangalore and earned a
DPhil A Doctor of Philosophy (PhD, Ph.D., or DPhil; Latin: or ') is the most common degree at the highest academic level awarded following a course of study. PhDs are awarded for programs across the whole breadth of academic fields. Because it is ...
at
Oxford University Oxford () is a city in England. It is the county town and only city of Oxfordshire. In 2020, its population was estimated at 151,584. It is north-west of London, south-east of Birmingham and north-east of Bristol. The city is home to th ...
as a Rhodes scholar. At Oxford, he also took part in research into cardiovascular disease. His doctoral thesis was titled "Beta adrenergic blockade in myocardial infarction" and his supervisor was
Peter Sleight Professor Peter Sleight M.D.( Cantab.), D.M. ( Oxon.) FRCP FACC (27 June 1929 – 7 October 2020)'Sleight, Prof. Peter', Who's Who 2014, A & C Black, an imprint of Bloomsbury Publishing plc, 2014; online edn, Oxford University Press, Decembe ...
.


Career

In 1984, Yusuf moved to the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
in the United States, where he led clinical trials that showed the value of
ACE inhibitors Angiotensin-converting-enzyme inhibitors (ACE inhibitors) are a class of medication used primarily for the treatment of high blood pressure and heart failure. They work by causing relaxation of blood vessels as well as a decrease in blood volume ...
in people with
left ventricular dysfunction Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, an ...
and the optimal use of digoxin). He came to the Michael G. DeGroote School of Medicine at McMaster University in 1992 as director of the cardiology division. In 1999 McMaster created the Population Health Research Institute at the
Hamilton Health Sciences Hamilton Health Sciences (HHS)is a hospital network of seven hospitals and a cancer centre serving Hamilton, Ontario Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of ...
campus of McMaster, and made Yusuf the director of the center and vice president of research at HHS. From 1999 to 2004, he also held an appointment as a senior scientist at the
Canadian Institutes of Health Research The Canadian Institutes of Health Research (CIHR; french: Instituts de recherche en santé du Canada; IRSC) is a federal agency responsible for funding health and medical research in Canada. Comprising 13 institutes, it is the successor to the M ...
. In 2011, he was the world's second-most cited cardiology researcher. and in 2020, he was the most-cited scientist in the world in cardiology. Yusuf's large-scale clinical trials have had a significant impact on the treatment and prevention of cardiovascular and cerebrovascular disease. in particular, he has demonstrated the value of combinations of blood pressure lowering and lipid lowering with statins and of combinations of antiplatelet therapy and joint use of anticoagulants and aspirin in low doses to prevent cardiovascular disease and death. He was president of the World Congress of Cardiology in 2015 and 2016, where he initiated the Emerging Leaders Program that mentors 25 people form around the world to undertake research into improving cardiovascular health. In its first 6 years, the program has trained 150 people from about 50 countries.


Dietary views

Yusuf disputes the guidelines on saturated fat and
dietary sodium Sodium ions (Na) are necessary in small amounts for some types of plants, but sodium as a nutrient is more generally needed in larger amounts by animals, due to their use of it for generation of nerve impulses and for maintenance of electrolyte ...
intake. In 2017, Yusuf spoke at the Cardiology Update 2017 symposium in which he disputed the saturated fat guidelines whilst admitting he is not an expert in nutrition. He stated that a higher saturated fat intake is protective and eating more dietary carbohydrates is harmful. Yusuf has commented that "saturated fats are not harmful, may even be slightly beneficial but there is no harm", and recommends people to consume high-fat
dairy products Dairy products or milk products, also known as lacticinia, are food products made from (or containing) milk. The most common dairy animals are cow, water buffalo, nanny goat, and ewe. Dairy products include common grocery store food items in ...
and unprocessed
red meat In gastronomy, red meat is commonly red when raw and a dark color after it is cooked, in contrast to white meat, which is pale in color before and after cooking. In culinary terms, only flesh from mammals or fowl (not fish) is classified as ...
. These ideas were criticized by other medical researchers and nutritionists as bizarre and misguided. Yusuf has questioned the consensus on salt and cardiovascular disease and has argued that a low sodium intake does not lower risk of cardiovascular events and mortality but increases it.American Heart Association strongly refutes study findings on sodium consumption
newsroom.heart.org. Retrieved 3 December 2022.
"Yet another controversial study claiming salt may not be as bad as once thought"
europeanscientist.com. Retrieved 3 December 2022.
In 2018, he co-authored a controversial paper which argued that sodium intake is associated with cardiovascular disease only in communities where mean intake is greater than 5 g/day. The paper disputes the salt guidelines of the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
who recommend that populations consume less than 2 g/day as a preventive measure against cardiovascular disease. The paper was widely criticized by the medical community with the American Heart Association strongly disputing the study as flawed and offering no credible evidence.


Honours

In 2013, Yusuf was named an Officer in the
Order of Canada The Order of Canada (french: Ordre du Canada; abbreviated as OC) is a Canadian state order and the second-highest honour for merit in the system of orders, decorations, and medals of Canada, after the Order of Merit. To coincide with the cen ...
. He is also a fellow of the Royal Society of Canada. In 2014, he was awarded the Canada Gairdner Wightman Award and was inducted into the Canadian Medical Hall of Fame. In November 2020 he received the McLaughlin medal of the Royal Society of Canada and in 2022 he received the Killam prize. He has received over 60 national and international prizes or awards and 4 honorary doctorates.


References


External links


Full text of doctoral thesis
via Oxford Research Archive {{DEFAULTSORT:Yusuf, Salim 1952 births Living people Canadian cardiologists Officers of the Order of Canada Fellows of the Royal Society of Canada Indian Rhodes Scholars Indian emigrants to Canada