Why is cardiovascular disease has long been an epidemic inusa and not other countries

It is definitely a global issue, but 1 in every 4 Americans will contract a cardiovasscular disease in their lifetime. Some factors are genetic, but those are universal. A more accurate explaination would be the obesity epidemic in the USA. Obesity is closely linked with heart disease, and conditions that could lead to heart disease such as diabetes or metabolic syndrome. 

Communication. releasing emotions/feelings to someone you know you can count on. ; ) someone who may not understand but willing to listen.