Heart Failure in Sub-Saharan Africa
Identifieur interne : 000224 ( Main/Exploration ); précédent : 000223; suivant : 000225Heart Failure in Sub-Saharan Africa
Auteurs : Gerald S. Bloomfield [États-Unis] ; Felix A. Barasa [Kenya] ; Jacob A. Doll [États-Unis] ; Eric J. Velazquez [États-Unis]Source :
- Current Cardiology Reviews [ 1573-403X ] ; 2013.
Abstract
The heart failure syndrome has been recognized as a significant contributor to cardiovascular disease burden in sub-Saharan African for many decades. Seminal knowledge regarding heart failure in the region came from case reports and case series of the early 20th century which identified infectious, nutritional and idiopathic causes as the most common. With increasing urbanization, changes in lifestyle habits, and ageing of the population, the spectrum of causes of HF has also expanded resulting in a significant burden of both communicable and non-communicable etiologies. Heart failure in sub-Saharan Africa is notable for the range of etiologies that concurrently exist as well as the healthcare environment marked by limited resources, weak national healthcare systems and a paucity of national level data on disease trends. With the recent publication of the first and largest multinational prospective registry of acute heart failure in sub-Saharan Africa, it is timely to review the state of knowledge to date and describe the myriad forms of heart failure in the region. This review discusses several forms of heart failure that are common in sub-Saharan Africa (e.g., rheumatic heart disease, hypertensive heart disease, pericardial disease, various dilated cardiomyopathies, HIV cardiomyopathy, hypertrophic cardiomyopathy, endomyocardial fibrosis, ischemic heart disease, cor pulmonale) and presents each form with regard to epidemiology, natural history, clinical characteristics, diagnostic considerations and therapies. Areas and approaches to fill the remaining gaps in knowledge are also offered herein highlighting the need for research that is driven by regional disease burden and needs.
Url:
DOI: 10.2174/1573403X11309020008
PubMed: 23597299
PubMed Central: 3682399
Affiliations:
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Bloomfield</name><affiliation wicri:level="2"><nlm:aff id="aff1">Division of Cardiovascular Medicine, Duke University, Durham, NC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Division of Cardiovascular Medicine, Duke University, Durham</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Duke Clinical Research Institute, Duke University, Durham, NC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Duke Clinical Research Institute, Duke University, Durham</wicri:cityArea></affiliation></author><author><name sortKey="Barasa, Felix A" sort="Barasa, Felix A" uniqKey="Barasa F" first="Felix A" last="Barasa">Felix A. Barasa</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Medicine, Moi Teaching and Referral Hospital, Eldoret, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Medicine, Moi Teaching and Referral Hospital, Eldoret</wicri:regionArea><wicri:noRegion>Eldoret</wicri:noRegion></affiliation></author><author><name sortKey="Doll, Jacob A" sort="Doll, Jacob A" uniqKey="Doll J" first="Jacob A" last="Doll">Jacob A. Doll</name><affiliation wicri:level="2"><nlm:aff id="aff1">Division of Cardiovascular Medicine, Duke University, Durham, NC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Division of Cardiovascular Medicine, Duke University, Durham</wicri:cityArea></affiliation></author><author><name sortKey="Velazquez, Eric J" sort="Velazquez, Eric J" uniqKey="Velazquez E" first="Eric J" last="Velazquez">Eric J. Velazquez</name><affiliation wicri:level="2"><nlm:aff id="aff1">Division of Cardiovascular Medicine, Duke University, Durham, NC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Division of Cardiovascular Medicine, Duke University, Durham</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Duke Clinical Research Institute, Duke University, Durham, NC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Duke Clinical Research Institute, Duke University, Durham</wicri:cityArea></affiliation></author></analytic><series><title level="j">Current Cardiology Reviews</title><idno type="ISSN">1573-403X</idno><idno type="eISSN">1875-6557</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The heart failure syndrome has been recognized as a significant contributor to cardiovascular disease burden in sub-Saharan African for many decades. Seminal knowledge regarding heart failure in the region came from case reports and case series of the early 20<sup>th</sup> century which identified infectious, nutritional and idiopathic causes as the most common. With increasing urbanization, changes in lifestyle habits, and ageing of the population, the spectrum of causes of HF has also expanded resulting in a significant burden of both communicable and non-communicable etiologies. Heart failure in sub-Saharan Africa is notable for the range of etiologies that concurrently exist as well as the healthcare environment marked by limited resources, weak national healthcare systems and a paucity of national level data on disease trends. With the recent publication of the first and largest multinational prospective registry of acute heart failure in sub-Saharan Africa, it is timely to review the state of knowledge to date and describe the myriad forms of heart failure in the region. This review discusses several forms of heart failure that are common in sub-Saharan Africa (e.g., rheumatic heart disease, hypertensive heart disease, pericardial disease, various dilated cardiomyopathies, HIV cardiomyopathy, hypertrophic cardiomyopathy, endomyocardial fibrosis, ischemic heart disease, cor pulmonale) and presents each form with regard to epidemiology, natural history, clinical characteristics, diagnostic considerations and therapies. Areas and approaches to fill the remaining gaps in knowledge are also offered herein highlighting the need for research that is driven by regional disease burden and needs.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Khatibzadeh, S" uniqKey="Khatibzadeh S">S Khatibzadeh</name></author><author><name sortKey="Farzadfar, F" uniqKey="Farzadfar F">F Farzadfar</name></author><author><name sortKey="Oliver, J" uniqKey="Oliver J">J Oliver</name></author><author><name sortKey="Ezzati, M" uniqKey="Ezzati M">M Ezzati</name></author><author><name sortKey="Moran, A" uniqKey="Moran A">A Moran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schocken, Dd" uniqKey="Schocken D">DD Schocken</name></author><author><name sortKey="Benjamin, Ej" uniqKey="Benjamin E">EJ Benjamin</name></author><author><name sortKey="Fonarow, Gc" uniqKey="Fonarow G">GC 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uniqKey="Suramelashvili N">N Suramelashvili</name></author><author><name sortKey="Hetzer, R" uniqKey="Hetzer R">R Hetzer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choi, Bg" uniqKey="Choi B">BG Choi</name></author><author><name sortKey="Mukherjee, M" uniqKey="Mukherjee M">M Mukherjee</name></author><author><name sortKey="Dala, P" uniqKey="Dala P">P Dala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fuster, V" uniqKey="Fuster V">V Fuster</name></author><author><name sortKey="Kelly, Bb" uniqKey="Kelly B">BB Kelly</name></author><author><name sortKey="Vedanthan, R" uniqKey="Vedanthan R">R Vedanthan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>États-Unis</li></country><region><li>Caroline du Nord</li></region></list><tree><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Bloomfield, Gerald S" sort="Bloomfield, Gerald S" uniqKey="Bloomfield G" first="Gerald S" last="Bloomfield">Gerald S. Bloomfield</name></region><name sortKey="Bloomfield, Gerald S" sort="Bloomfield, Gerald S" uniqKey="Bloomfield G" first="Gerald S" last="Bloomfield">Gerald S. Bloomfield</name><name sortKey="Doll, Jacob A" sort="Doll, Jacob A" uniqKey="Doll J" first="Jacob A" last="Doll">Jacob A. Doll</name><name sortKey="Velazquez, Eric J" sort="Velazquez, Eric J" uniqKey="Velazquez E" first="Eric J" last="Velazquez">Eric J. Velazquez</name><name sortKey="Velazquez, Eric J" sort="Velazquez, Eric J" uniqKey="Velazquez E" first="Eric J" last="Velazquez">Eric J. Velazquez</name></country><country name="Kenya"><noRegion><name sortKey="Barasa, Felix A" sort="Barasa, Felix A" uniqKey="Barasa F" first="Felix A" last="Barasa">Felix A. Barasa</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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