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Review
. 2018 May;4(1):21-24.
doi: 10.15420/cfr.2018:4:1.

Heart Failure in Sub-Saharan Africa

Joseph Gallagher  1 , Kenneth McDonald  2 , Mark Ledwidge  2 , Chris J Watson  3
Affiliations
Review

Heart Failure in Sub-Saharan Africa

Joseph Gallagher et al. Card Fail Rev. 2018 May.

Abstract

Heart failure is a growing problem in sub-Saharan Africa. This arises as the prevalence of risk factors for cardiovascular disease rises, life expectancy increases and causes of heart failure more common in Africa, such as rheumatic heart disease and endomyocardial fibrosis, continue to be a significant issue. Lack of access to diagnostics is an issue with the expense and technical expertise required for echocardiography limiting access. Biomarker strategies may play a role here. Access to essential medicines is also limited and requires a renewed focus by the international community to ensure that appropriate medications are readily available, similar to that which has been implemented for HIV and malaria.

Keywords: Africa; Heart failure; echocardiography; essential medicines; natriuretic peptides.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

References

    1. Damasceno A, Cotter G, Dzudie A et al. Heart failure in sub-Saharan Africa: time for action. J Am Coll Cardiol. 2007;50:1688–93. doi: 10.1016/j.jacc.2007.07.030. - DOI - PubMed
    1. Tefera YG, Abegaz TM, Abebe TB, Mekuria AB. The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital-based observational study. Vasc Health Risk Manag. 2017;13:143–51. doi: 10.2147/VHRM.S131259. - DOI - PMC - PubMed
    1. Abebe TB, Gebreyohannes EA, Tefera YG, Abegaz TM. Patients with HFpEF and HFrEF have different clinical characteristics but similar prognosis: a retrospective cohort study. BMC Cardiovasc Disord. 2016;16:232. doi: 10.1186/s12872-016-0418-9. - DOI - PMC - PubMed
    1. Mayosi BM. Contemporary trends in the epidemiology and management of cardiomyopathy and pericarditis in sub-Saharan Africa. Heart. 2007;93:1176–83. doi: 10.1136/hrt.2007.127746. - DOI - PMC - PubMed
    1. Dokainish H, Teo K, Zhu J et al. Heart failure in Africa, Asia, the Middle East and South America: the INTER-CHF study. Int J Cardiol. 2016;204:133–41. doi: 10.1016/j.ijcard.2015.11.183. - DOI - PubMed

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