| Cardiovascular disease in Sub-Saharan Africa: a complex picture demanding a multifaceted response. | |
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MedLine Citation:
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PMID: 18607395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A debate has emerged as to what should be the 'appropriate' cardiovascular agenda for sub-Saharan Africa. This Clinical Advance article reviews a recent study by Sliwa et al., which describes patients with newly diagnosed cardiovascular disease (CVD) presenting to a tertiary-care center in South Africa. The most common conditions among these patients were hypertension, heart failure, valvular heart disease, and coronary artery disease. Atherosclerotic risk factors were widely prevalent--only 13% of patients had no risk factors at all. Furthermore, a substantial proportion of patients presented at an advanced stage of disease. This study, which used state-of-the-art diagnostic technology, is an important addition to the growing database of information indicating that CVD in sub-Saharan Africa spans the spectrum from 'traditional', nonischemic etiologies to 'modern' diseases of lifestyle. The societal response to this diverse epidemiology should be similarly multifaceted. Moreover, efforts should be made to improve primary-care screening, early detection and treatment of CVD, and prompt referral of patients at early stages of disease. |
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Authors:
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Rajesh Vedanthan; Valentin Fuster |
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Publication Detail:
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Type: Journal Article Date: 2008-07-08 |
Journal Detail:
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Title: Nature clinical practice. Cardiovascular medicine Volume: 5 ISSN: 1743-4300 ISO Abbreviation: - Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-22 Completed Date: 2008-10-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101226507 Medline TA: Nat Clin Pract Cardiovasc Med Country: England |
Other Details:
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Languages: eng Pagination: 516-7 Citation Subset: IM |
Affiliation:
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Zena and Michael A Wiener Cardiovascular Institute, Mount Sinai Medical Center in New York, NY 10029, USA. rvedanthan@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Africa South of the Sahara
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epidemiology Atherosclerosis / complications, epidemiology Cardiovascular Diseases / diagnosis, epidemiology*, etiology, therapy Coronary Artery Disease / epidemiology Developing Countries* Disease Progression Heart Failure / epidemiology Heart Valve Diseases / epidemiology Humans Hypertension / epidemiology Risk Factors |
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