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The Heart of Africa. Clinical Profile of an Evolving Burden of Heart Disease in Africa. Edition No. 1

  • ID: 5367816
  • Book
  • July 2016
  • Region: Africa
  • 280 Pages
  • John Wiley and Sons Ltd
While many high-income countries observe a relative decline in the population impact of heart disease and deal with the problem of an older patient population who readily survive earlier non-fatal encounters with the condition, Africa contends with a typically younger population with frequently advanced and often fatal heart disease. While high-income countries exclusively deal with non-communicable forms of heart disease, Africa contends with both communicable and non-communicable forms of heart disease.
  • Designed to provide anyone with an interest in heart disease in Africa with an immediate sense of how the area is progressing from a clinical to research perspective in responding to this evolving epidemic
  • Presents salient research uncovering the evolving burden of communicable and non-communicable forms of heart disease,
  • Includes content on maternal heart disease, infant and childhood heart disease, risk and prevention, heart failure and other common forms of heart disease in rural and urban communities in Africa.
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List of contributors vii

Foreword x

Preface xii

Acknowledgments xiv

Sub-Saharan Africa and The Heart of Africa: A brief introduction 1

Section 1: Maternal heart health
Karen Sliwa

1 Maternal heart health 9
Karen Sliwa, John Anthony, and Denise Hilfiker-Kleiner

References 27

Section 2: Infant and childhood heart disease
Ana Mocumbi

2 Congenital heart disease 35
Ana Mocumbi, Tantchou Tchoumi Jacques Cabral, John Musuku, and Serigne A. Ba

3 Acquired heart disease 44
Ana Mocumbi, Liesl Zühlke, and Peter Zilla

References 63

Section 3: Spectrum of cardiovascular risk and heart disease in sub-Saharan Africa
Simon Stewart

4 Cardiovascular risk in urban and rural African settings 73
Kemi Tibazarwa, Karen Sliwa, Melinda Jane Carrington, Okechukwu Samuel Ogah, and Simon Stewart

5 The African INTERHEART study 89
Krisela Steyn and Karen Sliwa

6 The spectrum of heart disease in urban Africans: The Heart of Soweto Study 96
Melinda Jane Carrington, Karen Sliwa, and Simon Stewart

References 113

Section 4: Infectious heart disease
Mpiko Ntsekhe

7 Rheumatic heart disease 121
Simon Stewart, Melinda Jane Carrington, and Karen Sliwa

8 Pericardial disease 136
Mpiko Ntsekhe

9 Human immunodeficiency virus–related heart disease 145
Friedrich Thienemann, Melinda Jane Carrington, Karen Sliwa, Mpiko Ntsekhe, and Simon Stewart

References 152

Section 5: Noncommunicable disease
Albertino Damasceno

10 Acute coronary syndrome in the African context 159
Anthony Becker

11 Stroke in the African context 176
Albertino Damasceno

References 183

Section 6: Heart failure
Simon Stewart

12 Acute heart failure 193
Mahmoud Sani, Dike Bevis Ojji, Anastase Dzudie, and Okechukwu Samuel Ogah

13 Hypertensive heart failure 212
Dike Bevis Ojji, Mahmoud Sani, Anastase Dzudie, and Okechukwu Samuel Ogah

14 Chronic heart failure 226
Okechukwu Samuel Ogah, Anastase Dzudie, Dike Bevis Ojji, and Mahmoud Sani

15 Pulmonary hypertension and right heart failure 237
Anastase Dzudie, Friedrich Thienemann, Okechukwu Samuel Ogah, Dike Bevis Ojji, and Mahmoud Sani

References 245

Abbreviations 254

Index 256

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Karen Sliwa MD, PhD, FESC, FACC Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, Faculty of Health Sciences, University of Cape Town, South Africa; Soweto Cardiovascular Research Gr.

Simon Stewart PhD, NFESC, FAHA, FCSANZ Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia.

Ana Mocumbi MD, PhD, FESC Instituto Nacional de Saude Ministerio da Saude Doencas Cronicas Nao Transmissiveis Instituto Maputo, Mocambique.

Albertino Damasceno MD, PhD Departamento de Medicina/Faculdade de Medicina Universidade Eduardo Mondlane Maputo, Moambique.

Mpiko Ntsekhe MD, PhD, FACC Division of Cardiology Department of Medicine, University of Cape Town, Groote Schuur Hospital Cape Town, South Africa.
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