scholarly journals Rarity of Heart Failure in a Traditional African Population. A Rural Community Based Study

2016 ◽  
Vol 8 ◽  
Author(s):  
Basil Nwaneri Okeahialam ◽  
Hadiza Abigail Agbo ◽  
Chikaike Ogbonna ◽  
Evelyn Chuhwak ◽  
Ikechukwu Isiguzoro
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Secondary Analysis ◽  
The Elderly ◽  
Sub Saharan Africa ◽  
Rural Nigeria ◽  
African Community ◽  
Sub Saharan

<p>BACKGROUND: Heart failure (HF) is common globally and increases with age. Among Caucasians it affects mainly the elderly, but the middle-aged in Africa. Statistics are usually hospital based, missing those in the population unable to present in hospital for various reasons. Population statistics of HF for sub-Saharan Africa are hardly available. This was to assess the population prevalence of HF in a rural sub-Sahara African community and get a truer picture of HF morbidity.</p><p>METHODS: Secondary analysis of data from a population study of cardiovascular disease risk factors in rural Nigeria; on self-reported HF as part of general history, physical examination and related laboratory investigations</p><p> RESULTS: Of the 840 subjects, 231 were men; 8 (0.95%) of whom were in HF (2M, 6F); and aged between 50 to 90 years. All the men were above 65 years while 2 of the women were less than 65 years. Four were hypertensive, 3 had hypertension and diabetes; while 1 the oldest had neither. They all denied tobacco and alcohol use. Most of the affected women were multiparous.</p><p>CONCLUSION: HF is infrequent in rural Nigeria with a prevalence of 0.95%. Hypertension was a prominent risk factor, with co-morbid diabetes. The absence of tobacco /alcohol history, anaemia and low rate of kidney disease confirms that a constellation of risk factors is required for HF among hypertensives. The earlier presentation and greater involvement of women (in the background of multiparity) supports the notion that repeated pregnancy and child-birth place higher disease burden of hearts of women.</p>

scholarly journals Community-driven citizen science approach to explore cardiovascular disease risk perception, and develop prevention advocacy strategies in sub-Saharan Africa: a programme protocol

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kufre Joseph Okop ◽  
Kathy Murphy ◽  
Estelle Victoria Lambert ◽  
Kiya Kedir ◽  
Hailemichael Getachew ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Citizen Science ◽  
Risk Perceptions ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Data Gathering ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Rural And Urban ◽  
Sub Saharan

Abstract Background In sub-Saharan Africa (SSA), which experiences a disproportionately high cardiovascular disease (CVD) burden, population-based screening and prevention measures are hampered by low levels of knowledge about CVD and associated risk factors, and inaccurate perceptions of severity of risk. Methods This protocol describes the planned processes for implementing community-driven participatory research, using a citizen science method to explore CVD risk perceptions and to develop community-specific advocacy and prevention strategies in the rural and urban SSA settings. Multi-disciplinary research teams in four selected African countries will engage with and train community members living in rural and urban communities as citizen scientists to facilitate conceptualization, co-designing of research, data gathering, and co-creation of knowledge that can lead to a shared agenda to support collaborative participation in community-engaged science. The emphasis is on robust community engagement, using mobile technology to support data gathering, participatory learning, and co-creation of knowledge and disease prevention advocacy. Discussion Contextual processes applied and lessons learned in specific settings will support redefining or disassembling boundaries in participatory science to foster effective implementation of sustainable prevention intervention programmes in Low- and Middle-income countries.

scholarly journals To fast or not to fast: Lipid measurement and cardiovascular disease risk estimation in rural sub-Saharan Africa

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Isabelle T Yang ◽  
Linda C Hemphill ◽  
June-Ho Kim ◽  
Prossy Bibangambah ◽  
Ruth Sentongo ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Disease Risk ◽  
Risk Estimation ◽  
Cardiovascular Disease Risk ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Cardiovascular Disease Risk Factors and Cognition in the Elderly

2011 ◽  
Vol 5 (5) ◽  
pp. 407-412 ◽  
Author(s):  
Elizabeth C. Leritz ◽  
Regina E. McGlinchey ◽  
Ida Kellison ◽  
James L. Rudolph ◽  
William P. Milberg
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
The Elderly ◽  
Cardiovascular Disease Risk Factors

scholarly journals Prediction of Cognitive Status and 5-year Survival rate for Elderly with Cardiovascular Diseases: A Canadian Study of Health and Aging Secondary Data Analysis

2020 ◽  
pp. 1-7
Author(s):  
S. Pakzad ◽  
P. Bourque ◽  
N. Fallah
Keyword(s):  
Cardiovascular Disease ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Frailty Index ◽  
Secondary Analysis ◽  
Secondary Data ◽  
The Elderly ◽  
Cognitive Status ◽  
Canadian Study ◽  
Cognitive Changes

Background: Given the important association between cardiovascular disease and cognitive decline, and their significant implications on frailty status, the contribution of neurocognitive frailty measure helping with the assessment of patient outcomes is dearly needed. Objectives: The present study examines the prognostic value of the Neurocognitive Frailty Index (NFI) in the elderly with cardiovascular disease. Design: Secondary analysis of the Canadian Study of Health and Aging (CSHA) dataset was used for prediction of 5-year cognitive changes. Setting: Community and institutional sample. Participants: Canadians aged 65 and over [Mean age: 80.4 years (SD=6.9; Range of 66-100)]. Measurement: Neurocognitive Frailty Index (NFI) and Modified Mini-Mental State (3MS) scores for cognitive functioning of all subjects at follow-up and mortality rate were measured. Results: The NFI mean score was 9.63 (SD = 6.04) and ranged from 0 to 33. This study demonstrated that the NFI was significantly associated with cognitive changes for subjects with heart disease and this correlation was a stronger predictor than age. Conclusion: The clinical relevance of this study is that our result supports the prognostic utility of the NFI tool in treatment planning for those with modifiable cardiovascular disease risk factors in the development of dementia.

scholarly journals Risk factors and prevalence of dilated cardiomyopathy in Sub Sahara Africa: a systematic review article (Preprint)

2020 ◽  
Author(s):  
Linda Van Laake ◽  
Lulu Said Fundikira ◽  
Pilly Chillo ◽  
David G Paulo ◽  
Reuben Kato Mutagaywa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Dilated Cardiomyopathy ◽  
Preventive Measures ◽  
Hypertensive Heart Disease ◽  
Left Ventricular ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reference Manager ◽  
Sub Saharan

BACKGROUND Cardiomyopathies, defined as diseases involving mainly the heart muscle, are linked to 5.9 of 100,000 of estimated mortality of the global population although underdiagnosis is significant. In sub Saharan Africa, studies show that cardiomyopathy constitutes 21.4% of cases with heart failure and comes second only to hypertensive heart disease. However, there is paucity of data in the region regarding the different types of cardiomyopathies. It has been noted that presence of non-modifiable cardiovascular risk factors such as family history, age, ethnicity, gender as well as modifiable risk factors such as hypertension, diabetes, tobacco use, physical inactivity, poor nutrition, excessive alcohol consumption, high cholesterol and obesity increase the probability of developing cardiovascular disease. OBJECTIVE The review will focus on available literature in sub- Saharan Africa on prevalence of dilated cardiomyopathy (DCM) and associated risk factors in patients with DCM. It will identify gaps in knowledge regarding DCM and establish a foundation for preventive measures through reduction of the risk factors. This will be the first review that focuses solely on DCM while updating available data from previous reviews on cardiomyopathies in sub Saharan Africa. METHODS The review will consider all studies, qualitative and quantitative, which involve patients with a diagnosis of dilated cardiomyopathy as well as risk factors encountered in such patients in sub Saharan Africa. Both hospital based and community based studies will be included. Indexed articles in Medline and Embase will be searched. Full copies of articles identified by the search, and considered to meet the inclusion criteria, based on their title, abstract and subject descriptors, will be obtained for data synthesis. Bibliographic searches will also be considered for data collection based on their titles. The collected data will be organized in Mendeley reference manager and later on uploaded to Rayyan web application for systematic reviews articles to allow adequate sorting. Two reviewers will independently select articles against the inclusion criteria. Discrepancies in reviewer selections will be resolved by a third author (arbitrator) prior to selected articles being retrieved. RESULTS Interventions to be documented will include those related to screening and control of risk factors that may lead to DCM, and presence of assessment strategies in patients suspected with DCM. The primary outcome will be the number of cases with different etiologies of DCM. Secondary outcomes will be the number of hospitalizations, mortality due to heart failure, incidence of sudden cardiac death, proportion of participants on heart failure medications, proportion of participants with implantable cardioverter defibrillator placements, number of cases with left ventricular assist device and number of heart transplants in patients with DCM. CONCLUSIONS The review will give an update on the status of DCM in sub Sahara Africa and identify gaps that need to be addressed in order to improve preventive measures as well as management of this condition.

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