Cardiac surgery for patients with heart failure due to structural heart disease in Uganda: Access to surgery and outcomes

Cardiovascular Journal of Africa

Volumn 25, Issue 5, 2014, Pages 204-211

  Grimaldi, Antonio ^a,b   Ammirati, Enrico ^a,b   Karam, Nicole ^c   Vermi, Anna Chiara ^a,b   De Concilio, Annalisa ^a   Trucco, Giorgio ^a   Aloi, Francesco ^a   Arioli, Francesco ^a,b   Figini, Filippo ^a,b   Ferrarello, Santo ^a,b   Sacco, Francesco Maria ^a,b   Grottola, Renato ^a   D'Arbela, Paul G ^a   Alfieri, Ottavio ^b   Marijon, Eloi ^a,c   Freers, Juergen ^d   Mirabel, Mariana ^a,c  

^a Nsambya Hospital   (Uganda)

^b SAN RAFFAELE HOSPITAL   (Italy)

^c PARIS CARDIOVASCULAR RESEARCH CENTER   (France)

^d MAKERERE UNIVERSITY MEDICAL SCHOOL   (Uganda)

Author keywords

Congenital heart disease; Echocardiography; Heart failure; Heart surgery; Rheumatic heart disease

Indexed keywords

ADOLESCENT; ADULT; AORTA VALVE REGURGITATION; AORTOPULMONARY SEPTAL DEFECT; ARTICLE; BRAIN HEMORRHAGE; CARDIAC PATIENT; CHILD; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; CONGENITAL HEART DISEASE; CROSS-SECTIONAL STUDY; DOPPLER ECHOCARDIOGRAPHY; DYSPNEA; EBSTEIN ANOMALY; EISENMENGER COMPLEX; ELECTROCARDIOGRAPHY; ENDOCARDITIS; FALLOT TETRALOGY; FEMALE; FOLLOW UP; HEALTH CARE ACCESS; HEART ATRIUM SEPTUM DEFECT; HEART FAILURE; HEART LEFT VENTRICLE EJECTION FRACTION; HEART LEFT VENTRICLE HYPERTROPHY; HEART MUSCLE FIBROSIS; HEART SINGLE VENTRICLE; HEART SURGERY; HEART VENTRICLE FUNCTION; HEART VENTRICLE SEPTUM DEFECT; HUMAN; HYPERTENSION; ISCHEMIC HEART DISEASE; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MECHANICAL HEART VALVE; MITRAL VALVE REGURGITATION; MITRAL VALVE STENOSIS; NEW YORK HEART ASSOCIATION CLASS; OUTCOME ASSESSMENT; PATENT DUCTUS ARTERIOSUS; PROSPECTIVE STUDY; PULMONARY HYPERTENSION; RHEUMATIC HEART DISEASE; SURGICAL RISK; THORAX RADIOGRAPHY; TRICUSPID VALVE REGURGITATION; UGANDA; AGED; COMPLICATION; CORONARY DISEASE; ENDOMYOCARDIAL FIBROSIS; HEALTH CARE DELIVERY; HEART DEFECTS, CONGENITAL; INFANT; MIDDLE AGED; MITRAL VALVE INSUFFICIENCY; PRESCHOOL CHILD; PROCEDURES; STATISTICS AND NUMERICAL DATA; TERTIARY CARE CENTER; TIME TO TREATMENT; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; CARDIAC SURGICAL PROCEDURES; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; CORONARY DISEASE; ENDOMYOCARDIAL FIBROSIS; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEART DEFECTS, CONGENITAL; HEART FAILURE; HUMANS; HYPERTENSION; INFANT; MALE; MIDDLE AGED; MITRAL VALVE INSUFFICIENCY; PROSPECTIVE STUDIES; RHEUMATIC HEART DISEASE; TERTIARY CARE CENTERS; TIME-TO-TREATMENT; TREATMENT OUTCOME; UGANDA; YOUNG ADULT;

EID: 84910020162     PISSN: 19951892     EISSN: 16800745     Source Type: Journal    
DOI: 10.5830/CVJA-2014-034     Document Type: Article

References (30)

1. Celermajer DS, Chow CK, Marijon E, et al. Cardiovascular disease in the developing world: prevalences, patterns, and the potential of early disease detection. J Am Coll Cardiol 2012; 60: 1207-1216.
2. Sliwa K, Wilkinson D, Hansen C, et al. Spectrum of heart disease and risk factors in a black urban population in South Africa (the Heart of Soweto Study): a cohort study. Lancet 2008; 371: 915-922.
3. D'Arbela PG, Kanyerezi RB, Tulloch JA. A study of heart disease in the Mulago hospital, Kampala, Uganda. Trans R Soc Trop Med Hyg 1966; 60: 782-790.
4. Amoah AG, Kallen C. Aetiology of heart failure as seen from a National Cardiac Referral Centre in Africa. Cardiology 2000; 93: 11-18.
5. Stewart S, Wilkinson D, Hansen C, et al. Predominance of heart failure in the Heart of Soweto Study cohort: emerging challenges for urban African communities. Circulation 2008; 118: 2360-2367.
6. Mayosi BM. Contemporary trends in the epidemiology and management of cardiomyopathy and pericarditis in sub-Saharan Africa. Heart 2007; 93: 1176-1183.
7. Damasceno A, Mayosi BM, Sani M, et al. The causes, treatment, and outcome of acute heart failure in 1006 Africans from 9 countries: results of the sub-Saharan Africa survey of heart failure. Arch Intern Med 2012; 3: 1-9.
8. Mocumbi AO, Sliwa K. Women's cardiovascular health in Africa. Heart 2012; 98: 450-455.
9. Zühlke L, Mirabel M, Marijon E. Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities. Heart 2013; 99: 1554-1561.
10. Beaton A, Okello E, Lwabi P, et al. Echocardiography screening for rheumatic heart disease in Ugandan schoolchildren. Circulation 2012; 125: 3127-3132.
11. Tibazarwa K, Ntyintyane L, Sliwa K, et al. A time bomb of cardiovascular risk factors in South Africa: results from the Heart of Soweto Study 'Heart Awareness Days'. Int J Cardiol 2009; 132: 233-239.
12. Freers J, Mayanja-Kizza H, Ziegler JL, et al. Echocardiographic diagnosis of heart disease in Uganda. Trop Doct 1996; 26: 125-128.
13. McMurray JJ, Adamopoulos S, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J 2012; 33: 1787-1847
14. Bonow RO, Carabello BA, Chatterjee K, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008; 52: e1-142.
15. Tantchou Tchoumi JC, Ambassa JC, Kingue S, et al. Occurrence, aetiology and challenges in the management of congestive heart failure in sub-Saharan Africa: experience of the Cardiac Centre in Shisong, Cameroon. Pan Afr Med J 2011; 8: 11.
16. Ojji DB, Alfa J, Ajayi SO, et al. Pattern of heart failure in Abuja, Nigeria: an echocardiographic study. Gardiovasc J Afr 2009; 20: 349-352.
17. Soliman EZ, Juma H. Cardiac disease patterns in northern Malawi: epidemiologic transition perspective. J Epidemiol 2008; 18: 204-208.
18. Sliwa K, Carrington M, Mayosi BM, et al. Incidence and characteristics of newly diagnosed rheumatic heart disease in urban African adults: insights from the heart of Soweto study. Eur Heart J 2010; 31: 719-727.
19. Carapetis JR, Steer AC, Mulholland EK, et al. The global burden of group A streptococcal diseases. Lancet Infect Dis 2005; 5: 685-694.
20. Marijon E, Mirabel M, Celermajer DS, et al. Rheumatic heart disease. Lancet 2012; 379: 953-964.
21. Marijon E, Ou P, Celermajer DS, et al. Prevalence of rheumatic heart disease detected by echocardiographic screening. N Engl J Med 2007; 357: 470-476.
22. Saxena A, Ramakrishnan S, Roy A, et al. Prevalence and outcome of subclinical rheumatic heart disease in India: the RHEUMATIC (Rheumatic Heart Echo Utilisation and Monitoring Actuarial Trends in Indian Children) study. Heart 2011; 97: 2018-2022.
23. Roberts K, Colquhoun S, Steer A, et al. Screening for rheumatic heart disease: current approaches and controversies. Nat Rev Cardiol 2013; 10: 49-58.
24. Mirabel M, Celermajer DS, Ferreira B, et al. Screening for rheumatic heart disease: evaluation of a simplified echocardiography-based approach. Eur Heart J Cardiovasc Imaging 2012; 13: 1024-1029.
25. Mocumbi AO, Lameira E, Yaksh A, et al. Challenges on the management of congenital heart disease in developing countries. Int J Cardiol 2011; 148: 285-288.
26. Freers J, Masembe V, Schmauz R, et al. Endomyocardial fibrosis syndrome in Uganda. Lancet 2000; 355: 1994-1995.
27. Mocumbi AO, Ferreira MB, Sidi D, et al. A population study of endomyocardial fibrosis in a rural area of Mozambique. N Engl J Med 2008; 359: 43-49.
28. Ibrahim MM, Damasceno A. Hypertension in developing countries. Lancet 2012; 380: 611-619.
29. World Health Organization (2005) Report of the Regional Committe of Africa. 2005.
30. Von Elm E, Altman DG, Egger M, et al. STROBE initiative. The Strengthening The Reporting of OBservational studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 2007; 147: 573-577.