Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities

被引：113
|
作者：
Zuehlke, Liesl [1 ,2 ,4 ,5 ,6 ]
Mirabel, Mariana [3 ,7 ]
Marijon, Eloi [3 ,7 ]
机构：
[1] Red Cross War Mem Childrens Hosp & Univ Cape Town, Dept Paediat, Cape Town, South Africa
[2] Groote Schuur Hosp, Dept Med, Cape Town, South Africa
[3] Paris Cardiovascular Res Ctr PARCC Inserm U970, European Georges Pompidou Hosp, Paris, France
[4] Red Cross War Mem Childrens Hosp, Dept Paediat, Cape Town, South Africa
[5] Univ Cape Town, ZA-7925 Cape Town, South Africa
[6] Groote Schuur Hosp, Dept Med, ZA-7945 Cape Town, South Africa
[7] Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr PARCC Inserm U970, Paris, France
来源：
HEART | 2013年 / 99卷 / 21期
基金：
英国医学研究理事会;
关键词：
CONGENITAL HEART DISEASE; STREPTOCOCCAL PHARYNGITIS; GLOBAL BURDEN; FEVER; PREVALENCE; PREVENTION; MANAGEMENT; ECHOCARDIOGRAPHY; CHALLENGES; CHILDREN; WORLD;
D O I：
10.1136/heartjnl-2013-303896
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Africa has one of the highest prevalence of heart diseases in children and young adults, including congenital heart disease (CHD) and rheumatic heart disease (RHD). We present here an extensive review of recent data from the African continent highlighting key studies and information regarding progress in CHD and RHD since 2005. Main findings include evidence that the CHD burden is underestimated mainly due to the poor outcome of African children with CHD. The interest in primary prevention for RHD has been recently re-emphasised, and new data are available regarding echocardiographic screening for subclinical RHD and initiation of secondary prevention. There is an urgent need for comprehensive service frameworks to improve access and level of care and services for patients, educational programmes to reinforce the importance of prevention and early diagnosis and a relevant research agenda focusing on the African context.
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页码：1554 / 1561
页数：8
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