A systematic review of the spectrum of cardiac arrhythmias in Sub-Saharan Africa
Journal article
Yuyun, Matthew F., Bonny, Aimé, Ng, G. André, Sliwa, Karen, Kengne, Andre Pascal, Chin, Ashley, Mocumbi, Ana Olga, Ngantcha, Marcus, Ajijola, Olujimi A. and Bukhman, Gene. (2020). A systematic review of the spectrum of cardiac arrhythmias in Sub-Saharan Africa. Global Heart. 15(1), pp. 1-30. https://doi.org/10.5334/gh.808
Authors | Yuyun, Matthew F., Bonny, Aimé, Ng, G. André, Sliwa, Karen, Kengne, Andre Pascal, Chin, Ashley, Mocumbi, Ana Olga, Ngantcha, Marcus, Ajijola, Olujimi A. and Bukhman, Gene |
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Abstract | Major structural cardiovascular diseases are associated with cardiac arrhythmias, but their full spectrum remains unknown in sub-Saharan Africa (SSA), which we addressed in this systematic review. Atrial fibrillation/atrial flutter (AF/AFL) prevalence is 16–22% in heart failure, 10–28% in rheumatic heart disease, 3–7% in cardiology admissions, but <1% in the general population. Use of oral anticoagulation is heterogenous (9–79%) across SSA. The epidemiology of sudden cardiac arrest/death is less characterized in SSA. Cardiopulmonary resuscitation is challenging, owing to low awareness and lack of equipment for life-support. About 18% of SSA countries have no cardiac implantable electronic devices services, leaving hundreds of millions of people without any access to treatment for advanced bradyarrhythmias, and implant rates are more than 200-fold lower than in the western world. Management of tachyarrhythmias is largely non-invasive (about 80% AF/AFL via rate-controlled strategy only), as electrophysiological study and catheter ablation centers are almost non-existent in most countries. |
Keywords | atrial arrhythmias; supraventricular tachycardia; sudden cardiac death; ventricular arrhythmias; pacemaker; defibrillator; sub-Saharan Africa |
Year | 2020 |
Journal | Global Heart |
Journal citation | 15 (1), pp. 1-30 |
Publisher | Elsevier B.V. |
ISSN | 2211-8160 |
Digital Object Identifier (DOI) | https://doi.org/10.5334/gh.808 |
Scopus EID | 2-s2.0-85090154214 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-30 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 08 May 2020 |
Publication process dates | |
Accepted | 18 Apr 2020 |
Deposited | 30 Mar 2021 |
https://acuresearchbank.acu.edu.au/item/8v95z/a-systematic-review-of-the-spectrum-of-cardiac-arrhythmias-in-sub-saharan-africa
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Publisher's version
OA_Yuyun_2020_A_systematic_review_of_the_spectrum.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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