Ischaemic Heart Disease in African Populations

Brock, J. F.; Gordon, Hymie

doi:10.1136/pgmj.35.402.223

Cited by 18 publications

(3 citation statements)

References 23 publications

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“…Historically, ischemic heart disease has been rare is SSA, particularly among the indigenous ethnic black majority 11. It was therefore remarkable when a decade ago estimations were that myocardial infarction had become the 8 th leading cause of death in SSA, the leading cause of death in men over the age of 60 years and 2 nd leading cause among women of the same age 1 12.…”

Section: What's New On the Burden Of Myocardial Infarction And Strokementioning

confidence: 99%

Recent advances in the epidemiology, outcome, and prevention of myocardial infarction and stroke in sub-Saharan Africa

Ntsekhe

Damasceno

2013

Heart

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The early part of the new millennium witnessed reports of a growing burden of cardiovascular disease in Sub-Saharan Africa (SSA). However the contribution of ischemic heart disease and stroke to this increasing burden relative to that caused by hypertensive heart disease, cardiomyopathy and rheumatic heart disease was not clear. Over the last decade, data from the continent has begun to clarify this issue and suggests three main points. The burden of ischemic heart disease relative to other causes of heart disease remains low particularly in the black Africans majority. Stroke caused predominantly by hypertension is now a major cause of disability and premature death. Third, the burden of risk factors for atherosclerosis is increasing rapidly in most urban and some rural regions. A concerted effort to understand the primary drivers of this increase in cardiac risk factors is required to prevent a future epidemic of atherosclerosis and its sequelae.

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Section: What's New On the Burden Of Myocardial Infarction And Strokementioning

confidence: 99%

Recent advances in the epidemiology, outcome, and prevention of myocardial infarction and stroke in sub-Saharan Africa

Ntsekhe

Damasceno

2013

Heart

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“…There is an extensive literature on various disorders of the cardiovascular system in the African (Davies, 1948;Abrahams, 1959;Brock and Gordon, 1959;Higginson, Isaacson, and Simson, 1960;Phillips and Burch, 1960). There is, however, little reference to cor pulmonale defined as right-sided heart disease secondary to disease of the lungs or pulmonary vessels.…”

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confidence: 99%

Pulmonary heart disease in Ibadan

Sofowora

1971

Thorax

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“…(9) 9 (3) 9 (3) Cape Coloured 53 25 (13) 38 (20) 26 (14) 11 ( 6) 8 ( 4) Bantu 18 61 (11) 28 ( 5) (12) 38 (14) 8 ( 3) Bantu 10 50 ( 5) (13) 25 ( 7) 14 ( 4) Bantu 5 20 (1) 20 (1) 20 ( 1) 28 ( 5) 11 ( 2) 61 (11) 22 ( 4) 'The incidence is given as a percentage. The figure in parentheses denotes the number of cases.…”

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confidence: 99%

Aortic and Coronary Atherosclerosis in the Three Racial Groups in Cape Town

Sacks

1960

Circulation

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An autopsy survey of aortic and coronary atherosclerosis in patients dying in a general hospital in Cape Town has shown marked differences between the whites and the Bantu. These differences were clearly demonstrated by a direct comparison of Bantu and White men between the ages of 40 and 59. They probably also existed among older subjects and women although relatively few Bantu over the age of 60, and fewer women than men were unfortunately available for study. Severe aortic and coronary atherosclerosis did on occasions occur in the Bantu but were much less common than in the whites. Severe luminal narrowing of the coronary arteries was particularly rare in the Bantu, and this is in keeping with the rarity with which they develop myocardial infarction. The aorta and coronary arteries of the Bantu often showed complete freedom from atherosclerosis in age groups in which it was rare to find such freedom in the whites. The differences between the whites and Cape Coloured were much less pronounced than those between the whites and Bantu, were rather more apparent in men than women, and tended to disappear in the presence of aggravating factors such as hypertension. Even in groups in which severe coronary atherosclerosis was as commonly encountered in the Cape Coloured as in the whites, the Cape Coloured appeared to show a lower frequency of severe luminal narrowing. Attention has been drawn to the possibility that the differences between the total white and Cape Coloured populatios of Cape Town are greater than those revealed by this study, as only the lesser economically privileged of the whites were eligible for admission to the hospital that provided the material for the study.

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Ischaemic Heart Disease in African Populations

Cited by 18 publications

References 23 publications

Recent advances in the epidemiology, outcome, and prevention of myocardial infarction and stroke in sub-Saharan Africa

Recent advances in the epidemiology, outcome, and prevention of myocardial infarction and stroke in sub-Saharan Africa

Pulmonary heart disease in Ibadan

Aortic and Coronary Atherosclerosis in the Three Racial Groups in Cape Town

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