Africa faces many health challenges, many of which are unique to the continent. Although rarely considered an important contributor to premature death in high-income countries, cardiopulmonary disease (CPD) is, for a number of reasons, a common condition affecting Africans at a young age. In addition to recognizing CPD as an important condition, we outline a pragmatic screening protocol for identifying CPD in the African context.
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References
Bukhman, G., Mocumbi, A. O. & Horton, R. Reframing NCDs and injuries for the poorest billion: a Lancet Commission. Lancet 386, 1221–1222 (2015).
Yusuf, S. et al. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 104, 2746–2753 (2001).
Melaku, Y. A. et al. Trends of mortality attributable to child and maternal undernutrition, overweight/obesity and dietary risk factors of non-communicable diseases in sub-Saharan Africa, 1990–2015: findings from the Global Burden of Disease Study 2015. Public Health Nutr. 22, 827–840 (2019).
Sliwa, K. 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 371, 915–922 (2008).
Roth, G. A. et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J. Am. Coll. Cardiol. 70, 1–25 (2017).
Stewart, S. et al. A not-so-rare form of heart failure in urban black Africans: pathways to right heart failure in the Heart of Soweto Study cohort. Eur. J. Heart Fail. 13, 1070–1077 (2011).
Thienemann, F. et al. The causes, treatment, and outcome of pulmonary hypertension in Africa: insights from the Pan African Pulmonary Hypertension Cohort (PAPUCO) Registry. Int. J. Cardiol. 221, 205–211 (2016).
Mocumbi, A. O. et al. Differential patterns of disease and injury in Mozambique: new perspectives from a pragmatic, multicenter, surveillance study of 7809 emergency presentations. PLOS ONE 14, e0219273 (2019).
Githinji, L. N. et al. Cardiopulmonary dysfunction in perinatally HIV-infected South African adolescents on antiretroviral therapy: baseline findings from the Cape Town Adolescent Antiretroviral Cohort. J. Int. AIDS Soc. 22, e25340 (2019).
Strange, G. et al. Threshold of pulmonary hypertension associated with increased mortality. J. Am. Coll. Cardiol. 73, 2660–2672 (2019).
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Stewart, S., Al-Delaimy, W., Sliwa, K. et al. Clinical algorithm to screen for cardiopulmonary disease in low-income settings. Nat Rev Cardiol 16, 639–641 (2019). https://doi.org/10.1038/s41569-019-0268-0
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DOI: https://doi.org/10.1038/s41569-019-0268-0
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