Kengne Andre Pascal, Dzudie Anastase, Sobngwi Eugene
The George Institute for International Health, University of Sydney, Australia.
Vasc Health Risk Manag. 2008;4(1):123-30. doi: 10.2147/vhrm.2008.04.01.123.
Heart failure is the ultimate complication of cardiac involvements in diabetes. The purpose of this review was to summarize current literature on heart failure among people with diabetes mellitus in sub-Saharan Africa (SSA).
Bibliographic search of published data on heart failure and diabetes in sub-Saharan Africa over the past 26 years.
Heart failure remains largely unexplored in general population and among people with diabetes in Africa. Heart failure accounts for over 30% of hospital admission in specialized cardiovascular units and 3%-7% in general internal medicine. Over 11% of adults with heart failure have diabetes. Risk factors for heart failure among those with diabetes include classical cardiovascular risk factors, without evidence of diabetes distinctiveness for other predictors common in Africa. Prevention, management, and outcomes of heart failure are less well known; recent data suggest improvement in the management of risk factors in clinical settings.
Diabetes mellitus is growing in SSA. Related cardiovascular diseases are emerging as potential health problem. Heart failure as cardiovascular complication remains largely unexplored. Efforts are needed through research to improve our knowledge of heart failure at large in Africa. Multilevel preventive measures, building on evidences from other parts of the world must go along side.
心力衰竭是糖尿病心脏受累的最终并发症。本综述的目的是总结撒哈拉以南非洲（SSA）地区糖尿病患者心力衰竭的现有文献。
对过去26年撒哈拉以南非洲地区有关心力衰竭和糖尿病的已发表数据进行文献检索。
在非洲的普通人群和糖尿病患者中，心力衰竭在很大程度上仍未得到充分研究。在专业心血管科，心力衰竭占住院人数的30%以上，在内科普通病房占3%-7%。超过11%的心力衰竭成年患者患有糖尿病。糖尿病患者发生心力衰竭的危险因素包括典型的心血管危险因素，没有证据表明糖尿病在非洲常见的其他预测因素方面具有独特性。心力衰竭的预防、管理和结局鲜为人知；最近的数据表明临床环境中危险因素的管理有所改善。
撒哈拉以南非洲地区糖尿病发病率在上升。相关心血管疾病正成为潜在的健康问题。作为心血管并发症的心力衰竭在很大程度上仍未得到充分研究。需要通过研究努力提高我们对非洲整体心力衰竭的认识。必须在世界其他地区证据的基础上采取多层次预防措施。
