Department of Medicine, The Cardiac Clinic, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
Heart. 2013 Sep;99(17):1230-5. doi: 10.1136/heartjnl-2012-303585. Epub 2013 May 16.
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.
新千年初期，有报道称撒哈拉以南非洲（SSA）的心血管疾病负担不断增加。然而，相对于高血压性心脏病、心肌病和风湿性心脏病引起的负担，缺血性心脏病和中风对这种负担增加的贡献尚不清楚。在过去十年中，来自非洲大陆的数据开始阐明了这个问题，并提出了三个要点。缺血性心脏病相对于其他心脏病病因的负担仍然较低，尤其是在黑人占多数的地区。主要由高血压引起的中风现在是残疾和过早死亡的主要原因。第三，大多数城市和一些农村地区的动脉粥样硬化风险因素负担正在迅速增加。需要齐心协力了解这些心脏风险因素增加的主要驱动因素，以预防未来的动脉粥样硬化及其后果的流行。
