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埃塞俄比亚六家主要转诊医院的心血管疾病谱

Spectrum of cardiovascular diseases in six main referral hospitals of Ethiopia.

作者信息

Yadeta Dejuma, Guteta Senbeta, Alemayehu Bekele, Mekonnen Dufera, Gedlu Etsegenet, Benti Henock, Tesfaye Hagazi, Berhane Samuel, Hailu Abraha, Luel Abadi, Hailu Tedros, Daniel Wandimu, Haileamlak Abraham, Gudina Esayas Kebede, Negeri Gari, Mekonnen Desalew, Woubeshet Kindie, Egeno Tariku, Lemma Kinfe, Kshettry Vibhu R, Tefera Endale

机构信息

Department of Internal Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Heart Asia. 2017 Jun 19;9(2):e010829. doi: 10.1136/heartasia-2016-010829. eCollection 2017.

Abstract

BACKGROUND

The spectrum of cardiovascular diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles. Understanding this spectrum requires regional and national data for each region or country. This study was designed to determine the spectrum of cardiovascular diseases in six university hospitals in Ethiopia.

METHODS

This is a cross-sectional study of the spectrum of cardiovascular diseases in six main referral/teaching hospitals located in different parts of the country. Consecutive patients visiting the follow-up cardiac clinics of these hospitals from 1 January to 30 June 2015 were included in the study. Data were collected on a pretested questionnaire.

RESULTS

A total of 6275 patients (58.5% females) were included in the study. Nearly 61% of the patients were from urban areas. The median age was 33 years (IQR 14-55 years). Valvular heart disease was the most common diagnosis, accounting for 40.5% of the cases. Of 2541 patents with valvular heart disease, 2184 (86%) were cases of chronic rheumatic heart disease.

CONCLUSION

Our study shows that chronic rheumatic valvular heart disease is the most common cardiovascular diagnosis among patients seen at cardiology clinics of six referral/teaching hospitals in the country, followed by congenital heart diseases. Hypertensive and ischaemic heart diseases also accounted for a significant proportion of the cases. Therefore, strategies directed towards primary and secondary prevention of acute rheumatic fever as well as prevention of risk factors for hypertension and ischaemic heart disease may need to be strengthened.

摘要

背景

心血管疾病的范围在不同国家之间以及国家内部存在差异,这取决于流行病学转变阶段和危险因素概况。了解这一范围需要每个地区或国家的区域和国家数据。本研究旨在确定埃塞俄比亚六所大学医院中心血管疾病的范围。

方法

这是一项对该国不同地区六所主要转诊/教学医院中心血管疾病范围的横断面研究。纳入了2015年1月1日至6月30日期间到这些医院的心脏随访门诊就诊的连续患者。通过预先测试的问卷收集数据。

结果

共有6275名患者(58.5%为女性)纳入研究。近61%的患者来自城市地区。中位年龄为33岁(四分位间距14 - 55岁)。瓣膜性心脏病是最常见的诊断,占病例的40.5%。在2541例瓣膜性心脏病患者中,2184例(86%)为慢性风湿性心脏病。

结论

我们的研究表明,慢性风湿性瓣膜性心脏病是该国六所转诊/教学医院心脏病诊所所见患者中最常见的心血管诊断,其次是先天性心脏病。高血压和缺血性心脏病也占相当大的比例。因此,可能需要加强针对急性风湿热一级和二级预防以及高血压和缺血性心脏病危险因素预防的策略。

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