Abengowe C U
Trop Geogr Med. 1979 Dec;31(4):553-60.
The case files of 4,456 medical admissions in 1975--1976 at Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria, included 354 cardiovascular patients. The most common causes were hypertension (45.5%), cardiomyopathy (20.6%) and chronic rheumatic heart disease (14.4%). The mean age of hypertensive and cardiovascular patients was lower than in Europe. The majority of hypertensive patients suffer from essential hypertension. Congestive cardiac failure is the commonest complication of hypertension and cardiomyopathy. Rheumatic valvular disease with mitral incompetence is frequent and sometimes severe in young people. Other cardiovascular diseases included pericardial disease, bacterial endocarditis, cor pulmonale, anaemic heart failure, congenital and syphilitic heart disease. Coronary heart disease was only encountered in non-Africans. Cardiovascular mortality in hospital was high (20%).
1975年至1976年期间，尼日利亚卡杜纳阿哈马杜·贝洛大学教学医院4456例内科住院病例档案中，有354例心血管疾病患者。最常见病因是高血压（45.5%）、心肌病（20.6%）和慢性风湿性心脏病（14.4%）。高血压患者和心血管疾病患者的平均年龄低于欧洲。大多数高血压患者患原发性高血压。充血性心力衰竭是高血压和心肌病最常见的并发症。风湿性瓣膜病伴二尖瓣关闭不全在年轻人中很常见，有时很严重。其他心血管疾病包括心包疾病、细菌性心内膜炎、肺心病、贫血性心力衰竭、先天性和梅毒性心脏病。冠心病仅在非非洲人中出现。医院内心血管疾病死亡率很高（20%）。
