Agbor Valirie N, Ntusi Ntobeko A B, Noubiap Jean Jacques
Ibal Sub-Divisional Hospital, Oku, Northwest Region, Cameroon.
Department of Clinical Research, Health Education and Research Organization (HERO), Buea, Cameroon.
Cardiovasc Diagn Ther. 2020 Apr;10(2):244-251. doi: 10.21037/cdt.2019.08.03.
Heart failure (HF) is a global public health concern with disproportionate socioeconomic, morbidity and mortality burden on low- and middle-income countries (LMICs). This review summarises contemporary data on the demographic and clinical characteristics, aetiologies, treatment, economic burden and outcomes of HF in LMICs. Patients with HF in LMICs are younger than those from high-income countries (HICs) and present at advanced stages of the disease. Hypertension, ischaemic heart disease (IHD), cardiomyopathy (CMO), and rheumatic heart disease (RHD) are the leading causes of HF in LMICs. The contribution of infectious diseases to HF remains prominent in many LMICs. Most health facilities in LMICs lack adequate diagnostic tools for HF, and the use of evidence-based medical and device therapies is suboptimal. Further, HF in LMICs is associated with prolonged hospital stay and high in-hospital and one-year mortality. Finally, HF has profound economic impact on individual patients who, mostly, have no health insurance, and on societies where patients are young, comprising those who have the greatest potential to contribute to economic productivity.
心力衰竭（HF）是一个全球性的公共卫生问题，在低收入和中等收入国家（LMICs）造成了不成比例的社会经济、发病率和死亡率负担。本综述总结了有关LMICs中HF的人口统计学和临床特征、病因、治疗、经济负担及预后的当代数据。LMICs中的HF患者比高收入国家（HICs）的患者更年轻，且在疾病晚期才出现症状。高血压、缺血性心脏病（IHD）、心肌病（CMO）和风湿性心脏病（RHD）是LMICs中HF的主要病因。在许多LMICs中，传染病对HF的影响仍然很突出。LMICs中的大多数医疗机构缺乏足够的HF诊断工具，基于证据的药物和器械治疗的使用也未达到最佳水平。此外，LMICs中的HF与住院时间延长以及高院内死亡率和一年死亡率相关。最后，HF对大多数没有医疗保险的个体患者以及患者较为年轻的社会（这些社会中患者具有为经济生产力做出最大贡献的最大潜力）具有深远的经济影响。
