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被忽视的心血管疾病及其在全球北方的意义。

Neglected cardiovascular diseases and their significance in the Global North.

机构信息

Hatter Institute for Cardiovascular Research in Africa and Cape Heart Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Division of Cardiology, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

出版信息

Herz. 2021 Mar;46(2):129-137. doi: 10.1007/s00059-021-05020-7. Epub 2021 Jan 27.

Abstract

Due to increasing global migration, the spectrum of cardiovascular disease (CVD) is changing in developed countries. Up to 3% of migrants arriving in Europe have underlying CVD. Despite their high global prevalence, conditions such as rheumatic heart disease, Chagas disease, endomyocardial fibrosis, tuberculous pericarditis, peripartum cardiomyopathy, and pulmonary hypertension are often under-recognized, and, as a result, neglected in industrialized countries. Many of these conditions, and their causes, are often unfamiliar to the health-care providers in host countries. In this review, we summarize the epidemiology, etiology, clinical presentation, diagnostic work-up, and management of neglected CVDs that have an increasing prevalence in the Global North.

摘要

由于全球移民的增加,心血管疾病(CVD)的谱在发达国家正在发生变化。在抵达欧洲的移民中,有高达 3%的人患有潜在的 CVD。尽管风湿性心脏病、恰加斯病、心肌纤维化、结核性心包炎、围产期心肌病和肺动脉高压等疾病在全球的患病率很高,但在工业化国家,这些疾病往往被认识不足,因此被忽视。这些疾病中的许多疾病及其病因,对于宿主国家的医疗保健提供者来说往往是陌生的。在这篇综述中,我们总结了在全球北方发病率不断上升的被忽视的 CVD 的流行病学、病因、临床表现、诊断方法和治疗。

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