Bertrand E
Hôpital Nord, Marseille.
Ann Cardiol Angeiol (Paris). 1993 Apr;42(4):193-8.
Coronary artery disease remains rare (6% of all cardiovascular disease) in black Africa despite its progression in recent years. Infarcts in black Africans have similar characteristics to those seen in Western countries in patients aged under 40, notably regarding the frequency of infarcts as the first manifestation of the disease, the small number of stenoses and the incidence (18%) of patients with normal coronary arteriography (spasm? thrombosis?). Risk factors are the same as in Western countries, but the hemoglobin S or C trait could be a predisposing factor. The long-term outcome of infarcts is severe because of notable myocardial sequelae of imprecise origin: delayed hospitalisation and absence of thrombolysis? absence of angioplasty? socio-economic problems and lack of health education.
尽管近年来冠状动脉疾病有所发展，但在非洲黑人中仍然罕见（占所有心血管疾病的6%）。非洲黑人的心肌梗死与西方国家40岁以下患者的心肌梗死具有相似特征，特别是在梗死作为疾病首发表现的频率、狭窄数量较少以及冠状动脉造影正常的患者发生率（18%）方面（是痉挛？血栓形成？）。危险因素与西方国家相同，但血红蛋白S或C特质可能是一个诱发因素。由于起源不明的明显心肌后遗症，梗死的长期预后严重：住院延迟且未进行溶栓治疗？未进行血管成形术？社会经济问题以及缺乏健康教育。
