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Review
. 2013 Nov;99(21):1554-61.
doi: 10.1136/heartjnl-2013-303896. Epub 2013 May 16.

Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities

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Free PMC article
Review

Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities

Liesl Zühlke et al. Heart. 2013 Nov.
Free PMC article

Abstract

Africa has one of the highest prevalence of heart diseases in children and young adults, including congenital heart disease (CHD) and rheumatic heart disease (RHD). We present here an extensive review of recent data from the African continent highlighting key studies and information regarding progress in CHD and RHD since 2005. Main findings include evidence that the CHD burden is underestimated mainly due to the poor outcome of African children with CHD. The interest in primary prevention for RHD has been recently re-emphasised, and new data are available regarding echocardiographic screening for subclinical RHD and initiation of secondary prevention. There is an urgent need for comprehensive service frameworks to improve access and level of care and services for patients, educational programmes to reinforce the importance of prevention and early diagnosis and a relevant research agenda focusing on the African context.

Keywords: CONGENITAL HEART DISEASE.

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Figures

Figure 1
Figure 1
Schoolchildren echo-based screening, Africa 2000–2010. Clinical versus echocardiography (probable and definite lesions) approaches.
Figure 2
Figure 2
Countries with established cardiac surgery programmes.

References

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