Neglected cardiovascular diseases and their significance in the Global North

Charle André Viljoen1,2, Julian Hoevelmann1,3, Elani Muller1

  • 1Hatter Institute for Cardiovascular Research in Africa and Cape Heart Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Herz
|January 28, 2021
PubMed

Insights

Global migration is increasing the prevalence of neglected cardiovascular diseases (CVDs) in developed nations. This review covers the epidemiology, diagnosis, and management of these under-recognized heart conditions in migrant populations.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Global migration patterns are altering the landscape of cardiovascular disease (CVD) in developed countries.
  • A significant percentage of migrants arriving in Europe present with pre-existing CVD.
  • Several CVDs, including rheumatic heart disease and Chagas disease, are under-recognized and neglected in industrialized nations.

Purpose of the Study:

  • To review the epidemiology, etiology, clinical presentation, diagnostic work-up, and management of neglected CVDs.
  • To highlight the increasing prevalence of these conditions in the Global North due to migration.
  • To increase awareness among healthcare providers in host countries regarding these CVDs.

Main Methods:

  • Literature review focusing on neglected cardiovascular diseases in migrant populations.
  • Synthesis of epidemiological data, etiological factors, and clinical characteristics.
  • Summary of current diagnostic and management strategies.

Main Results:

  • Neglected CVDs pose a growing challenge in industrialized countries, particularly among migrant populations.
  • Many healthcare providers in host countries are unfamiliar with the causes and presentations of these conditions.
  • Under-recognition and delayed diagnosis contribute to poor outcomes for affected individuals.

Conclusions:

  • Addressing neglected CVDs in migrant populations requires enhanced awareness and education for healthcare professionals.
  • Integrated diagnostic and management approaches are crucial for improving patient care.
  • Public health strategies must adapt to the changing CVD spectrum driven by global migration.

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