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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
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.
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.
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.
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