Changes in origin of acute chest pain in a sub-Saharan African setting

Area of Science:

• Cardiology
• Public Health
• Epidemiology

Background:

• Acute chest pain is a common presentation in emergency departments globally.
• Understanding the evolving epidemiology of acute chest pain is crucial for public health strategies.
• Ghana, like many low- and middle-income countries, faces unique challenges in managing cardiovascular diseases.

Purpose of the Study:

• To investigate the shifting epidemiology of acute chest pain in Ghana.
• To assess the current landscape of acute chest pain presentations in tertiary care settings.
• To underscore the need for enhanced physician awareness and best practices in managing acute chest pain.

Main Methods:

• Retrospective analysis of patients presenting with acute chest pain.
• Data collection from two leading tertiary care centers in Accra, Ghana.
• Epidemiological investigation of patient demographics, risk factors, and clinical characteristics.

Main Results:

• The study identified a changing pattern in the causes and characteristics of acute chest pain presentations.
• Key demographic and clinical factors associated with acute chest pain were elucidated.
• Significant variations in presentation and management were observed.

Conclusions:

• The epidemiology of acute chest pain in Ghana is dynamic and requires continuous monitoring.
• There is a pressing need to enhance physician education and adherence to best practices for acute chest pain management.
• Interventions aimed at improving early diagnosis and treatment are essential for better patient outcomes.