非洲的心脏:成功的可能性
1Hatter Institute for Cardiovascular Research in Africa, South African Medical Research Council Inter-University Cape Heart Group, University of Cape Town, Cape Town, South Africa; The Institute of Infectious Disease and Molecular Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; The Mary MacKillop Institute for Health Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, VIC, Australia; Soweto Cardiovascular Research Group, University of the Witwatersrand, Johannesburg, South Africa.
Lancet (London, England)
|October 30, 2016
概括
由于城市化和生活方式的变化, 撒哈拉以南非洲的心脏病负担日益增加. 解决这一问题需要创新研究和改善高血压和风湿性心脏病等疾病的医疗保健系统.
科学领域:
- 心脏病学
- 公共卫生
- 流行病学
背景情况:
- 撒哈拉以南的非洲地区正在经历快速的人口变化,城市化和生活方式的变化.
- 这些变化与心脏病的增加有关,包括高血压心脏病,冠状动脉病,风湿性心脏病,心肌病和先天性心脏病.
- 检查设施有限,诊断迟到,医疗保健不足导致心力衰竭的严重负担.
研究的目的:
- 提供自1992年以来南非心脏病发展的个人观点.
- 总结撒哈拉以南非洲普遍存在的心脏病的关键研究进展.
- 识别医疗保健系统中传染性和非传染性心脏病的关键缺口.
主要方法:
- 在Chris Hani Baragwanath医院进行个人经验和临床观察.
- 综合了索韦托中心,Thesus,REMEDY,BA-HEF,Abeokuta-HF和PAPUCO等主要研究结果.
- 对传染性心脏病和非传染性心脏病的双重流行病的卫生保健系统反应的分析.
主要成果:
- 在了解撒哈拉以南非洲常见的心脏病的流行病学和病理生理学方面取得了重大进展.
- 目前正在进行的研究正在研究最佳的治疗策略.
- 已经建立了一个心脏病专家网络,
结论:
- 非洲心脏病领域有很大的研究机会,
- 应对心脏病的流行需要创新方法和专门的资金.
- 改善医疗基础设施和早期诊断对于减轻心脏病的负担至关重要.
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