المؤلفون: Stephane Moumbe Tamba, Marielle Epacka Ewane, Aime Bonny, Claudine Nkidiaka Muisi, Emmanuel Nana, Augustin Ellong, Côme Ebana Mvogo, Samuel Honore Mandengue

المصدر: The Pan African Medical Journal, Vol 15, Iss 141 (2013)

مصطلحات موضوعية: diabetes mellitus, microangiopathy, macroangiopathy, hba1c, diabetic check-up, cameroon, Medicine

الوصف: BACKGROUND: The purpose of this study was to evaluate the prevalence of vascular complications among diabetic patients (DP), to find out the relationship with risk factors and to assess the effect of diabetic check-up (DC) in the onset of these complications. METHODS: Clinical and laboratory data of DP followed between 2000 and 2009 were retrospectively analyzed. Those with at least one DC were selected (140 out of 538). Risk factors were checked and listed. Prospectively, an electrocardiogram (ECG) was recorded for 121 of them. RESULTS: The sample was constituted of 78 (56%) men and 62 (44%) females, mean age was 55 - 12 years. Type 2 Diabetes accounted for 94.3%. Microangiopathy distribution was: retinopathy = 23.6%, nephropathy = 25% and neuropathy = 40%. Within macroangiopathy prevalence was: 5% for stroke, 17.1% for limbs ischemic disease and 23.6% for coronary heart disease. Occurrence of complications was associated with hypertension, duration of diabetes, dyslipidemia, microalbuminuria, 24-hour proteinuria, body mass index and HbA1c. Diabetic neuropathy was neither associated to HbA1c nor microalbuminuria.. HbA1c was conversely but not significantly associated with the number of DC realized. CONCLUSION: Vascular complications are present in diabetic Cameroonians especially among those practicing less glycemic controls. Normalizing the level of HbA1c, controlling risk factors, and realizing DC may prevent the onset of vascular complications in DP.

وصف الملف: electronic resource

العلاقة: https://www.panafrican-med-journal.com/content/article/15/141/pdf/141.pdfTest; https://doaj.org/toc/1937-8688Test

الوصول الحر: https://doaj.org/article/4fa9ec3e85994b4e9ac60f8b21476c8aTest

المؤلفون: Yona Gandye, Mervat Aboulmaaty, Aimé Bonny, Mathew Sackett, Khuzeima Khanbhai, Pédrö Pallangyo, Henry A. Mayala, Mohamed Elalfy, Smitha Bhalia, Mohamed Janabi

مصطلحات موضوعية: Atrial Fibrillation, Cardiology and Cardiovascular Medicine, Medicine, Health Sciences, Catheter Ablation of Cardiac Arrhythmias, Molecular Mechanisms of Cardiac Arrhythmias, Catheter Ablation, Epicardial Ablation, Arrhythmias, Radiofrequency Ablation, Tanzania, Catheter ablation, Ablation, Catheter, Cardiology, Internal medicine, Medical emergency, Geography, Surgery, Environmental planning

الوصف: In Tanzania, despite the expansion of cardiovascular management through the expansion of health system infrastructure to combat cardiovascular diseases, radiofrequency ablation of cardiac arrhythmias remains a major challenge as the current management with catheter ablation is inaccessible to the majority. Several limitations for developing invasive arrhythmia care are identified: lack of manpower, healthcare resources, health systems challenges, high cost of consumables, healthcare financing challenges and limited antiarrhythmic medications. The proposed solutions to address the unmet are: inauguration of a domestic arrhythmia society with dedicated prioritized academic programs, advocacy for training in the cost-effective conventional approach to arrhythmia ablation, reducing irrational claim deduction from insurers and regulation of central medical store policy, calling the Ministry of Health to implement insurance accreditation of radiofrequency ablation in Tanzania, sensitize the government to offer ... : في تنزانيا، على الرغم من التوسع في إدارة القلب والأوعية الدموية من خلال توسيع البنية التحتية للنظام الصحي لمكافحة أمراض القلب والأوعية الدموية، لا يزال استئصال الترددات الراديوية لعدم انتظام ضربات القلب يمثل تحديًا كبيرًا لأن الإدارة الحالية مع استئصال القسطرة لا يمكن للأغلبية الوصول إليها. تم تحديد العديد من القيود على تطوير رعاية عدم انتظام ضربات القلب الغازية: نقص القوى العاملة، وموارد الرعاية الصحية، وتحديات الأنظمة الصحية، وارتفاع تكلفة المواد الاستهلاكية، وتحديات تمويل الرعاية الصحية، والأدوية المحدودة المضادة لاضطراب النظم. الحلول المقترحة لمعالجة غير المستوفاة هي: افتتاح مجتمع محلي لعدم انتظام ضربات القلب مع برامج أكاديمية مخصصة ذات أولوية، والدعوة للتدريب على النهج التقليدي الفعال من حيث التكلفة لاستئصال عدم انتظام ضربات القلب، والحد من خصم المطالبات غير العقلانية من شركات التأمين وتنظيم سياسة المخزن الطبي المركزي، ودعوة وزارة الصحة إلى تنفيذ اعتماد التأمين على الاستئصال بالترددات الراديوية في تنزانيا، وتوعية الحكومة لتقديم الحافز للمرشحين الذين يتابعون مهنة الفيزيولوجيا الكهربائية، والحكومة من خلال ...

العلاقة: https://dx.doi.org/10.60692/1258a-b9f93Test

الإتاحة: https://doi.org/10.60692/0wcdk-0r93010.60692/1258a-b9f93Test

المؤلفون: Ewerton Cousin, Bruce B Duncan, Caroline Stein, Kanyin Liane Ong, Theo Vos, Cristiana Abbafati, Mohsen Abbasi-Kangevari, Michael Abdelmasseh, Amir Abdoli, Rami Abd-Rabu, Hassan Abolhassani, Eman Abu-Gharbieh, Manfred Mario Kokou Accrombessi, Qorinah Estiningtyas Sakilah Adnani, Muhammad Sohail Afzal, Gina Agarwal, Krishna K Agrawaal, Marcela Agudelo-Botero, Bright Opoku Ahinkorah, Sajjad Ahmad, Tauseef Ahmad, Keivan Ahmadi, Sepideh Ahmadi, Ali Ahmadi, Ali Ahmed, Yusra Ahmed Salih, Wuraola Akande-Sholabi, Tayyaba Akram, Hanadi Al Hamad, Ziyad Al-Aly, Jacqueline Elizabeth Alcalde-Rabanal, Vahid Alipour, Syed Mohamed Aljunid, Rajaa M Al-Raddadi, Nelson Alvis-Guzman, Saeed Amini, Robert Ancuceanu, Tudorel Andrei, Catalina Liliana Andrei, Ranjit Mohan Anjana, Adnan Ansar, Ippazio Cosimo Antonazzo, Benny Antony, Anayochukwu Edward Anyasodor, Jalal Arabloo, Damian Arizmendi, Benedetta Armocida, Anton A Artamonov, Judie Arulappan, Zahra Aryan, Samaneh Asgari, Tahira Ashraf, Thomas Astell-Burt, Prince Atorkey, Maha Moh'd Wahbi Atout, Martin Amogre Ayanore, Ashish D Badiye, Atif Amin Baig, Mohan Bairwa, Jennifer L Baker, Ovidiu Constantin Baltatu, Palash Chandra Banik, Anthony Barnett, Mark Thomaz Ugliara Barone, Francesco Barone-Adesi, Amadou Barrow, Neeraj Bedi, Rebuma Belete, Uzma Iqbal Belgaumi, Arielle Wilder Bell, Derrick A Bennett, Isabela M Bensenor, David Beran, Akshaya Srikanth Bhagavathula, Sonu Bhaskar, Krittika Bhattacharyya, Vijayalakshmi S Bhojaraja, Ali Bijani, Boris Bikbov, Setognal Birara, Virginia Bodolica, Aime Bonny, Hermann Brenner, Nikolay Ivanovich Briko, Zahid A Butt, Florentino Luciano Caetano dos Santos, Luis Alberto Camera, Ismael R Campos-Nonato, Yin Cao, Chao Cao, Ester Cerin, Promit Ananyo Chakraborty, Joht Singh Chandan, Vijay Kumar Chattu, Simiao Chen, Jee-Young Jasmine Choi, Sonali Gajanan Choudhari, Enayet Karim Chowdhury, Dinh-Toi Chu, Barbara Corso, Omid Dadras, Xiaochen Dai, Albertino Antonio Moura Damasceno, Lalit Dandona, Rakhi Dandona, Claudio Alberto Davila-Cervantes, Jan-Walter De Neve, Edgar Denova-Gutierrez, Deepak Dhamnetiya, Daniel Diaz, Sanam Ebtehaj, Hisham Atan Edinur, Sahar Eftekharzadeh, Iman El Sayed, Islam Y Elgendy, Muhammed Elhadi, Mohamed A Elmonem, Mohammed Faisaluddin, Umar Farooque, Xiaoqi Feng, Eduarda Fernandes, Florian Fischer, David Flood, Marisa Freitas, Peter Andras Gaal, Mohamed M Gad, Piyada Gaewkhiew, Lemma Getacher, Mansour Ghafourifard, Reza Ghanei Gheshlagh, Ahmad Ghashghaee, Nermin Ghith, Ghozali Ghozali, Paramjit Singh Gill, Ibrahim Abdelmageed Ginawi, Ekaterina Vladimirovna Glushkova, Mahaveer Golechha, Sameer Vali Gopalani, Rafael Alves Guimaraes, Rajat Das Gupta, Rajeev Gupta, Vivek Kumar Gupta, Veer Bala Gupta, Sapna Gupta, Tesfa Dejenie Habtewold, Nima Hafezi-Nejad, Rabih Halwani, Asif Hanif, Graeme J Hankey, Shafiul Haque, Ahmed I Hasaballah, Syed Shahzad Hasan, Abdiwahab Hashi, Soheil Hassanipour, Simon I Hay, Khezar Hayat, Mohammad Heidari, Mohammad Bellal Hossain Hossain, Sahadat Hossain, Mostafa Hosseini, Soodabeh Hoveidamanesh, Junjie Huang, Ayesha Humayun, Rabia Hussain, Bing-Fang Hwang, Segun Emmanuel Ibitoye, Kevin S Ikuta, Leeberk Raja Inbaraj, Usman Iqbal, Md Shariful Islam, Sheikh Mohammed Shariful Islam, Rakibul M Islam, Nahlah Elkudssiah Ismail, Gaetano Isola, Ramaiah Itumalla, Masao Iwagami, Ihoghosa Osamuyi Iyamu, Mohammad Ali Jahani, Mihajlo Jakovljevic, Ranil Jayawardena, Ravi Prakash Jha, Oommen John, Jost B Jonas, Tamas Joo, Ali Kabir, Rohollah Kalhor, Ashwin Kamath, Tanuj Kanchan, Himal Kandel, Neeti Kapoor, Gbenga A Kayode, Sewnet Adem Kebede, Pedram Keshavarz, Mohammad Keykhaei, Yousef Saleh Khader, Himanshu Khajuria, Moien AB Khan, Md Nuruzzaman Khan, Maseer Khan, Amir M Khater, Tawfik Ahmed Muthafer Khoja, Jagdish Khubchandani, Min Seo Kim, Yun Jin Kim, Ruth W Kimokoti, Sezer Kisa, Adnan Kisa, Mika Kivimaki, Vladimir Andreevich Korshunov, Oleksii Korzh, Ai Koyanagi, Kewal Krishan, Barthelemy Kuate Defo, G Anil Kumar, Nithin Kumar, Dian Kusuma, Carlo La Vecchia, Ben Lacey, Anders O Larsson, Savita Lasrado, Wei-Chen Lee, Chiachi Bonnie Lee, Paul H Lee, Shaun Wen Huey Lee, Ming-Chieh Li, Stephen S Lim, Lee-Ling Lim, Giancarlo Lucchetti, Azeem Majeed, Ahmad Azam Malik, Borhan Mansouri, Lorenzo Giovanni Mantovani, Santi Martini, Prashant Mathur, Colm McAlinden, Nafiul Mehedi, Teferi Mekonnen, Ritesh G Menezes, Amanual Getnet Mersha, Junmei Miao Jonasson, Tomasz Miazgowski, Irmina Maria Michalek, Andreea Mirica, Erkin M Mirrakhimov, Agha Zeeshan Mirza, Prasanna Mithra, Abdollah Mohammadian-Hafshejani, Reza Mohammadpourhodki, Arif Mohammed, Ali H Mokdad, Mariam Molokhia, Lorenzo Monasta, Mohammad Ali Moni, Farhad Moradpour, Rahmatollah Moradzadeh, Ebrahim Mostafavi, Ulrich Otto Mueller, Christopher JL Murray, Ahmad Mustafa, Gabriele Nagel, Vinay Nangia, Atta Abbas Naqvi, Biswa Prakash Nayak, Javad Nazari, Rawlance Ndejjo, Ruxandra Irina Negoi, Neupane Kandel, Cuong Tat Nguyen, Huong Lan Thi Nguyen, Jean Jacques Noubiap, Christoph Nowak, Bogdan Oancea, Oluwakemi Ololade Odukoya, Ayodipupo Sikiru Oguntade, Temitope T Ojo, Andrew T Olagunju, Obinna E Onwujekwe, Alberto Ortiz, Mayowa O Owolabi, Raffaele Palladino, Songhomitra Panda-Jonas, Seithikurippu R Pandi-Perumal, Shahina Pardhan, Tarang Parekh, Mojtaba Parvizi, Veincent Christian Filipino Pepito, Arokiasamy Perianayagam, Ionela-Roxana Petcu, Manju Pilania, Vivek Podder, Roman V Polibin, Maarten J Postma, Akila Prashant, Navid Rabiee, Mohammad Rabiee, Vafa Rahimi-Movaghar, Muhammad Aziz Rahman, Md Mosfequr Rahman, Mosiur Rahman, Setyaningrum Rahmawaty, Nazanin Rajai, Pradhum Ram, Juwel Rana, Kamal Ranabhat, Priyanga Ranasinghe, Chythra R Rao, Satish Rao, Salman Rawaf, David Laith Rawaf, Lal Rawal, Andre MN Renzaho, Nima Rezaei, Aziz Rezapour, Seyed Mohammad Riahi, Daniela Ribeiro, Jefferson Antonio Buendia Rodriguez, Leonardo Roever, Peter Rohloff, Godfrey M Rwegerera, Paul MacDaragh Ryan, Maha Mohamed Saber-Ayad, Siamak Sabour, Basema Saddik, Sahar Saeedi Moghaddam, Amirhossein Sahebkar, Harihar Sahoo, Km Saif-Ur-Rahman, Hamideh Salimzadeh, Mehrnoosh Samaei, Juan Sanabria, Milena M Santric-Milicevic, Brijesh Sathian, Thirunavukkarasu Sathish, Markus P Schlaich, Abdul-Aziz Seidu, Mario Sekerija, Nachimuthu Senthil Kumar, Allen Seylani, Masood Ali Shaikh, Hina Shamshad, Md Shajedur Rahman Shawon, Sara Sheikhbahaei, Jeevan K Shetty, Rahman Shiri, KM Shivakumar, Kerem Shuval, Jasvinder A Singh, Ambrish Singh, Valentin Yurievich Skryabin, Anna Aleksandrovna Skryabina, Ahmad Sofi-Mahmudi, Amin Soheili, Jing Sun, Viktoria Szerencses, Miklos Szocska, Rafael Tabares-Seisdedos, Hooman Tadbiri, Eyayou Girma Tadesse, Md Tariqujjaman, Kavumpurathu Raman Thankappan, Rekha Thapar, Nihal Thomas, Binod Timalsina, Ruoyan Tobe-Gai, Marcello Tonelli, Marcos Roberto Tovani-Palone, Bach Xuan Tran, Jaya Prasad Tripathy, Lorainne Tudor Car, Biruk Shalmeno Tusa, Riaz Uddin, Era Upadhyay, Sahel Valadan Tahbaz, Pascual R Valdez, Tommi Juhani Vasankari, Madhur Verma, Victor E Villalobos-Daniel, Sergey Konstantinovitch Vladimirov, Bay Vo, Giang Thu Vu, Rade Vukovic, Yasir Waheed, Richard G Wamai, Andrea Werdecker, Nuwan Darshana Wickramasinghe, Andrea Sylvia Winkler, Befikadu Legesse Wubishet, Xiaoyue Xu, Suowen Xu, Seyed Hossein Yahyazadeh Jabbari, Hiroshi Yatsuya, Sanni Yaya, Taklo Simeneh Yazie Yazie, Siyan Yi, Naohiro Yonemoto, Ismaeel Yunusa, Siddhesh Zadey, Sojib Bin Zaman, Maryam Zamanian, Nelson Zamora, Mikhail Sergeevich Zastrozhin, Anasthasia Zastrozhina, Zhi-Jiang Zhang, Chenwen Zhong, Mohammad Zmaili, Alimuddin Zumla, Mohsen Naghavi, Maria Ines Schmidt

مصطلحات موضوعية: Uncategorized, Science & Technology, Life Sciences & Biomedicine, Endocrinology & Metabolism, CHILDHOOD, INSULIN, COMPLICATIONS, CHALLENGES, ACCESS, COHORT, BRAZIL

الوصف: Background: Diabetes, particularly type 1 diabetes, at younger ages can be a largely preventable cause of death with the correct health care and services. We aimed to evaluate diabetes mortality and trends at ages younger than 25 years globally using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods: We used estimates of GBD 2019 to calculate international diabetes mortality at ages younger than 25 years in 1990 and 2019. Data sources for causes of death were obtained from vital registration systems, verbal autopsies, and other surveillance systems for 1990–2019. We estimated death rates for each location using the GBD Cause of Death Ensemble model. We analysed the association of age-standardised death rates per 100 000 population with the Socio-demographic Index (SDI) and a measure of universal health coverage (UHC) and described the variability within SDI quintiles. We present estimates with their 95% uncertainty intervals. Findings: In 2019, 16 300 (95% uncertainty interval 14 200 to 18 900) global deaths due to diabetes (type 1 and 2 combined) occurred in people younger than 25 years and 73·7% (68·3 to 77·4) were classified as due to type 1 diabetes. The age-standardised death rate was 0·50 (0·44 to 0·58) per 100 000 population, and 15 900 (97·5%) of these deaths occurred in low to high-middle SDI countries. The rate was 0·13 (0·12 to 0·14) per 100 000 population in the high SDI quintile, 0·60 (0·51 to 0·70) per 100 000 population in the low-middle SDI quintile, and 0·71 (0·60 to 0·86) per 100 000 population in the low SDI quintile. Within SDI quintiles, we observed large variability in rates across countries, in part explained by the extent of UHC (r2=0·62). From 1990 to 2019, age-standardised death rates decreased globally by 17·0% (−28·4 to −2·9) for all diabetes, and by 21·0% (–33·0 to −5·9) when considering only type 1 diabetes. However, the low SDI quintile had the lowest decline for both all diabetes (−13·6% [–28·4 to 3·4]) and for type 1 diabetes (−13·6% ...

العلاقة: 2381/20514060.v1; https://figshare.com/articles/journal_contribution/Diabetes_mortality_and_trends_before_25_years_of_age_an_analysis_of_the_Global_Burden_of_Disease_Study_2019/20514060Test

الإتاحة: https://figshare.com/articles/journal_contribution/Diabetes_mortality_and_trends_before_25_years_of_age_an_analysis_of_the_Global_Burden_of_Disease_Study_2019/20514060Test

المؤلفون: Valery L Feigin, Benjamin A Stark, Catherine Owens Johnson, Gregory A Roth, Catherine Bisignano, Gdiom Gebreheat Abady, Mitra Abbasifard, Mohsen Abbasi-Kangevari, Foad Abd-Allah, Vida Abedi, Ahmed Abualhasan, Niveen Me Abu-Rmeileh, Abdelrahman Abushouk, Oladimeji M Adebayo, Gina Agarwal, Pradyumna Agasthi, Bright Opoku Ahinkorah, Sohail Ahmad, Sepideh Ahmadi, Yusra Ahmed Salih, Budi Aji, Samaneh Akbarpour, Rufus Olusola Akinyemi, Hanadi Al Hamad, Fares Alahdab, Sheikh Mohammad Alif, Vahid Alipour, Syed Mohamed Aljunid, Sami Almustanyir, Rajaa M Al-Raddadi, Rustam Al-Shahi Salman, Nelson Alvis-Guzman, Robert Ancuceanu, Deanna Anderlini, Jason A Anderson, Adnan Ansar, Ippazio Cosimo Antonazzo, Jalal Arabloo, Johan Arnlov, Kurnia Dwi Artanti, Zahra Aryan, Samaneh Asgari, Tahira Ashraf, Mohammad Athar, Alok Atreya, Marcel Ausloos, Atif Amin Baig, Ovidiu Constantin Baltatu, Maciej Banach, Miguel A Barboza, Suzanne Lyn Barker-Collo, Till Winfried Barnighausen, Mark Thomaz Ugliara Barone, Sanjay Basu, Gholamreza Bazmandegan, Ettore Beghi, Mahya Beheshti, Yannick Bejot, Arielle Wilder Bell, Derrick A Bennett, Isabela M Bensenor, Woldesellassie Mequanint Bezabhe, Yihienew Mequanint Bezabih, Akshaya Srikanth Bhagavathula, Pankaj Bhardwaj, Krittika Bhattacharyya, Ali Bijani, Boris Bikbov, Mulugeta M Birhanu, Archith Boloor, Aime Bonny, Michael Brauer, Hermann Brenner, Dana Bryazka, Zahid A Butt, Florentino Luciano Caetano dos Santos, Ismael R Campos-Nonato, Carlos Cantu-Brito, Juan J Carrero, Carlos A Castaneda-Orjuela, Alberico L Catapano, Promit Ananyo Chakraborty, Jaykaran Charan, Sonali Gajanan Choudhari, Enayet Karim Chowdhury, Dinh-Toi Chu, Sheng-Chia Chung, David Colozza, Vera Marisa Costa, Simona Costanzo, Michael H Criqui, Omid Dadras, Baye Dagnew, Xiaochen Dai, Koustuv Dalal, Albertino Antonio Moura Damasceno, Emanuele D'Amico, Lalit Dandona, Rakhi Dandona, Jiregna Darega Gela, Kairat Davletov, Vanessa De La Cruz-Gongora, Rupak Desai, Deepak Dhamnetiya, Samath Dhamminda Dharmaratne, Mandira Lamichhane Dhimal, Meghnath Dhimal, Daniel Diaz, Martin Dichgans, Klara Dokova, Rajkumar Doshi, Abdel Douiri, Bruce B Duncan, Sahar Eftekharzadeh, Michael Ekholuenetale, Nevine El Nahas, Islam Y Elgendy, Muhammed Elhadi, Shaimaa El-Jaafary, Matthias Endres, Aman Yesuf Endries, Daniel Asfaw Erku, Emerito Jose A Faraon, Umar Farooque, Farshad Farzadfar, Abdullah Hamid Feroze, Irina Filip, Florian Fischer, David Flood, Mohamed M Gad, Shilpa Gaidhane, Reza Ghanei Gheshlagh, Ahmad Ghashghaee, Nermin Ghith, Ghozali Ghozali, Sherief Ghozy, Alessandro Gialluisi, Simona Giampaoli, Syed Amir Gilani, Paramjit Singh Gill, Elena Gnedovskaya, Mahaveer Golechha, Alessandra C Goulart, Yuming Guo, Rajeev Gupta, Veer Bala Gupta, Vivek Kumar Gupta, Pradip Gyanwali, Nima Hafezi-Nejad, Samer Hamidi, Asif Hanif, Graeme J Hankey, Arief Hargono, Abdiwahab Hashi, Treska S Hassan, Hamid Yimam Hassen, Rasmus J Havmoeller, Simon Hay, Khezar Hayat, Mohamed Hegazy, Claudiu Herteliu, Ramesh Holla, Sorin Hostiuc, Mowafa Househ, Junjie Huang, Ayesha Humayun, Bing-Fang Hwang, Licia Iacoviello, Ivo Iavicoli, Segun Emmanuel Ibitoye, Olayinka Stephen Ilesanmi, Irena M Ilic, Milena D Ilic, Usman Iqbal, Seyed Sina Naghibi Irvani, Sheikh Mohammed Shariful Islam, Nahlah Elkudssiah Ismail, Hiroyasu Iso, Gaetano Isola, Masao Iwagami, Louis Jacob, Vardhmaan Jain, Sung-In Jang, Sathish Kumar Jayapal, Shubha Jayaram, Ranil Jayawardena, Panniyammakal Jeemon, Ravi Prakash Jha, Walter D Johnson, Jost B Jonas, Nitin Joseph, Jacek Jerzy Jozwiak, Mikk Jurisson, Rizwan Kalani, Rohollah Kalhor, Yogeshwar Kalkonde, Ashwin Kamath, Zahra Kamiab, Tanuj Kanchan, Himal Kandel, Andre Karch, Patrick DMC Katoto, Gbenga A Kayode, Pedram Keshavarz, Yousef Saleh Khader, Ejaz Ahmad Khan, Imteyaz A Khan, Maseer Khan, Moien AB Khan, Mahalaqua Nazli Khatib, Jagdish Khubchandani, Gyu Ri Kim, Min Seo Kim, Yun Jin Kim, Adnan Kisa, Sezer Kisa, Mika Kivimaki, Dhaval Kolte, Ali Koolivand, Sindhura Lakshmi Koulmane Laxminarayana, Ai Koyanagi, Kewal Krishan, Vijay Krishnamoorthy, Rita Krishnamurthi, G Anil Kumar, Dian Kusuma, Carlo La Vecchia, Ben Lacey, Hassan Mehmood Lak, Tea Lallukka, Savita Lasrado, Pablo M Lavados, Matilde Leonardi, Bingyu Li, Shanshan Li, Hualiang Lin, Ro-Ting Lin, Xuefeng Liu, Warren David Lo, Stefan Lorkowski, Giancarlo Lucchetti, Ricardo Lutzky Saute, Hassan Magdy Abd El Razek, Francesca Giulia Magnani, Preetam Bhalchandra Mahajan, Azeem Majeed, Alaa Makki, Reza Malekzadeh, Ahmad Azam Malik, Navid Manafi, Mohammad Ali Mansournia, Lorenzo Giovanni Mantovani, Santi Martini, Giampiero Mazzaglia, Man Mohan Mehndiratta, Ritesh G Menezes, Atte Meretoja, Amanual Getnet Mersha, Junmei Miao Jonasson, Bartosz Miazgowski, Tomasz Miazgowski, Irmina Maria Michalek, Erkin M Mirrakhimov, Yousef Mohammad, Abdollah Mohammadian-Hafshejani, Shafiu Mohammed, Ali H Mokdad, Yaser Mokhayeri, Mariam Molokhia, Mohammad Ali Moni, Ahmed Al Montasir, Rahmatollah Moradzadeh, Lidia Morawska, Jakub Morze, Walter Muruet, Kamarul Imran Musa, Ahamarshan Jayaraman Nagarajan, Mohsen Naghavi, Sreenivas Narasimha Swamy, Bruno Ramos Nascimento, Ruxandra Irina Negoi, Sandhya Neupane Kandel, Huyen Nguyen Trang, Bo Norrving, Jean Jacques Noubiap, Vincent Ebuka Nwatah, Bogdan Oancea, Oluwakemi Ololade Odukoya, Andrew T Olagunju, Hans Orru, Mayowa O Owolabi, Jagadish Rao Padubidri, Adrian Pana, Tarang Parekh, Eun-Cheol Park, Fatemeh Pashazadeh Kan, Mona Pathak, Mario FP Peres, Arokiasamy Perianayagam, Pham Truong-Minh, Michael A Piradov, Vivek Podder, Suzanne Polinder, Maarten J Postma, Akram Pourshams, Amir Radfar, Alireza Rafiei, Alberto Raggi, Fakher Rahim, Vafa Rahimi-Movaghar, Mosiur Rahman, Muhammad Aziz Rahman, Amir Masoud Rahmani, Nazanin Rajai, Priyanga Ranasinghe, Chythra R Rao, Sowmya J Rao, Priya Rathi, David Laith Rawaf, Salman Rawaf, Marissa B Reitsma, Vishnu Renjith, Andre MN Renzaho, Aziz Rezapour, Jefferson Antonio Buendia Rodriguez, Leonardo Roever, Michele Romoli, Andrzej Rynkiewicz, Simona Sacco, Masoumeh Sadeghi, Sahar Saeedi Moghaddam, Amirhossein Sahebkar, Km Saif-Ur-Rahman, Rehab Salah, Mehrnoosh Samaei, Abdallah M Samy, Itamar S Santos, Milena M Santric-Milicevic, Nizal Sarrafzadegan, Brijesh Sathian, Davide Sattin, Silvia Schiavolin, Markus P Schlaich, Maria Ines Schmidt, Aletta Elisabeth Schutte, Sadaf G Sepanlou, Allen Seylani, Feng Sha, Saeed Shahabi, Masood Ali Shaikh, Mohammed Shannawaz, Md Shajedur Rahman Shawon, Aziz Sheikh, Sara Sheikhbahaei, Kenji Shibuya, Soraya Siabani, Diego Augusto Santos Silva, Jasvinder A Singh, Jitendra Kumar Singh, Valentin Yurievich Skryabin, Anna Aleksandrovna Skryabina, Badr Hasan Sobaih, Stefan Stortecky, Saverio Stranges, Eyayou Girma Tadesse, Ingan Ukur Tarigan, Mohamad-Hani Temsah, Yvonne Teuschl, Amanda G Thrift, Marcello Tonelli, Marcos Roberto Tovani-Palone, Xuan Tran Bach, Manjari Tripathi, Gebiyaw Wudie Tsegaye, Anayat Ullah, Brigid Unim, Bhaskaran Unnikrishnan, Alireza Vakilian, Sahel Valadan Tahbaz, Tommi Juhani Vasankari, Narayanaswamy Venketasubramanian, Dominique Vervoort, Bay Vo, Victor Volovici, Kia Vosoughi, Thu Vu Giang, Gia Vu Linh, Hatem A Wafa, Yasir Waheed, Yanzhong Wang, Tissa Wijeratne, Andrea Sylvia Winkler, Charles DA Wolfe, Mark Woodward, Jason H Wu, Sarah Wulf Hanson, Xiaoyue Xu, Lalit Yadav, Ali Yadollahpour, Seyed Hossein Yahyazadeh Jabbari, Kazumasa Yamagishi, Hiroshi Yatsuya, Naohiro Yonemoto, Chuanhua Yu, Ismaeel Yunusa, Muhammed Shahriar Zaman, Sojib Bin Zaman, Maryam Zamanian, Ramin Zand, Alireza Zandifar, Mikhail Sergeevich Zastrozhin, Anasthasia Zastrozhina, Yunquan Zhang, Zhi-Jiang Zhang, Chenwen Zhong, Yves Miel H Zuniga, Christopher JL Murray

مصطلحات موضوعية: Uncategorized, Science & Technology, Life Sciences & Biomedicine, Clinical Neurology, Neurosciences & Neurology, MIDDLE-INCOME COUNTRIES, ISCHEMIC-STROKE, YOUNG-ADULTS, POPULATION, HYPERTENSION, PREVENTION, PREVALENCE, GUIDELINES, MORTALITY, SERVICES

الوصف: Background Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels. Methods We applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level. Findings In 2019, there were 12·2 million (95% UI 11·0-13·6) incident cases of stroke, 101 million (93·2-111) prevalent cases of stroke, 143 million (133-153) DALYs due to stroke, and 6·55 million (6·00-7·02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11·6% [10·8-12·2] of total deaths) and the third-leading cause of death and disability combined (5·7% [5·1-6·2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70·0% (67·0-73·0), prevalent strokes increased by 85·0% (83·0-88·0), deaths from stroke increased by 43·0% (31·0-55·0), and DALYs due to stroke increased by 32·0% (22·0-42·0). During the same period, age-standardised rates of stroke incidence decreased by 17·0% (15·0-18·0), mortality decreased by 36·0% (31·0-42·0), prevalence decreased by 6·0% (5·0-7·0), and DALYs decreased by 36·0% (31·0-42·0). However, among people younger than 70 years, prevalence rates increased by 22·0% (21·0-24·0) and incidence rates increased by 15·0% (12·0-18·0). In 2019, the ...

العلاقة: 2381/16860046.v1; https://figshare.com/articles/journal_contribution/Global_regional_and_national_burden_of_stroke_and_its_risk_factors_1990-2019_a_systematic_analysis_for_the_Global_Burden_of_Disease_Study_2019/16860046Test

الإتاحة: https://figshare.com/articles/journal_contribution/Global_regional_and_national_burden_of_stroke_and_its_risk_factors_1990-2019_a_systematic_analysis_for_the_Global_Burden_of_Disease_Study_2019/16860046Test

المؤلفون: Daniel Alyesh, Behzad B. Pavri, William Choe, Mam Chandara, Mahmoud U. Sani, Phong Dinh Phan, Aime Bonny, Paul Khairy, Sunil K. Sinha, Uma Srivatsa, Joseph E. Marine, Kim Eagle, Thomas C. Crawford, Dhanunjaya Lakkireddy, Sri Sundaram

المصدر: Heart Rhythm O2. 3:799-806

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine

الوصف: A nation's health and economic development are inextricably and synergistically connected. Stark differences exist between wealthy and developing nations in the use of cardiac implantable electronic devices (CIEDs). Cardiovascular disease is now the leading cause of death in low- and middle-income countries (LMIC), with a significant burden from rhythm-related diseases. As science, technology, education, and regulatory frameworks have improved, CIED recycling for exportation and reuse in LMIC has become possible and primed for widespread adoption. In our manuscript, we outline the science and regulatory pathways regarding CIED reuse. We propose a pathway to advance this technology that includes creating a task force to establish standards for CIED reuse, leveraging professional organizations in areas of need to foster the professional skills for CIED reuse, collaborating with regulatory agencies to create more efficient regulatory expectations and bring the concept to scale, and establishing a global CIED reuse registry for quality assurance and future science.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6f454bd3470e9e606ba65d34c4ac3addTest
https://doi.org/10.1016/j.hroo.2022.08.006Test

المؤلفون: A., Roth Gregory, A., Mensah George, O., Johnson Catherine, Giovanni, Addolorato, Enrico, Ammirati, M., Baddour Larry, C., Barengo Noel, Z., Beaton Andrea, J., Benjamin Emelia, P., Benziger Catherine, Aime, Bonny, Michael, Brauer, Marianne, Brodmann, J., Cahill Thomas, Jonathan, Carapetis, L., Catapano Alberico, S., Chugh Sumeet, T., Cooper Leslie, Josef, Coresh, Michael, Criqui, Nicole, DeCleene, A., Eagle Kim, Sophia, Emmons-Bell, L., Feigin Valery, Joaquim, Fernández-Sola, Gerry, Fowkes, Emmanuela, Gakidou, M., Grundy Scott, J., He Feng, George, Howard, Frank, Hu, Lesley, Inker, Ganesan, Karthikeyan, Nicholas, Kassebaum, Walter, Koroshetz, Carl, Lavie, Donald, Lloyd-Jones, S., Lu Hong, Antonio, Mirijello, Misganaw, Temesgen Awoke, Ali, Mokdad, E., Moran Andrew, Paul, Muntner, Jagat, Narula, Bruce, Neal, Mpiko, Ntsekhe, Glaucia, Moraes de Oliveira, Catherine, Otto, Mayowa, Owolabi

المصدر: A. , R G , A. , M G , O. , J C , Giovanni , A , Enrico , A , M. , B L , C. , B N , Z. , B A , J. , B E , P. , B C , Aime , B , Michael , B , Marianne , B , J. , C T , Jonathan , C , L. , C A , S. , C S , T. , C L , Josef , C , Michael , C , Nicole , D , A. , E ....

مصطلحات موضوعية: cardiovascular diseases, global health, health policy, population health

الوصف: Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019. Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019. Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the ...

وصف الملف: application/pdf

العلاقة: https://portal.findresearcher.sdu.dk/da/publications/89764d01-3269-4c15-b08f-bf5ac62cf8b5Test

الإتاحة: https://doi.org/10.1016/j.jacc.2020.11.010Test
https://portal.findresearcher.sdu.dk/da/publications/89764d01-3269-4c15-b08f-bf5ac62cf8b5Test
https://findresearcher.sdu.dk/ws/files/175569594/1_s2.0_S0735109720377755_main.pdfTest

المؤلفون: Matthew F Yuyun, Gladys M K Tchanana, Marcus Ngantcha, Olujimi A Ajijola, Samuel Mbouh, Steve C T Tchameni, Aimé Bonny

المصدر: BMJ Open Sport & Exercise Medicine, Vol 6, Iss 1 (2020)

مصطلحات موضوعية: Medicine (General), R5-920

الوصف: Background The incidence of sports-related sudden cardiac arrest (SrSCA) in sub-Saharan Africa is unknown.Objective To determine the incidence of sudden cardiac arrest (SCA) in non-competitive athletes in an urban population of Cameroon, a country in sub-Saharan Africa.Methods Two study populations in Cameroon were used. A 12-month, multisource surveillance system of 86 189 inhabitants over 12 years old recorded all deaths in two administrative districts of Douala City. All fields of sports, emergency medical service, local medical examiners and district hospital mortuaries were surveyed. Two blinded cardiologists used a verbal autopsy protocol to determine the cause of death. SCA was identified for all deaths occurring within 1 hour of onset of symptoms. A cross-sectional study was conducted among 793 persons in Yaoundé City, which is the second study population aimed at determining the proportion of people who are physically active.Results The mean age in the cross-sectional study was 27.3±10.7, with more men (56.2%). The cross-sectional study showed that 69.0% (95% CI 65.8 to 72.2) of the population could be considered to have at least 3 hours of physical activity per week. The surveillance found that among 288 all-cause deaths, 27 (9.4%) were due to SCA. One SrSCA was registered in a 35-year-old woman while running. Merging both sources revealed an SrSCA incidence of 1.7 (95% CI 0.2 to 12.0) cases per 100 000 athletes per year.Conclusion This pioneer study reports the incidence estimates of SrSCA in a sub-Saharan African general population and should be regarded as a first step to a big problem.

العلاقة: https://bmjopensem.bmj.com/content/6/1/e000706.fullTest; https://doaj.org/toc/2055-7647Test; https://doaj.org/article/870f83ac506446a2807fd57a102323a8Test

الإتاحة: https://doi.org/10.1136/bmjsem-2019-000706Test
https://doaj.org/article/870f83ac506446a2807fd57a102323a8Test

المؤلفون: Matthew F. Yuyun, Aimé Bonny, G. André Ng, Karen Sliwa, Andre Pascal Kengne, Ashley Chin, Ana Olga Mocumbi, Marcus Ngantcha, Olujimi A. Ajijola, Gene Bukhman

المصدر: Global Heart, Vol 15, Iss 1 (2020)

مصطلحات موضوعية: atrial arrhythmias, supraventricular tachycardia, sudden cardiac death, ventricular arrhythmias, pacemaker, defibrillator, sub-saharan africa, Diseases of the circulatory (Cardiovascular) system, RC666-701, Public aspects of medicine, RA1-1270

الوصف: Major structural cardiovascular diseases are associated with cardiac arrhythmias, but their full spectrum remains unknown in sub-Saharan Africa (SSA), which we addressed in this systematic review. Atrial fibrillation/atrial flutter (AF/AFL) prevalence is 16–22% in heart failure, 10–28% in rheumatic heart disease, 3–7% in cardiology admissions, but <1% in the general population. Use of oral anticoagulation is heterogenous (9–79%) across SSA. The epidemiology of sudden cardiac arrest/death is less characterized in SSA. Cardiopulmonary resuscitation is challenging, owing to low awareness and lack of equipment for life-support. About 18% of SSA countries have no cardiac implantable electronic devices services, leaving hundreds of millions of people without any access to treatment for advanced bradyarrhythmias, and implant rates are more than 200-fold lower than in the western world. Management of tachyarrhythmias is largely non-invasive (about 80% AF/AFL via rate-controlled strategy only), as electrophysiological study and catheter ablation centers are almost non-existent in most countries. Highlights: Atrial fibrillation/flutter prevalence is 16–22% in heart failure, 10–28% in rheumatic heart disease, 3–7% in cardiology admissions, and <1% in the general population in sub-Saharan Africa (SSA). Rates of oral anticoagulation use for CHA2DS2VASC score ≥2 are very diverse (9–79%) across SSA countries. Data on sudden cardiac arrest are scant in SSA with low cardiopulmonary resuscitation awareness. Low rates of cardiac implantable electronic devices insertions and rarity of invasive arrhythmia treatment centers are seen in SSA, relative to the high-income countries.

العلاقة: https://globalheartjournal.com/articles/808Test; https://doaj.org/toc/2211-8179Test; https://doaj.org/article/6136ab1b7d804ca29c53422d15322cb6Test

الإتاحة: https://doi.org/10.5334/gh.808Test
https://doaj.org/article/6136ab1b7d804ca29c53422d15322cb6Test

المؤلفون: Mohammed Abdullahi Talle, Faruk Buba, Aimé Bonny, Musa Mohammed Baba

المصدر: Case Reports in Cardiology, Vol 2019 (2019)

مصطلحات موضوعية: Diseases of the circulatory (Cardiovascular) system, RC666-701

الوصف: Syncope is a common manifestation of both hypertrophic cardiomyopathy (HCM) and Wolff-Parkinson-White (WPW) syndrome. The most common arrhythmia in HCM is ventricular tachycardia (VT) and atrial fibrillation (AF). While preexcitation provides the substrate for reentry and supraventricular tachycardia (SVT), AF is more common in patients with preexcitation than the general population. Concurrence of HCM and WPW has been reported in many cases, but whether the prognosis or severity of arrhythmia is different compared to the individual disorders remains unsettled. We report a case of HCM and Wolff-Parkinson-White (WPW) syndrome in a 28-year-old male Nigerian soldier presenting with recurrent syncope and lichen planus.

العلاقة: http://dx.doi.org/10.1155/2019/1061065Test; https://doaj.org/toc/2090-6404Test; https://doaj.org/toc/2090-6412Test; https://doaj.org/article/5b26dad4466e4088bf1796d53508ab2bTest

الإتاحة: https://doi.org/10.1155/2019/1061065Test
https://doaj.org/article/5b26dad4466e4088bf1796d53508ab2bTest

المؤلفون: Reuben Kato Mutagaywa, Ashley Chin, Kamilu Karaye, Aime Bonny

المصدر: European Heart Journal. 43:2170-2172

مصطلحات موضوعية: Heart Failure, Health Services Needs and Demand, Africa, Humans, Arrhythmias, Cardiac, Cardiology and Cardiovascular Medicine

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1ed59db2dc9d040d7f1df491fe9c701eTest
https://doi.org/10.1093/eurheartj/ehac040Test