Cardiac cachexia in sub-Saharan Africa

Cachexia is a public health challenge around the Globe but data on prevalence rates in developing countries are very scarce. In sub-Saharan Africa wasting syndrome is mainly related to malaria, HIV infections, tuberculosis and end-stage heart disease and always associated with high-mortality and dis...

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Main Authors: Antonio Grimaldi, Annalisa De Concilio, Luca Marsero, Maxwell Odida
Format: Article
Language:English
Published: Elsevier 2017-11-01
Series:Indian Heart Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483217301888
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author Antonio Grimaldi
Annalisa De Concilio
Luca Marsero
Maxwell Odida
author_facet Antonio Grimaldi
Annalisa De Concilio
Luca Marsero
Maxwell Odida
author_sort Antonio Grimaldi
collection DOAJ
description Cachexia is a public health challenge around the Globe but data on prevalence rates in developing countries are very scarce. In sub-Saharan Africa wasting syndrome is mainly related to malaria, HIV infections, tuberculosis and end-stage heart disease and always associated with high-mortality and dismal quality of life regardless of age, urban or rural setting. We report two different cases affected by cardiac cachexia related to end-stage heart disease. The large age gap between patients highlights the current impact of medical services in Uganda ranging from low-resource rural settings to urban areas of the capital city under epidemiologic transition. The wasting syndrome occurring in both patients emphasizes as cachexia remains largely neglected and underestimated in most sub-Saharan African countries.
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spelling doaj.art-470a463cd6804490abe817ce9eadfb9b2022-12-21T18:13:54ZengElsevierIndian Heart Journal0019-48322017-11-0169678478710.1016/j.ihj.2017.08.022Cardiac cachexia in sub-Saharan AfricaAntonio Grimaldi0Annalisa De Concilio1Luca Marsero2Maxwell Odida3St. Mary's Lacor Hospital, Gulu, UgandaSan Raffaele Scientific Institute, Università Vita-Salute, Milan, ItalySt Raphael of St Francis, Nsambya Hospital, Kampala, UgandaSt. Mary's Lacor Hospital, Gulu, UgandaCachexia is a public health challenge around the Globe but data on prevalence rates in developing countries are very scarce. In sub-Saharan Africa wasting syndrome is mainly related to malaria, HIV infections, tuberculosis and end-stage heart disease and always associated with high-mortality and dismal quality of life regardless of age, urban or rural setting. We report two different cases affected by cardiac cachexia related to end-stage heart disease. The large age gap between patients highlights the current impact of medical services in Uganda ranging from low-resource rural settings to urban areas of the capital city under epidemiologic transition. The wasting syndrome occurring in both patients emphasizes as cachexia remains largely neglected and underestimated in most sub-Saharan African countries.http://www.sciencedirect.com/science/article/pii/S0019483217301888
spellingShingle Antonio Grimaldi
Annalisa De Concilio
Luca Marsero
Maxwell Odida
Cardiac cachexia in sub-Saharan Africa
Indian Heart Journal
title Cardiac cachexia in sub-Saharan Africa
title_full Cardiac cachexia in sub-Saharan Africa
title_fullStr Cardiac cachexia in sub-Saharan Africa
title_full_unstemmed Cardiac cachexia in sub-Saharan Africa
title_short Cardiac cachexia in sub-Saharan Africa
title_sort cardiac cachexia in sub saharan africa
url http://www.sciencedirect.com/science/article/pii/S0019483217301888
work_keys_str_mv AT antoniogrimaldi cardiaccachexiainsubsaharanafrica
AT annalisadeconcilio cardiaccachexiainsubsaharanafrica
AT lucamarsero cardiaccachexiainsubsaharanafrica
AT maxwellodida cardiaccachexiainsubsaharanafrica