Epidemiology of valvular heart diseases in Africa

Rheumatic heart disease (RHD) resulting from rheumatic fever (RF) is the main form of valve disease in Africa. Other forms of valve diseases such as myxomatous mitral valve disease, age-related valve disease, sub-valvular aneurysms or valve disease related to endomyocardial fibrosis are less common...

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Main Author: Vuyisile T. Nkomo
Format: Article
Language:English
Published: South African Heart Association 2017-04-01
Series:SA Heart Journal
Subjects:
Online Access:https://www.journals.ac.za/index.php/SAHJ/article/view/2006
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author Vuyisile T. Nkomo
author_facet Vuyisile T. Nkomo
author_sort Vuyisile T. Nkomo
collection DOAJ
description Rheumatic heart disease (RHD) resulting from rheumatic fever (RF) is the main form of valve disease in Africa. Other forms of valve diseases such as myxomatous mitral valve disease, age-related valve disease, sub-valvular aneurysms or valve disease related to endomyocardial fibrosis are less common than RHD. In developed countries, RF and RHD are rare and no longer pose a public health problem, but the combination of poverty, lack of awareness, lack of infrastructure and resources, and social instability contribute to the persistence of RF and RHD in Africa. The presence of other major infectious diseases also shifts attention away from RF and RHD. Contemporary population-based epidemiologic data utilising echocardiography to detect valve disease suggests the prevalence of valve diseases in Africa is likely much higher than previously thought, meaning the estimated mortality, morbidity and socio-economic burden they cause could also be much higher than currently appreciated. Increased efforts are needed to define the scope of the problem of valve diseases in Africa to draw attention to these illnesses and step up public health efforts to control and eradicate them as has already been achieved in other parts of the world. This article highlights the public health problem of valve diseases in Africa, the efforts underway to combat them and the attendant challenges.
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spelling doaj.art-682ba638a2f743389073087b8031a53d2022-12-21T19:10:19ZengSouth African Heart AssociationSA Heart Journal1996-67412071-46022017-04-0161121810.24170/6-1-2006Epidemiology of valvular heart diseases in AfricaVuyisile T. Nkomo0Mayo ClinicRheumatic heart disease (RHD) resulting from rheumatic fever (RF) is the main form of valve disease in Africa. Other forms of valve diseases such as myxomatous mitral valve disease, age-related valve disease, sub-valvular aneurysms or valve disease related to endomyocardial fibrosis are less common than RHD. In developed countries, RF and RHD are rare and no longer pose a public health problem, but the combination of poverty, lack of awareness, lack of infrastructure and resources, and social instability contribute to the persistence of RF and RHD in Africa. The presence of other major infectious diseases also shifts attention away from RF and RHD. Contemporary population-based epidemiologic data utilising echocardiography to detect valve disease suggests the prevalence of valve diseases in Africa is likely much higher than previously thought, meaning the estimated mortality, morbidity and socio-economic burden they cause could also be much higher than currently appreciated. Increased efforts are needed to define the scope of the problem of valve diseases in Africa to draw attention to these illnesses and step up public health efforts to control and eradicate them as has already been achieved in other parts of the world. This article highlights the public health problem of valve diseases in Africa, the efforts underway to combat them and the attendant challenges.https://www.journals.ac.za/index.php/SAHJ/article/view/2006valvular heart diseasesrheumatic heart diseaseafrica
spellingShingle Vuyisile T. Nkomo
Epidemiology of valvular heart diseases in Africa
SA Heart Journal
valvular heart diseases
rheumatic heart disease
africa
title Epidemiology of valvular heart diseases in Africa
title_full Epidemiology of valvular heart diseases in Africa
title_fullStr Epidemiology of valvular heart diseases in Africa
title_full_unstemmed Epidemiology of valvular heart diseases in Africa
title_short Epidemiology of valvular heart diseases in Africa
title_sort epidemiology of valvular heart diseases in africa
topic valvular heart diseases
rheumatic heart disease
africa
url https://www.journals.ac.za/index.php/SAHJ/article/view/2006
work_keys_str_mv AT vuyisiletnkomo epidemiologyofvalvularheartdiseasesinafrica