The epidemiological features of heart failure in developing countries: a review of the literature
The epidemiological features of heart failure in developing countries: a review of the literature
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DOI：
10.1016/s0167-5273(01)00497-1
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发表时间：
2001-09-01
影响因子：
3.5
通讯作者：
Cowie, MR
中科院分区：
文献类型：
--
作者：
Mendez, GF;Cowie, MR
在发展中国家，人们日益认识到心血管疾病是发病和死亡的一个重要原因。这是由于人口老龄化以及传染病和营养不良得到更好的控制。我们回顾了在这些国家发表的心衰流行病学数据。在非洲和亚洲，风湿性心脏病仍然是导致心力衰竭的主要原因，尤其是在年轻人中。高血压是心力衰竭的一个重要原因，尤其是在非洲和非洲裔美国人中。南美锥虫病仍然是南美心力衰竭的一个原因。然而，随着各国经历流行病学转型和社会经济发展，心力衰竭的流行病学与西欧和北美越来越相似，冠状动脉疾病是心力衰竭最常见的单一原因。预防和公共卫生战略必须针对当地的流行病学特点。(C) 2001爱思唯尔科学爱尔兰有限公司版权所有。
Cardiovascular diseases are increasingly recognised as an important cause of morbidity and mortality in developing countries. This is due to the ageing of the population and better control of communicable disease and malnutrition. We review the published data on the epidemiology of heart failure in such countries. Rheumatic heart disease remains a major cause of heart failure in Africa and Asia, especially in the young. Hypertension is an important cause of heart failure especially in the African and African-American population. Chagas' disease is still a cause of heart failure in South America. However, as countries go through epidemiological transition and undergo socio-economic development, the epidemiology of heart failure becomes increasingly similar to that of Western Europe and North America with coronary artery disease being the single most common cause of heart failure. Preventive and public health strategies need to be specific to the local epidemiological characteristics. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.