Acute myocardial infarction in sub-Saharan Africa: the need for data
Trends in the prevalence of acute myocardial infarction in sub-Saharan Africa have not been well described, despite growing recognition of the increasing burden of cardiovascular disease in low- and middle-income countries. The aim of this systematic review was to describe the prevalence of acute my...
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| Veröffentlicht in: | PloS one 2014-05, Vol.9 (5), p.e96688-e96688 |
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| creator | Hertz, Julian T Reardon, Joseph M Rodrigues, Clarissa G de Andrade, Luciano Limkakeng, Alexander T Bloomfield, Gerald S Lynch, Catherine A |
| description | Trends in the prevalence of acute myocardial infarction in sub-Saharan Africa have not been well described, despite growing recognition of the increasing burden of cardiovascular disease in low- and middle-income countries. The aim of this systematic review was to describe the prevalence of acute myocardial infarction in sub-Saharan Africa.
We searched PubMed, EMBASE, Global Health Archive, CINAHL, and Web of Science, and conducted reference and citation analyses. Inclusion criteria were: observational studies, studies that reported incidence or prevalence of acute myocardial infarction, studies conducted in sub-Saharan Africa, and studies that defined acute myocardial infarction by EKG changes or elevation of cardiac biomarkers. Studies conducted prior to 1992 were excluded. Two independent reviewers analyzed titles and abstracts, full-texts, and references and citations. These reviewers also performed quality assessment and data extraction. Quality assessment was conducted with a validated scale for observational studies.
Of 2292 records retrieved, seven studies met all inclusion criteria. These studies included a total of 92,378 participants from highly heterogeneous study populations in five different countries. Methodological quality assessment demonstrated scores ranging from 3 to 7 points (on an 8-point scale). Prevalence of acute myocardial infarction ranged from 0.1 to 10.4% among the included studies.
There is insufficient population-based data describing the prevalence of acute myocardial infarction in sub-Saharan Africa. Well-designed registries and surveillance studies that capture the broad and diverse population with acute myocardial infarction in sub-Saharan Africa using common diagnostic criteria are critical in order to guide prevention and treatment strategies.
Registered in International Prospective Register of Systematic Reviews (PROSPERO) Database #CRD42012003161. |
| doi_str_mv | 10.1371/journal.pone.0096688 |
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We searched PubMed, EMBASE, Global Health Archive, CINAHL, and Web of Science, and conducted reference and citation analyses. Inclusion criteria were: observational studies, studies that reported incidence or prevalence of acute myocardial infarction, studies conducted in sub-Saharan Africa, and studies that defined acute myocardial infarction by EKG changes or elevation of cardiac biomarkers. Studies conducted prior to 1992 were excluded. Two independent reviewers analyzed titles and abstracts, full-texts, and references and citations. These reviewers also performed quality assessment and data extraction. Quality assessment was conducted with a validated scale for observational studies.
Of 2292 records retrieved, seven studies met all inclusion criteria. These studies included a total of 92,378 participants from highly heterogeneous study populations in five different countries. Methodological quality assessment demonstrated scores ranging from 3 to 7 points (on an 8-point scale). Prevalence of acute myocardial infarction ranged from 0.1 to 10.4% among the included studies.
There is insufficient population-based data describing the prevalence of acute myocardial infarction in sub-Saharan Africa. Well-designed registries and surveillance studies that capture the broad and diverse population with acute myocardial infarction in sub-Saharan Africa using common diagnostic criteria are critical in order to guide prevention and treatment strategies.
Registered in International Prospective Register of Systematic Reviews (PROSPERO) Database #CRD42012003161.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0096688</identifier><identifier>PMID: 24816222</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acute coronary syndromes ; Acute Disease - epidemiology ; Africa South of the Sahara - epidemiology ; Analysis ; Angina pectoris ; Biomarkers ; Cardiovascular disease ; Cardiovascular diseases ; Citation analysis ; Criteria ; Databases, Factual ; Diabetes ; Diagnostic systems ; EKG ; Electrocardiography ; Emergency medical care ; Global health ; Health risk assessment ; Heart attack ; Heart attacks ; Heart diseases ; Hospitals ; Humans ; Infarction ; Information sources ; Ischemia ; Literature reviews ; Medicine ; Medicine and Health Sciences ; Myocardial infarction ; Myocardial Infarction - epidemiology ; Population ; Population studies ; Prevalence ; Prospero protein ; Public health ; Quality assessment ; Quality control ; Research and Analysis Methods ; Stroke ; Studies ; Systematic review</subject><ispartof>PloS one, 2014-05, Vol.9 (5), p.e96688-e96688</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Hertz et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Hertz et al 2014 Hertz et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-44d70229426de93a1dc468cd6958d7b2473ace31105f21a76cbf338bb57440453</citedby><cites>FETCH-LOGICAL-c692t-44d70229426de93a1dc468cd6958d7b2473ace31105f21a76cbf338bb57440453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016044/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016044/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24816222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hertz, Julian T</creatorcontrib><creatorcontrib>Reardon, Joseph M</creatorcontrib><creatorcontrib>Rodrigues, Clarissa G</creatorcontrib><creatorcontrib>de Andrade, Luciano</creatorcontrib><creatorcontrib>Limkakeng, Alexander T</creatorcontrib><creatorcontrib>Bloomfield, Gerald S</creatorcontrib><creatorcontrib>Lynch, Catherine A</creatorcontrib><title>Acute myocardial infarction in sub-Saharan Africa: the need for data</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Trends in the prevalence of acute myocardial infarction in sub-Saharan Africa have not been well described, despite growing recognition of the increasing burden of cardiovascular disease in low- and middle-income countries. The aim of this systematic review was to describe the prevalence of acute myocardial infarction in sub-Saharan Africa.
We searched PubMed, EMBASE, Global Health Archive, CINAHL, and Web of Science, and conducted reference and citation analyses. Inclusion criteria were: observational studies, studies that reported incidence or prevalence of acute myocardial infarction, studies conducted in sub-Saharan Africa, and studies that defined acute myocardial infarction by EKG changes or elevation of cardiac biomarkers. Studies conducted prior to 1992 were excluded. Two independent reviewers analyzed titles and abstracts, full-texts, and references and citations. These reviewers also performed quality assessment and data extraction. Quality assessment was conducted with a validated scale for observational studies.
Of 2292 records retrieved, seven studies met all inclusion criteria. These studies included a total of 92,378 participants from highly heterogeneous study populations in five different countries. Methodological quality assessment demonstrated scores ranging from 3 to 7 points (on an 8-point scale). Prevalence of acute myocardial infarction ranged from 0.1 to 10.4% among the included studies.
There is insufficient population-based data describing the prevalence of acute myocardial infarction in sub-Saharan Africa. Well-designed registries and surveillance studies that capture the broad and diverse population with acute myocardial infarction in sub-Saharan Africa using common diagnostic criteria are critical in order to guide prevention and treatment strategies.
Registered in International Prospective Register of Systematic Reviews (PROSPERO) Database #CRD42012003161.</description><subject>Acute coronary syndromes</subject><subject>Acute Disease - epidemiology</subject><subject>Africa South of the Sahara - epidemiology</subject><subject>Analysis</subject><subject>Angina pectoris</subject><subject>Biomarkers</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Citation analysis</subject><subject>Criteria</subject><subject>Databases, Factual</subject><subject>Diabetes</subject><subject>Diagnostic systems</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Emergency medical care</subject><subject>Global health</subject><subject>Health risk assessment</subject><subject>Heart attack</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infarction</subject><subject>Information sources</subject><subject>Ischemia</subject><subject>Literature reviews</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Population</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Prospero protein</subject><subject>Public health</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Research and Analysis Methods</subject><subject>Stroke</subject><subject>Studies</subject><subject>Systematic review</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7rr6D0QLgujFjPlq0nohDOvXwMKCq96G0ySdZmibMUnF_fdmdrrLVPZCcpGQPudJc_Jm2XOMlpgK_G7rRj9At9y5wSwRqjgvywfZKa4oWXCC6MOj9Un2JIQtQgUtOX-cnRBWYk4IOc0-rtQYTd5fOwVeW-hyOzTgVbRuSMs8jPXiClrwMOSrxlsF7_PYmnwwRueN87mGCE-zRw10wTyb5rPsx-dP38-_Li4uv6zPVxcLxSsSF4xpgQipGOHaVBSwVoyXSvOqKLWoCRMUlKEYo6IhGARXdUNpWdeFYAyxgp5lLw_eXeeCnBoQJC720pJxlIj1gdAOtnLnbQ_-Wjqw8mbD-Y0EH63qjGRIK13wQuukrw2pkTC4gFKDpqISOrk-TKeNdW-0MkP00M2k8y-DbeXG_U5mzBFjSfBmEnj3azQhyt4GZboOBuPGm_9mWFDCeEJf_YPef7uJ2kC6QHool85Ve6lcMVxyypCoErW8h0pDm96qlJbGpv1ZwdtZQWKi-RM3MIYg11ff_p-9_DlnXx-xrYEutsF14z5bYQ6yA6i8C8Gb5q7JGMl92G-7Ifdhl1PYU9mL4we6K7pNN_0LQ4f3NA</recordid><startdate>20140509</startdate><enddate>20140509</enddate><creator>Hertz, Julian T</creator><creator>Reardon, Joseph M</creator><creator>Rodrigues, Clarissa G</creator><creator>de Andrade, Luciano</creator><creator>Limkakeng, Alexander T</creator><creator>Bloomfield, Gerald S</creator><creator>Lynch, Catherine A</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140509</creationdate><title>Acute myocardial infarction in sub-Saharan Africa: the need for data</title><author>Hertz, Julian T ; Reardon, Joseph M ; Rodrigues, Clarissa G ; de Andrade, Luciano ; Limkakeng, Alexander T ; Bloomfield, Gerald S ; Lynch, Catherine A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-44d70229426de93a1dc468cd6958d7b2473ace31105f21a76cbf338bb57440453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acute coronary syndromes</topic><topic>Acute Disease - epidemiology</topic><topic>Africa South of the Sahara - epidemiology</topic><topic>Analysis</topic><topic>Angina pectoris</topic><topic>Biomarkers</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Citation analysis</topic><topic>Criteria</topic><topic>Databases, Factual</topic><topic>Diabetes</topic><topic>Diagnostic systems</topic><topic>EKG</topic><topic>Electrocardiography</topic><topic>Emergency medical care</topic><topic>Global health</topic><topic>Health risk assessment</topic><topic>Heart attack</topic><topic>Heart attacks</topic><topic>Heart diseases</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infarction</topic><topic>Information sources</topic><topic>Ischemia</topic><topic>Literature reviews</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Population</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Prospero protein</topic><topic>Public health</topic><topic>Quality assessment</topic><topic>Quality control</topic><topic>Research and Analysis Methods</topic><topic>Stroke</topic><topic>Studies</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hertz, Julian T</creatorcontrib><creatorcontrib>Reardon, Joseph M</creatorcontrib><creatorcontrib>Rodrigues, Clarissa G</creatorcontrib><creatorcontrib>de Andrade, Luciano</creatorcontrib><creatorcontrib>Limkakeng, Alexander T</creatorcontrib><creatorcontrib>Bloomfield, Gerald S</creatorcontrib><creatorcontrib>Lynch, Catherine A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints in Context (Gale)</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hertz, Julian T</au><au>Reardon, Joseph M</au><au>Rodrigues, Clarissa G</au><au>de Andrade, Luciano</au><au>Limkakeng, Alexander T</au><au>Bloomfield, Gerald S</au><au>Lynch, Catherine A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute myocardial infarction in sub-Saharan Africa: the need for data</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-05-09</date><risdate>2014</risdate><volume>9</volume><issue>5</issue><spage>e96688</spage><epage>e96688</epage><pages>e96688-e96688</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Trends in the prevalence of acute myocardial infarction in sub-Saharan Africa have not been well described, despite growing recognition of the increasing burden of cardiovascular disease in low- and middle-income countries. The aim of this systematic review was to describe the prevalence of acute myocardial infarction in sub-Saharan Africa.
We searched PubMed, EMBASE, Global Health Archive, CINAHL, and Web of Science, and conducted reference and citation analyses. Inclusion criteria were: observational studies, studies that reported incidence or prevalence of acute myocardial infarction, studies conducted in sub-Saharan Africa, and studies that defined acute myocardial infarction by EKG changes or elevation of cardiac biomarkers. Studies conducted prior to 1992 were excluded. Two independent reviewers analyzed titles and abstracts, full-texts, and references and citations. These reviewers also performed quality assessment and data extraction. Quality assessment was conducted with a validated scale for observational studies.
Of 2292 records retrieved, seven studies met all inclusion criteria. These studies included a total of 92,378 participants from highly heterogeneous study populations in five different countries. Methodological quality assessment demonstrated scores ranging from 3 to 7 points (on an 8-point scale). Prevalence of acute myocardial infarction ranged from 0.1 to 10.4% among the included studies.
There is insufficient population-based data describing the prevalence of acute myocardial infarction in sub-Saharan Africa. Well-designed registries and surveillance studies that capture the broad and diverse population with acute myocardial infarction in sub-Saharan Africa using common diagnostic criteria are critical in order to guide prevention and treatment strategies.
Registered in International Prospective Register of Systematic Reviews (PROSPERO) Database #CRD42012003161.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24816222</pmid><doi>10.1371/journal.pone.0096688</doi><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acute coronary syndromes Acute Disease - epidemiology Africa South of the Sahara - epidemiology Analysis Angina pectoris Biomarkers Cardiovascular disease Cardiovascular diseases Citation analysis Criteria Databases, Factual Diabetes Diagnostic systems EKG Electrocardiography Emergency medical care Global health Health risk assessment Heart attack Heart attacks Heart diseases Hospitals Humans Infarction Information sources Ischemia Literature reviews Medicine Medicine and Health Sciences Myocardial infarction Myocardial Infarction - epidemiology Population Population studies Prevalence Prospero protein Public health Quality assessment Quality control Research and Analysis Methods Stroke Studies Systematic review |
| title | Acute myocardial infarction in sub-Saharan Africa: the need for data |
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