Spectrum of cardiovascular diseases in six main referral hospitals of Ethiopia

Spectrum of cardiovascular diseases in six main referral hospitals of Ethiopia

BackgroundThe spectrum of cardiovascular diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles. Understanding this spectrum requires regional and national data for each region or country. This study was designed to determine the s...

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Bibliographic Details
Published in:Heart Asia Vol. 9; no. 2; p. e010829
Main Authors: Yadeta, Dejuma, Guteta, Senbeta, Alemayehu, Bekele, Mekonnen, Dufera, Gedlu, Etsegenet, Benti, Henock, Tesfaye, Hagazi, Berhane, Samuel, Hailu, Abraha, Luel, Abadi, Hailu, Tedros, Daniel, Wandimu, Haileamlak, Abraham, Gudina, Esayas Kebede, Negeri, Gari, Mekonnen, Desalew, Woubeshet, Kindie, Egeno, Tariku, Lemma, Kinfe, Kshettry, Vibhu R, Tefera, Endale
Format: Journal Article
Language:English
Published: England BMJ Publishing Group LTD 01-07-2017
Heart Asia
Subjects:
Acute coronary syndromes
Age
Cardiology
Cardiomyopathy
Cardiovascular disease
Colleges & universities
Congenital diseases
Coronary vessels
Epidemiology
Heart attacks
Heart failure
Hospitals
Hypertension
Medical referrals
Mortality
Original Research
Pain
Public health
Questionnaires
Sub-Saharan Africa
congenital heart disease
hypertensive heart disease
Cardiovascular
rheumatic heart disease
Ethiopia
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Summary:BackgroundThe spectrum of cardiovascular diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles. Understanding this spectrum requires regional and national data for each region or country. This study was designed to determine the spectrum of cardiovascular diseases in six university hospitals in Ethiopia.MethodsThis is a cross-sectional study of the spectrum of cardiovascular diseases in six main referral/teaching hospitals located in different parts of the country. Consecutive patients visiting the follow-up cardiac clinics of these hospitals from 1 January to 30 June 2015 were included in the study. Data were collected on a pretested questionnaire.ResultsA total of 6275 patients (58.5% females) were included in the study. Nearly 61% of the patients were from urban areas. The median age was 33 years (IQR 14–55 years). Valvular heart disease was the most common diagnosis, accounting for 40.5% of the cases. Of 2541 patents with valvular heart disease, 2184 (86%) were cases of chronic rheumatic heart disease.ConclusionOur study shows that chronic rheumatic valvular heart disease is the most common cardiovascular diagnosis among patients seen at cardiology clinics of six referral/teaching hospitals in the country, followed by congenital heart diseases. Hypertensive and ischaemic heart diseases also accounted for a significant proportion of the cases. Therefore, strategies directed towards primary and secondary prevention of acute rheumatic fever as well as prevention of risk factors for hypertension and ischaemic heart disease may need to be strengthened.
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ISSN:1759-1104
1759-1104
DOI:10.1136/heartasia-2016-010829