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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Published in | PloS one Vol. 9; no. 5; p. e96688 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Public Library of Science
09.05.2014
Public Library of Science (PLoS) |
Subjects | |
Online Access | Get full text |
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Summary: | 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. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Undefined-4 Conceived and designed the experiments: JTH JMR CAL. Performed the experiments: JTH JMR CAL. Analyzed the data: JTH JMR CAL CGR LA. Contributed reagents/materials/analysis tools: CGR LA GSB ATL. Wrote the paper: JTH JMR CGR CAL. Created GIS Map: LA. Provided Critical Manuscript Editing and Interpretation: GSB ATL. Competing Interests: ATL has received research funding from Roche International and Abbott Laboratories, which manufacture troponin assays. The other authors have no relevant conflicts of interest. ATL's research grants listed in the Competing Interests section place no restrictions on the review article that we are submitting. This does not alter our adherence to PLOS ONE policies on sharing data and materials. |
ISSN: | 1932-6203 1932-6203 |
DOI: | 10.1371/journal.pone.0096688 |