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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Cardiac arrhythmia services in Africa from 2011 to 2018: The second report from the Pan African Society of Cardiology working group on cardiac arrhythmias and pacing
Europace, Volume 22, No. 3, Year 2020
Notification
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Description
Aims: Cardiac arrhythmia services are a neglected field of cardiology in Africa. To provide comprehensive contemporary information on the access and use of cardiac arrhythmia services in Africa. Methods and results: Data on human resources, drug availability, cardiac implantable electronic devices (CIED), and ablation procedures were sought from member countries of Pan African Society of Cardiology. Data were received from 23 out of 31 countries. In most countries, healthcare services are primarily supported by household incomes. Vitamin K antagonists (VKAs), digoxin, and amiodarone were available in all countries, while the availability of other drugs varied widely. Non-VKA oral anticoagulants (NOACs) were unequally present in the African markets, while International Normalized Ratio monitoring was challenging. Four countries (18%) did not provide pacemaker implantations while, where available, the implantation and operator rates were 2.79 and 0.772 per million population, respectively. The countries with the highest pacemaker implantation rate/million population in descending order were Tunisia, Mauritius, South Africa, Algeria, and Morocco. Implantable cardioverter-defibrillator and cardiac resynchronization therapy (CRT) were performed in 15 (65%) and 12 (52%) countries, respectively. Reconditioned CIED were used in 5 (22%) countries. Electrophysiology was performed in 8 (35%) countries, but complex ablations only in countries from the Maghreb and South Africa. Marked variation in costs of CIED that severely mismatched the gross domestic product per capita was observed in Africa. From the first report, three countries have started performing simple ablations. Conclusion: The access to arrhythmia treatments varied widely in Africa where hundreds of millions of people remain at risk of dying from heart block. Increased economic and human resources as well as infrastructures are the critical targets for improving arrhythmia services in Africa. © 2020 Published on behalf of the European Society of Cardiology. All rights reserved.
Authors & Co-Authors
Bonny, Aimé
Cameroon, Douala
University of Douala
Cameroon, Douala
Cameroon Cardiovascular Research Network
France, Paris
Hôpital Forcilles
Ngantcha, Marcus
Cameroon, Douala
Cameroon Cardiovascular Research Network
Yuyun, Matthew Fomonyuy
United States, West Roxbury
Va Boston Healthcare System
Karaye, Kamilu Musa
Nigeria, Kano
Aminu Kano Teaching Hospital
Scholtz, Wihan
South Africa, Cape Town
Pan-african Society of Cardiology
Suliman, Ahmed Ali Ahmed
Sudan, Khartoum
Khartoum Oncology Hospital
Nel, George
South Africa, Cape Town
Pan-african Society of Cardiology
Aoudia, Yazid
Algeria, Algiers
Centre Hospitalo-universitaire de Mustapha Bacha
Kané, Adama D.
Senegal, Saint-louis
Université Gaston Berger de Saint-louis
Moustaghfi, Abdelhamid
Morocco, Casablanca
Service de Cardiologie
Okello, Emmy S.
Uganda, Kampala
Uganda Heart Institute
Houénassi, Martin Dèdonougbo
Benin, Cotonou
University of Abomey-calavi
Sonou, Arn
Benin, Cotonou
University of Abomey-calavi
Niakara, Ali
Burkina Faso, Ouagadougou
Clinique Privé Cardiologique de Ouagadougo
Lubenga, Yves Simbi
Democratic Republic Congo
Centre Hospitalier Universitaire de Kinshasa
Adoubi, Anicet Kassi
Cote D'ivoire, Abidjan
Institut de Cardiologie D'abidjan
Russel, James
Sierra Leone, Freetown
University of Freetown
Damasceno, A. Antonio Moura
Mozambique, Maputo
Universidade Eduardo Mondlane
Touré, Ali Ibrahim
Niger, Niamey
Chu Lomardé
Kane, Abdoul D.
Senegal, Dakar
Hôpital Général-du-grand-yoff
Tabane, Alioune
Senegal, Dakar
Hôpital Général-du-grand-yoff
Jeilan, Mohamed
Kenya, Nairobi
Aga Khan University Hospital
Mbaye, Alassane D.
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Tibazarwa, Kemi B.
Tanzania, Dar es Salaam
Aga Khan Hospital
Ben Ameur, Youssef
Tunisia, Sousse
Hopital Farhat Hached Sousse
Diakité, Mamadou
Mali
Centre Hospitalier Universitaire de Bamako
Subahi, Saad
Sudan, Khartoum
Khartoum Oncology Hospital
Kaviraj, Bundhoo
Mauritius, Port Louis
Dr A.g Jeetoo Hospital
Sani, Mahmoud Umar
Nigeria, Kano
Aminu Kano Teaching Hospital
Ajijola, Olujimi A.
United States, Los Angeles
University of California, Los Angeles
Chin, Ashley
South Africa, Cape Town
University of Cape Town
Sliwa, Karen S.
South Africa, Cape Town
University of Cape Town
Statistics
Citations: 12
Authors: 32
Affiliations: 27
Identifiers
Doi:
10.1093/europace/euz354
ISSN:
10995129
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Algeria
Mauritius
Morocco
South Africa
Tunisia