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Association Between Myocardial Infarction and Triglyceride-Glucose Index: A Study Based on NHANES Database Glob. Heart (IF 3.7) Pub Date : 2024-02-23 Dandan Zheng, Ligong Cao
Objective: To investigate differences in levels of the triglyceride-glucose (TyG) index between individuals with myocardial infarction (MI) and those without MI, as well as the association between TyG index and risk of MI. Methods: Data from the National Health and Nutrition Examination Survey (NHANES) for US adults from 2013 to 2018 were included in this study. Using MI as an outcome variable and
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Peer Support for Type 2 Diabetes Management in Low- and Middle-Income Countries (LMICs): A Scoping Review Glob. Heart (IF 3.7) Pub Date : 2024-02-20 Diana Sherifali, Lilian Pinto Da Silva, Pooja Dewan, F. Aaysha Cader, Zainab Dakhil, Bishal Gyawali, Sheila Klassen, Israa Fadhil Yaseen, Milos Jovkovic, Saira Khalid, Donna Fitzpatrick-Lewis, Paige Alliston, Megan Racey
Background: Although there is evidence of peer support in high-income countries, the use of peer support as an intervention for cardiometabolic disease management, including type 2 diabetes (T2DM), in low- and middle-income countries (LMICs), is unclear. Methods: A scoping review methodology was used to search the databases MEDLINE, Embase, Emcare, PsycINFO, LILACS, CDSR, and CENTRAL. Results: Twenty-eight
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Prevalence of Cardiovascular Disease and Risk Factors in Ghana: A Systematic Review and Meta-analysis Glob. Heart (IF 3.7) Pub Date : 2024-02-20 Alfred Doku, Lawrence Sena Tuglo, Vincent Boima, Francis Agyekum, Pearl Aovare, Martha Ali Abdulai, Anthony Godi, Ron J.G. Peters, Charles Agyemang
Background: The increasing cardiovascular disease (CVD) burden threatens the global population as the major cause of disability and premature death. Data are scarce on the magnitude of CVD among the population in West Africa, particularly in Ghana. This study examined the available scientific evidence to determine the pooled prevalence (PP) of CVD and risk factors in Ghana. Methods: We searched electronic
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Heartache and Heartbreak: An Observational and Mendelian Randomization Study Glob. Heart (IF 3.7) Pub Date : 2024-02-16 Dihui Cai, Mengming Xia, Xuhui Chen, Kunimasa Yagi, Liang Xu, Bingyu Wang, Yanyi Wang, Yujie Zhou, Jianhui Liu
Background: Depression has a significant effect on cardiovascular disease (CVD), but uncertainties persist regarding which modifiable risk factors mediate the causal effects. We aim to determine whether depression is causally linked to CVD and which modifiable risk factors play potential mediating roles. Methods: We used a two-sample Mendelian randomization (MR) approach and NHANES 2007–2018 data to
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Sex Differences in Cardiovascular Disease Risk Factor Prevalence, Morbidity, and Mortality in Colombia: Findings from the Prospective Urban Rural Epidemiology (PURE) Study Glob. Heart (IF 3.7) Pub Date : 2024-01-24 Jose Patricio Lopez-Lopez, Martin Rebolledo-Del Toro, Daniel Martinez-Bello, Ángel A. Garcia-Peña, Gary O’Donovan, Maritza Perez-Mayorga, Johanna Otero, Sumathy Rangarajan, Salim Yusuf, Patricio Lopez-Jaramillo
Background: Controversies exist on whether the presence of cardiovascular risk factors and their association with major cardiovascular events (MACE) is different between men and women. Most of the evidence comes from high-income countries, hindering extrapolation of sociocultural and demographic factors of other regions. Objective: To evaluate sex differences in the prevalence of cardiovascular risk
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Sex Differences in the Primary Prevention of Cardiovascular Diseases in a Dutch Primary Care Setting Glob. Heart (IF 3.7) Pub Date : 2024-01-19 Pauline A. J. Kiss, Alicia Uijl, Estefania Betancur, Annemarijn R. De Boer, Diederick E. Grobbee, Monika Hollander, Charlotte N. Onland-Moret, Miriam C. J. M. Sturkenboom, Sanne A. E. Peters
Background: Sex differences in the primary prevention of cardiovascular diseases (CVD) have been shown, but the evidence is mixed and fragmented. In this study, we assessed sex differences in cardiovascular risk factors assessment, risk factor levels, treatment, and meeting of treatment targets, within a Dutch primary care setting. Methods: Data were obtained from individuals aged 40 to 70 years old
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New Insights into Rate Control: Time in Target Range of Resting Heart Rate and Major Adverse Outcomes in Atrial Fibrillation Glob. Heart (IF 3.7) Pub Date : 2024-01-11 Yuhui Lai, Xingfeng Xu, Shaozhao Zhang, Rihua Huang, Yiquan Huang, Xiangbin Zhong, Zhenyu Xiong, Yifen Lin, Huimin Zhou, Yue Guo, Xinxue Liao, Yuedong Ma, Xiaodong Zhuang
Background: Few studies have examined the relationship between the fluctuation of heart rate control over time and cardiovascular outcomes in patients with atrial fibrillation. Our study sought to evaluate the independent association between time in target range (TIR) of resting heart rate and cardiovascular outcomes in the AFFIRM (Atrial Fibrillation Follow-Up Investigation of Rhythm Management) study
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Standardising Care and Treatment of Transthyretin Amyloid Cardiomyopathy. Glob. Heart (IF 3.7) Pub Date : 2023-11-20 Marianna Fontana,Aldostefano Porcari,Philip N Hawkins
Transthyretin cardiac amyloidosis (ATTR-CA) has been traditionally considered a rare and inexorably fatal condition. ATTR-CA now is an increasingly recognised cause of heart failure and mortality worldwide with effective pharmacological treatments. Advances in non-invasive diagnosis, coupled with the development of effective treatments, have transformed the diagnosis of ATTR-CA, which is now possible
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Clinical Profile and Outcomes of Rheumatic Heart Disease Patients Undergoing Surgical Valve Procedures in Uganda. Glob. Heart (IF 3.7) Pub Date : 2023-11-14 Joselyn Rwebembera,Andrew Y Chang,Samalie M Kitooleko,Gloria Kaudha,Sarah de Loizaga,Miriam Nalule,Kenneth Ahabwe,Wanzhu Zhang,Emmy Okello,Pranava Sinha,Tom Mwambu,Craig Sable,Andrea Beaton,Chris T Longenecker
Background Chronic valvular heart disease is a well-known, long-term complication of acute rheumatic fever (ARF), which remains a major public health problem in low- and middle-income countries. Access to surgical management remains limited. Outcomes of the minority proportion of patients that access surgery have not been described in Uganda. Objectives To describe the volume and type of rheumatic
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Impact of Persistent Medication Adherence and Compliance with Lifestyle Recommendations on Major Cardiovascular Events and One-Year Mortality in Patients with Type 2 Diabetes and Advanced Stages of Atherosclerosis: Results From a Prospective Cohort Study. Glob. Heart (IF 3.7) Pub Date : 2023-11-01 Evgeniya V Shalaeva,Arjola Bano,Ulugbek Kasimov,Bakhtiyor Janabaev,Markus Laimer,Hugo Saner
Background The aim of this study was to evaluate the impact of single and combined effects of persistent medication adherence and compliance with lifestyle recommendations on the incidence of major adverse cardiovascular events (MACE) and one-year all-cause mortality in patients with type 2 diabetes (T2D) and peripheral artery disease (PAD) after partial foot amputation (PFA), representing a unique
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World Heart Federation Consensus on Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM). Glob. Heart (IF 3.7) Pub Date : 2023-10-26 Dulce Brito,Fabiano Castro Albrecht,Diego Perez de Arenaza,Nicole Bart,Nathan Better,Isabel Carvajal-Juarez,Isabel Conceição,Thibaud Damy,Sharmila Dorbala,Jean-Christophe Fidalgo,Pablo Garcia-Pavia,Junbo Ge,Julian D Gillmore,Jacek Grzybowski,Laura Obici,Daniel Piñero,Claudio Rapezzi,Mitsuharu Ueda,Fausto J Pinto
Transthyretin amyloid cardiomyopathy (ATTR-CM) is a progressive and fatal condition that requires early diagnosis, management, and specific treatment. The availability of new disease-modifying therapies has made successful treatment a reality. Transthyretin amyloid cardiomyopathy can be either age-related (wild-type form) or caused by mutations in the TTR gene (genetic, hereditary forms). It is a systemic
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Prevalence and Determinants of Endothelial Dysfunction among Adults Living with HIV in Northwest Nigeria. Glob. Heart (IF 3.7) Pub Date : 2023-10-20 Aisha M Nalado,Bala Waziri,Anas Ismail,Nafiu Umar,Zainab U Ibrahim,Patience Obiagwu,Baba M Musa,Mahmoud U Sani,Aliyu Abdu,Faisal S Dankishiya,Mansur A Ramalan,Hadiza Saidu,Usman J Wudil,C William Wester,Muktar H Aliyu
Background Endothelial dysfunction constitutes an early pathophysiological event in atherogenesis and cardiovascular disease. This study aimed to assess the prevalence, determinants, and degree of endothelial dysfunction in antiretroviral therapy (ART)-treated people living with HIV (PLWH) in northwestern Nigeria using brachial flow-mediated dilatation (FMD). Methods This was a comparative, cross-sectional
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Predictors of Coronary Artery Disease in Heart Failure with Reduced Ejection Fraction at the Aga Khan University Hospital in Nairobi. Glob. Heart (IF 3.7) Pub Date : 2023-10-19 Redemptar Kimeu,Mohamed Jeilan,Mzee Ngunga
There appears to be an epidemiological transition in the etiology of heart failure in sub-Saharan Africa (SSA) in parallel with a steady increase in risk factors for coronary artery disease (CAD). SSA has limited access to heart failure and CAD diagnostics, limiting the number of patients who receive optimal care. Our objectives were to study the predictors of coronary artery disease among patients
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Peripheral Inflammatory Factors and Acute Myocardial Infarction Risk: A Mendelian Randomization Study. Glob. Heart (IF 3.7) Pub Date : 2023-10-06 Yaxi Chen,Ling Zeng
Background Previous observational studies have confirmed the relationship between inflammation and acute myocardial infarction (AMI), but genetic evidence is still lacking. The aim of this study was to explore the bidirectional association of multiple peripheral inflammatory factors with this disease at the genetic level. Methods Summary data for AMI and several peripheral inflammatory factors (such
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A Randomized Controlled Trial to Examine the Relationship Between Peer Mentoring for Physical Activity and Cardiometabolic Health. Glob. Heart (IF 3.7) Pub Date : 2023-10-05 Moradeke Bamgboye,David Adeyemi,Emmanuel Agaba,Susan Yilme,Clement A Adebamowo,Sally N Adebamowo
Background Studies examining the effect of peer mentoring on physical activity levels have been conducted in mostly elderly and young populations, and the results have been inconsistent. This study examined the impact of one-on-one peer mentoring on physical activity and cardiometabolic parameters in urban adults. Methods The study participants were 353 overweight or obese adults residing in Abuja
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The Effect of Liver Cirrhosis on Patients Undergoing Cardiac Surgery. Glob. Heart (IF 3.7) Pub Date : 2023-10-05 Fei Liu,Zi-Wei Li,Xu-Rui Liu,Xiao-Yu Liu,Jun Yang
The aim of this study was to investigate the impact of liver cirrhosis (LC) on postoperative complications and long-term outcomes in patients who underwent cardiac surgery. Three databases, including PubMed, Embase, and the Cochrane Library, were searched on July 24, 2022. A total of 1,535,129 patients were enrolled in the seven included studies for analysis. According to our analysis, LC was a risk
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Association of Outdoor Relative Humidity and Temperature on In-Hospital Cardiac Arrest Prognosis. Glob. Heart (IF 3.7) Pub Date : 2023-09-28 Taline Lazzarin,Edson Luiz Fávero Junior,Caroline Casagrande Delai,Victor Rocha Pinheiro,Raquel Simões Ballarin,Felipe Antonio Rischini,Bertha Furlan Polegato,Paula Schmidt Azevedo,Sergio Alberto Rupp de Paiva,Leonardo Zornoff,Antônio Ribeiro da Cunha,Adriana Polachini do Valle,Marcos Ferreira Minicucci
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Experiences and Beliefs on Tobacco Use, Cessation in India: A Qualitative Study. Glob. Heart (IF 3.7) Pub Date : 2023-09-22 Aswathy Sreedevi,Anindo Majumdar,Yvonne Olando,Marie Chan Sun,Catriona Jennings,Kemi Tibazarwa,Holly Gray,Katarzyna Zatonska,Rinu Pk,Shana Shirin Najeeb
Background Almost 80% of global tobacco usage is concentrated in low- and-middle-income countries (LMICs) like India. Added to this, there is dearth of dedicated tobacco cessation specialist services in healthcare settings in these regions. Identification of challenges in the delivery of cessation interventions and understanding the experiences of tobacco users will aid in formulating successful quit
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Types and Outcomes of Arrhythmias in a Cardiac Care Unit in Western Kenya: A Prospective Study. Glob. Heart (IF 3.7) Pub Date : 2023-09-21 Joan Kiyeng,Constantine Akwanalo,Wilson Sugut,Felix Barasa,Ann Mwangi,Benson Njuguna,Abraham Siika,Rajesh Vedanthan
Background Sustained arrhythmias are frequently encountered in cardiac care units (CCU), but their types and outcomes in Africa are unknown. Studies from high-income countries suggest arrhythmias are associated with worse outcomes. Objectives To determine the types and proportion of cardiac arrhythmias among patients admitted to the CCU at Moi Teaching and Referral Hospital (MTRH), and to compare 30-day
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Prevalence and Impact of HIV Infections in Patients with Rheumatic Heart Disease: A Systematic Review and Meta-Analysis. Glob. Heart (IF 3.7) Pub Date : 2023-09-15 Evelyn N Lumngwena,Dipolelo Mokaila,Olukayode Aremu,Patrick Dmc Katoto,Jonathan Blackburn,Peter Zilla,Charles Shey Wiysonge,Ntobeko Ntusi
Socioeconomic factors such as poor health and poor nutrition in low- and middle-income countries (LMICs) may favour inflammatory reactions, thus contributing to the recurrence of rheumatic fever (RF) and thereby modifying trends in rheumatic heart disease (RHD). Apart from epidemiological studies, studies of HIV infections in RHD patients are limited. This systematic review synthesises data on the
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Peer Support in the Management of Diabetes to Improve Cardiovascular Disease Outcomes in Low- and Middle-Income Countries (LMICs). Glob. Heart (IF 3.7) Pub Date : 2023-09-15 Gina Ferrari,Gedeon Ngoga,Aime Manzi,Apoorva Gomber
Diabetes and cardiovascular disease (CVD) contribute to significant morbidity and mortality in low-resource settings. Living with diabetes can be overwhelming, isolating, and exhausting, even in settings of resource availability and health care access, while the psychosocial burden of living with diabetes and CVD can be exacerbated by an increased burden of social determinants of health in low-resource
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Cardiovascular Care in Africa - Cost Crisis and the Urgent Need for Contextual Health Service Solutions. Glob. Heart (IF 3.7) Pub Date : 2023-08-30 Florence Koryo Akumiah,Abdul-Subulr Yakubu,Dzifa Ahadzi,Lawrence Sena Tuglo,Snehasish Mishra,Ranjan K Mohapatra,Alfred Doku
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Factors and Barriers on Cardiopulmonary Resuscitation and Automated External Defibrillator Willingness to Use among the Community: A 2016-2021 Systematic Review and Data Synthesis. Glob. Heart (IF 3.7) Pub Date : 2023-08-25 Amsyar Daud,Azmawati Mohammed Nawi,Azimatun Noor Aizuddin,Mohammad Fadhly Yahya
Background Bystander cardiopulmonary resuscitation (CPR) and using an automated external defibrillator (AED) can improve out-of-hospital cardiac arrest survival. However, bystander CPR and AED rates remained consistently low. The goal of this systematic review was to assess factors influencing community willingness to perform CPR and use an AED for out-of-hospital cardiac arrest survival (OHCA) victims
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Effect of Dapagliflozin in Patients with Heart Failure: A Systematic Review and Meta-Analysis. Glob. Heart (IF 3.7) Pub Date : 2023-08-22 Ahmed E Ali,Muhammad Sabry Mazroua,Mariam ElSaban,Nadia Najam,Aditi S Kothari,Taha Mansoor,Tanya Amal,Joanna Lee,Rahul Kashyap
Background Heart failure (HF) is a major cause of recurrent hospitalization and death worldwide. Sodium-glucose cotransporter-2 inhibitors including dapagliflozin are anti-diabetic drugs with promising cardiovascular (CV) effects. We performed systematic review and meta-analysis of randomized controlled trials investigating the effects of dapagliflozin in heart failure patients. Methods We searched
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Different Types of Intraoperative Hypotension and their Association with Post-Anesthesia Care Unit Recovery. Glob. Heart (IF 3.7) Pub Date : 2023-08-11 Lerzan Dogan,Serap Aktas Yildirim,Tugce Sarikaya,Halim Ulugol,Bulent Gucyetmez,Fevzi Toraman
Background The underlying causative mechanism leading to intraoperative hypotension (IOH) may vary depending on the stage of anesthesia and surgery, resulting in different types of IOH. Consequently, the incidence, severity, and postoperative complications associated with IOH types may differ. This study explores the association between IOH types and post-anesthesia care unit (PACU) recovery, with
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Genetically Determined Rheumatoid Arthritis May Not Affect Heart Failure: Insights from Mendelian Randomization Study. Glob. Heart (IF 3.7) Pub Date : 2023-08-11 Xueqi Lin,Miaomiao Zhou,Chunsheng Zhang,Jiming Li
Background Evidence from observational epidemiological studies indicated that rheumatoid arthritis (RA) increased the risk of heart failure (HF). However, there is a possibility that the correlation is not explained as a causative role for RA in the pathogenesis of HF. A two-sample Mendelian randomization (MR) framework was designed to explore the potential etiological role of RA in HF to identify
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Smartphone-Based Cardiac Rehabilitation Program Improves Functional Capacity in Coronary Heart Disease Patients: A Systematic Review and Meta-Analysis. Glob. Heart (IF 3.7) Pub Date : 2023-08-10 Bambang Dwiputra,Anwar Santoso,Budhi Setianto Purwowiyoto,Basuni Radi,Ade Meidian Ambari,Dwita Rian Desandri,Serlie Fatrin,Bashar Adi Wahyu Pandhita
Cardiac rehabilitation (CR) reduces mortality and morbidity in coronary heart disease (CHD); however, patients show a lack of adherence to CR. Alternatively, telehealth interventions have shown promising results for improving target outcomes in CR. This study aimed to review the effect of smartphone-based CR on the functional capacity of CHD patients. A literature search was performed using PubMed
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Identifying Obstructive Hypertrophic Cardiomyopathy from Nonobstructive Hypertrophic Cardiomyopathy: Development and Validation of a Model Based on Electrocardiogram Features. Glob. Heart (IF 3.7) Pub Date : 2023-08-04 Lanyan Guo,Zhiling Ma,Weiping Yang,Fuyang Zhang,Hong Shao,Liwen Liu,Chao Gao,Ling Tao
Background The clinical presentation and prognosis of hypertrophic cardiomyopathy (HCM) are heterogeneous between nonobstructive HCM (HNCM) and obstructive HCM (HOCM). Electrocardiography (ECG) has been used as a screening tool for HCM. However, it is still unclear whether the features presented on ECG could be used for the initial classification of HOCM and HNCM. Objective We aimed to develop a pragmatic
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Dengue Myocarditis: A Case Report and Major Review. Glob. Heart (IF 3.7) Pub Date : 2023-08-04 Roberto Cristodulo,Gracia Luoma-Overstreet,Fernando Leite,Manuel Vaca,Michelle Navia,Gustavo Durán,Fernando Molina,Bozorg Zonneveld,Sergio Víctor Perrone,Alejandro Barbagelata,Edgardo Kaplinsky
Dengue is a viral disease transmitted by the bite of a female arthropod, prevalent primarily in tropical and subtropical regions. Its manifestations include asymptomatic infections, dengue fever, and a severe form called hemorrhagic dengue or dengue shock syndrome. Atypical manifestations can also occur, called expanded dengue syndrome. We describe the case of a 43-year-old man with an unusual presentation
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Building Capacity of Community Nurses to Strengthen the Management of Uncomplicated Hypertension in Persons Living with HIV in Low- and Middle-Income Countries. Glob. Heart (IF 3.7) Pub Date : 2023-07-11 Dike Ojji,Angela Aifah,Juliet Iwelunmor,Erinn M Hade,Deborah Onakomaiya,Calvin Colvin,Shivani Mishra,Nafesa Kanneh,Ashlin Rakhra,Gabriel Shedul,Daniel Henry,Adrian Duah,Daphne Lew,Geetha P Bansal,Angela Attah,Gbenga Ogedegbe,Anyiekere Ekanem
Objectives Poor training of non-physician healthcare workers (especially community nurses) could hinder the successful integration of cardiovascular disease (CVD) management into HIV chronic care in primary healthcare facilities in low- and middle-income countries. To address this limitation, we included a holistic training programme with a robust module for both practice facilitators and community
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Health Related Quality of Life of Ugandan Children Following Valve Replacement Surgery for Rheumatic Heart Disease. Glob. Heart (IF 3.7) Pub Date : 2023-06-23 Mohammed A M Ahmed,Twalib Aliku,Judith Namuyonga,Bernard Obongonyinge,Hilda Tumwebaze,Samalie M Kitooleko,Tom Mwambu,Peter Lwabi,Sulaiman Lubega
Background Valve replacement surgery (VRS) improves clinical outcomes in patients with severe rheumatic heart disease (RHD). However, lifelong anticoagulation and frequent monitoring are required, which potentially impacts health-related quality of life (HRQoL). In this study, we assessed the HRQoL of people with RHD in Uganda following VRS. Methods This was a hospital-based, cross-sectional study
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Accuracy of 23 Equations for Estimating LDL Cholesterol in a Clinical Laboratory Database of 5,051,467 Patients. Glob. Heart (IF 3.7) Pub Date : 2023-06-19 Christeen Samuel,Jihwan Park,Aparna Sajja,Erin D Michos,Roger S Blumenthal,Steven R Jones,Seth S Martin
Background Alternatives to the Friedewald low-density lipoprotein cholesterol (LDL-C) equation have been proposed. Objective To compare the accuracy of available LDL-C equations with ultracentrifugation measurement. Methods We used the second harvest of the Very Large Database of Lipids (VLDbL), which is a population-representative convenience sample of adult and pediatric patients (N = 5,051,467)
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Decentralized Heart Failure Management in Neno, Malawi. Glob. Heart (IF 3.7) Pub Date : 2023-06-16 Bright G D Mailosi,Todd Ruderman,Sheila L Klassen,Chiyembekezo Kachimanga,Moses Banda Aron,Medson Boti,Kenwood Kumwenda,Gene Bukhman,Adamson S Muula,Ndaziona P K Banda,Gene F Kwan
Background Cardiovascular disease (CVD) is a major cause of death in Malawi. In rural districts, heart failure (HF) care is limited and provided by non-physicians. The causes and patient outcomes of HF in rural Africa are largely unknown. In our study, non-physician providers performed focused cardiac ultrasound (FOCUS) for HF diagnosis and longitudinal clinical follow-up in Neno, Malawi. Objectives
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Translating Ethics into Practice: Providing Long-Term Cardiometabolic and Cardiovascular Disease Care for Research Participants in Africa. Glob. Heart (IF 3.7) Pub Date : 2023-06-16 Cody Cichowitz,Godfrey Kisigo,Grace Ruselu,Bahati Wajanga,Bernard Desderius,Anthony O Etyang,Saidi Kapiga,Robert Peck
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Polypill Eligibility for Patients with Heart Failure with Reduced Ejection Fraction in the ASIAN-HF Registry: A Cross-Sectional Analysis. Glob. Heart (IF 3.7) Pub Date : 2023-06-15 Aishwarya Vijay,Wan Ting Tay,Tiew-Hwa K Teng,Kanako Teramoto,Jasper Tromp,Wouter Ouwerkerk,Seet Yoong Lo,Wataru Shimizu,Mark D Huffman,Carolyn S P Lam,Chanchal Chandramouli,Anubha Agarwal
Background The rates of guideline-directed medical therapy (GDMT) prescription for heart failure with reduced ejection fraction (HFrEF) in Asia remain sub-optimal. The primary objective of this study was to examine HFrEF polypill eligibility in the context of measured baseline prescription rates of individual components of GDMT among participants with HFrEF in Asia. Methods A retrospective analysis
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Assessing the Readiness to Provide Integrated Management of Cardiovascular Diseases and Type 2 Diabetes in Kenya: Results from a National Survey. Glob. Heart (IF 3.7) Pub Date : 2023-06-15 Peter Otieno,Charles Agyemang,Welcome Wami,Calistus Wilunda,Richard E Sanya,Gershim Asiki
Introduction Integrated chronic disease management is the desired core function of a responsive healthcare system. However, many challenges surround its implementation in Sub-Saharan Africa. The current study assessed the readiness of healthcare facilities to provide integrated management of cardiovascular diseases (CVDs) and type 2 diabetes in Kenya. Methods We used data from a nationally representative
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Prevalence, Predictors, and Outcomes of Resistant Hypertension in Egyptian Population. Glob. Heart (IF 3.7) Pub Date : 2023-06-14 Mohamed Khalfallah,Ayman Elsheikh,Ahmad Eissa,Basma Elnagar
Background Hypertension is a leading problem; it affects around thirty million adult Egyptians, according to the last national registry. The exact prevalence of resistant hypertension (RH) in Egypt wasn't spotted before. The purpose of this study was to determine the prevalence, predictors, and impact on adverse cardiovascular outcomes among adult Egyptians with RH. Methods The present study examined
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Similar Events but Contrasting Impact: Appraising the Global Digital Reach of World Heart Day and Atrial Fibrillation Awareness Month. Glob. Heart (IF 3.7) Pub Date : 2023-06-13 Kashish Malhotra,Vandita Lal,Monil Majmundar,Ashish Kumar,Gurpreet Singh Wander,Ankur Kalra
Background With over 18.6 million deaths annually, cardiovascular diseases (CVDs) are the leading cause of mortality worldwide. One such complication of CVDs that can result in stroke is atrial fibrillation (Afib). As part of global outreach and awareness, World Heart Day and Atrial Fibrillation Awareness Month are celebrated annually on 29 September and the month of September, respectively. Both of
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Associations of Dietary Intakes of Total and Specific Types of Fat with Blood Lipid Levels in the Filipino Women's Diet and Health Study (FiLWHEL). Glob. Heart (IF 3.7) Pub Date : 2023-06-12 Heejin Lee,Hyojin Kim,Sherlyn Mae P Provido,Minji Kang,Grace H Chung,Jae W Lee,Sangmo Hong,Sung Hoon Yu,Chang Beom Lee,Jung Eun Lee
Background Limited evidence exists on the association between dietary fat intake and lipid profiles in Southeast Asian populations. Objectives We aimed to examine the cross-sectional associations of dietary intake of total and specific types of fat with dyslipidemia in Filipino immigrant women in Korea. Methods We included 406 Filipino women married to Korean in the Filipino Women's Diet and Health
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Effect of Patient Support Groups for Hypertension on Blood Pressure among Patients with and Without Multimorbidity: Findings from a Cohort Study of Patients on a Home-Based Self-Management Program in Kenya. Glob. Heart (IF 3.7) Pub Date : 2023-06-09 Peter Otieno,Charles Agyemang,Calistus Wilunda,Richard E Sanya,Samuel Iddi,Welcome Wami,Judith Van Andel,Babette van der Kloet,Julia Teerling,Angela Siteyi,Gershim Asiki
Introduction Patient support group interventions have been widely used to manage chronic diseases in Kenya. However, the potential benefits of these groups on patient health outcomes, and how this is influenced by multimorbidity, have not been rigorously evaluated. Objective We assessed the effect of a patient support group intervention on blood pressure (BP) management and the potential moderating
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WHF Recommendations for the Use of Echocardiography in Chagas Disease. Glob. Heart (IF 3.7) Pub Date : 2023-06-08 Kate Ralston,Ezequiel Zaidel,Harry Acquatella,Marcia Melo Barbosa,Jagat Narula,Yu Nakagama,Gustavo Restrepo Molina,Karen Sliwa,Jose Luis Zamorano,Fausto J Pinto,Daniel Jose Piñeiro,Mariana Corneli
Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure and mortality in affected individuals. Echocardiography, a non-invasive imaging modality, plays a crucial
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Predictors of Non-Obstructive Coronary Artery Disease in Patients Undergoing Elective Coronary Angiography. Glob. Heart (IF 3.7) Pub Date : 2023-05-11 Ghazal Peerwani,Saba Aijaz,Sana Sheikh,Salim S Virani,Asad Pathan
Background Appropriate patient selection for coronary angiography (CAG) is essential to minimize the unnecessary risk of morbidities and exposure to radiation and iodinated contrast. This becomes even more relevant in low-to-middle-income settings where most health expenditures are out-of-pocket due to lack of medical insurance. We determined predictors of non-obstructive coronaries (NOC) in patients
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Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults. Glob. Heart (IF 3.7) Pub Date : 2023-05-10 Byoung Geol Choi,Jung Boone Kim,Seung-Woon Rha,Min Woo Lee,Michael S Lee,Suhng Wook Kim,Sunghoi Hong
Background Today, medical technology and healthcare advances have led to an increased life expectancy; however, the prevalence of chronic diseases such as hypertension, diabetes mellitus, stroke, and cardiovascular events is continuously rising. In particular, hypertension is a crucial factor in cardiovascular and cerebrovascular diseases, and it is known that prevention and management are essential
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Primary Prevention of Cardiovascular Disease at Community Clinics in the State of Sao Paulo, Brazil: Results from the Epidemiological Information Study of Communities. Glob. Heart (IF 3.7) Pub Date : 2023-05-05 Henrique Andrade R Fonseca,Maria Cristina O Izar,Luciano F Drager,Ibraim M Pinto,José Francisco K Saraiva,João Fernando Monteiro Ferreira,Álvaro Avezum,Francisco Antonio Fonseca,Otávio Berwanger
Background Primary prevention of cardiovascular disease (CVD) remains a major challenge, especially in communities of low- and middle-income countries with poor medical assistance influenced by distinct local, financial, infrastructural, and resource-related factors. Objective This a community-based study aimed to determine the proportion and prevalence of uncontrolled cardiovascular risk factors (CRF)
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Incidence, Risk Factors, Maternal and Neonatal Outcomes of Peripartum Cardiomyopathy (PPCM) in Oman. Glob. Heart (IF 3.7) Pub Date : 2023-05-02 Nihal Al Riyami,Safa Al Khayari,Riham Al Zadjali,Lovina Machado,Alya Al Madhani,Hatim Al Lawati
Background Peripartum cardiomyopathy (PPCM) is an idiopathic life-threatening condition occurring towards the end of pregnancy or in the first few months following delivery that might affect the maternal and neonatal outcomes. Objectives To assess the incidence and to evaluate the antenatal risk factors and the maternal and neonatal outcomes in Omani women diagnosed with PPCM. Methods A retrospective
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The Guyana Program to Advance Cardiac Care: A Model for Equitable Cardiovascular Care Delivery. Glob. Heart (IF 3.7) Pub Date : 2023-04-27 Sheila L Klassen,Karen Then,J Wayne Warnica,Jennifer Burton,W Orrin Stephen,Tanis Lane,Robert Dwhytie,Tracey DeBoice,Mahendra Carpen,Madan Rambaran,Filio Billia,Debra L Isaac
Guyana is one of the poorest countries in South America, with the highest rate of cardiovascular mortality on the continent. As is the case in many low- and middle-income countries, cardiovascular care is available through the private sector but is not accessible to much of the urban and rural poor. We present the 10-year experience of the Guyana Program to Advance Cardiac Care (GPACC), an academic
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Prevention and Screening for Cardiometabolic Disease Following Hypertensive Disorders in Pregnancy in Low-Resource Settings: A Systematic Review and Delphi Study. Glob. Heart (IF 3.7) Pub Date : 2023-04-25 Salisu Mohammed Ishaku,Kwame Adu-Bonsaffoh,Natasha Housseine,Roberta Lamptey,Arie Franx,Diederick Grobbee,Charlotte E Warren,Joyce L Browne
Hypertensive disorders in pregnancy (HDP) and cardiometabolic and kidney diseases are rising in low- and middle-income countries (LMICs). While HDP are risk factors for cardiometabolic and kidney diseases, cost-effective, scalable strategies for screening and prevention in women with a history of HDP are lacking. Existing guidelines and recommendations require adaptation to LMIC settings. This article
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Advancing the Cardiovascular Workforce in Africa to Tackle the Epidemic of Cardiovascular Disease: The Time is Now. Glob. Heart (IF 3.7) Pub Date : 2023-04-21 Dzifa Ahadzi,Bamba Gaye,Yvonne Commodore-Mensah
The African region is experiencing an epidemic of cardiovascular disease with dire consequences of increasing morbidity and mortality. Compared with high-income countries where older populations are most affected, the burden of CVD in Africa is higher in the younger populations, which hampers regional socioeconomic development. Strategies to increase and advance the cardiovascular workforce are urgently
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Women with Acute Myocardial Infarction: Clinical Characteristics, Treatment, and In-Hospital Outcomes from a Latin American Country. Glob. Heart (IF 3.7) Pub Date : 2023-04-20 Alexandra Arias-Mendoza,Héctor González-Pacheco,Amada Álvarez-Sangabriel,Rodrigo Gopar-Nieto,Laura Leticia Rodríguez-Chávez,Diego Araiza-Garaygordobil,Pamela Ramírez-Rangel,Daniel Sierra-Lara Martínez,María Del Carmen Lacy-Niebla,José Luis Briseño-De la Cruz,Jessica Juárez-Tolen,Salvador Mendoza-García,Alfredo Altamirano-Castillo
Background Women are underrepresented in acute myocardial infarction (AMI) studies. Furthermore, there is scarce information regarding women with AMI in Latin America. Aims To describe the presentation, clinical characteristics, risk factor burden, evidence-based care, and in-hospital outcome in a population of women with AMI admitted to a coronary care unit (CCU) in Mexico. Methods Retrospective cohort
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Focused Chest Pain Assessment for Early Detection of Acute Coronary Syndrome: Development of a Cardiovascular Digital Health Intervention. Glob. Heart (IF 3.7) Pub Date : 2023-04-20 Mifetika Lukitasari,Sony Apriliyawan,Halidah Manistamara,Yurike Olivia Sella,Mohammad Saifur Rohman,Jitendra Jonnagaddala
Background Chest pain misinterpretation is the leading cause of pre-hospital delay in acute coronary syndrome (ACS). This study aims to identify and differentiate the chest pain characteristics associated with ACS. Methods A total of 164 patients with a primary complaint of chest pain in the ER were included in the study. ACS diagnosis was made by a cardiologist based on the WHO criteria, and the patients
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Measurement Tools and Utility of Hair Analysis for Screening Adherence to Antihypertensive Medication. Glob. Heart (IF 3.7) Pub Date : 2023-03-22 Jyoti R Sharma,Phiwayinkosi V Dludla,Girish Dwivedi,Rabia Johnson
Poor adherence to the prescribed antihypertensive therapy is an understated public health problem and is one of the main causes of the high prevalence of uncontrolled hypertension in sub-Saharan Africa. Medication adherence is vital for the effectiveness of antihypertensive treatment and is key to ameliorating the clinical outcomes in hypertensive patients. However, it has often been ignored because
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Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review. Glob. Heart (IF 3.7) Pub Date : 2023-03-20 Kennedy Diema Konlan,Jinhee Shin
Introduction Patients with hypertension should perform diverse self-care activities that incorporate medication adherence and lifestyle modification, such as no smoking or alcohol, weight reduction, a low-salt diet, increased physical activity, increased self-monitoring, and stress reduction, for effective management at home. Aim This systematic review assessed and synthesized the factors that are
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Changes in Cardiovascular Health during Young Adulthood and Subclinical Atherosclerosis in Middle Age: The CARDIA Study. Glob. Heart (IF 3.7) Pub Date : 2023-03-17 Xiaomin Ye,Zhenyu Xiong,Jiaying Li,Yifen Lin,Peihan Xie,Xiangbin Zhong,Rihua Huang,Xiaodong Zhuang,Xinxue Liao
Background and aims The benefits of reaching ideal cardiovascular health (CVH) are well known, but it is unclear whether positive CVH changes from young adulthood to middle age reduce subclinical atherosclerosis risk. This study examined associations of changes in CVH from young adulthood to middle age and CVH in young adulthood with subclinical atherosclerosis. Methods Data was analyzed from the Coronary
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Impact of Rheumatic Process in Left and Right Ventricular Function in Patients with Mitral Regurgitation. Glob. Heart (IF 3.7) Pub Date : 2023-03-17 Estu Rudiktyo,Emir Yonas,Maarten J Cramer,Bambang B Siswanto,Pieter A Doevendans,Amiliana M Soesanto
Background Mitral regurgitation (MR) burdens the left and right ventricles with a volume or pressure overload that leads to a series of compensatory adaptations that eventually lead to ventricular dysfunction, and it is well known that in rheumatic heart disease (RHD) that the inflammatory process not only occurs in the valve but also involves the myocardial and pericardial layers. However, whether
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Outcomes of ST Segment Elevation Myocardial Infarction without Standard Modifiable Cardiovascular Risk Factors - Newer Insights from a Prospective Registry in India. Glob. Heart (IF 3.7) Pub Date : 2023-03-16 Gnanaraj Justin Paul,Sabarish Sankaran,Karthikaa Saminathan,Mohamed Iliyas,Suryakanth Sethupathy,Sivasubramaniam Saravanan,Salai Sudhan Prabhu,Sijoy Kurian,Sandeep Srinivas,Polavarappu Anurag,Kumaran Srinivasan,Elavarasi Manimegalai,Swaminathan Nagarajan,Rajasekar Ramesh,P M Nageswaran,Venkatesan Sangareddi,Ravishankar Govindarajulu
Objectives Patients with ST elevation myocardial infarction (STEMI) without standard modifiable cardiovascular risk factors (SMuRFs; dyslipidaemia, hypertension, diabetes mellitus and smoking) are reported to have a worse clinical outcome compared to those with SMuRFs. However, robust prospective data and low-and middle-income country perspective are lacking. We aimed to study the patients with first
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A Meta-Analysis of eHealth Interventions on Ischaemic Heart Disease Health Outcomes. Glob. Heart (IF 3.7) Pub Date : 2023-03-16 Puteri Sofia Nadira Megat Kamaruddin,Azmawati Mohammed Nawi,Mohd Rizal Abdul Manaf,Mohamad Nurman Yaman,Abdul Muizz Abd Malek
Background Electronic Health (eHealth) interventions as a secondary prevention tool to empower patients' health in decision-making and behaviour. Objective With the growing body of evidence supporting the use of eHealth interventions, the intention is to conduct a meta-analysis on various health outcomes of eHealth interventions among ischaemic heart disease (IHD) patients. Methods Based on PRISMA
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Efficacy and Safety of Prolonged Dual Antiplatelet Therapy after Percutaneous Coronary Intervention in Acute Coronary Syndrome Patients. Glob. Heart (IF 3.7) Pub Date : 2023-03-13 Jialun Han,Yi Zhang,Xiujin Shi,Baidi Lin,Yunnan Zhang,Ru Zhang,Yifan Wang,Jialin Yan,Yang Lin
Objective It remains controversial whether to extend the course of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI). We conducted a study to investigate the benefits and risks of applying DAPT for different durations after PCI in acute coronary syndromes (ACS) patients in China. What's more, we explored the efficacy of extended DAPT regimen based on ticagrelor. Methods
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Cardiometabolic Multimorbidity Associated with Moderate and Severe Disabilities: Results from the Study on Global AGEing and Adult Health (SAGE) Wave 2 in Ghana and South Africa. Glob. Heart (IF 3.7) Pub Date : 2023-03-01 Peter Otieno,Gershim Asiki,Justice Moses K Aheto,Calistus Wilunda,Richard E Sanya,Welcome Wami,Daniel Mwanga,Charles Agyemang
Background Integrated management of cardiometabolic diseases is crucial in improving the quality of life of older persons. The objective of the study was to identify clusters of cardiometabolic multimorbidity associated with moderate and severe disabilities in Ghana and South Africa. Methods Data were from the World Health Organization (WHO) study on global AGEing and adult health (SAGE) Wave-2 (2015)
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Access to Essential Medicines and Diagnostic Tests for Cardiovascular Diseases in Maputo City, Mozambique. Glob. Heart (IF 3.7) Pub Date : 2023-02-28 Neusa Jessen,Abhishek Sharma,Jennifer Jones,Tangeni Auala,Sainimere Boladuadua,Ahmadou Jingi,Jose Ferrer,Ana Olga Mocumbi
Background To tackle the increasing burden of non-communicable diseases (NCDs) and reduce premature cardiovascular (CV) mortality by a third by the year 2030, countries must achieve 80% availability of affordable essential medicines (EMs) and technologies in all health facilities. Objectives To evaluate access to EMs and diagnostics for CV diseases in Maputo City, Mozambique. Methods Using a modified
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Does Collaboration between General Practitioners and Pharmacists Improve Risk Factors for Cardiovascular Disease and Diabetes? A Systematic Review and Meta-Analysis. Glob. Heart (IF 3.7) Pub Date : 2023-02-23 Kanika Chaudhri,Gabriella Caleres,Samantha Saunders,Peter Michail,Gian Luca Di Tanna,Thomas Lung,Hueiming Liu,Rohina Joshi
Objective To assess whether inter-professional, bidirectional collaboration between general practitioners (GPs) and pharmacists has an impact on improving cardiovascular risk outcomes among patients in the primary care setting. It also aimed to understand the different types of collaborative care models used. Study design Systematic review and Hartung-Knapp-Sidik-Jonkman random effects meta-analyses