PO051 Prognosis of Heart Failure In Patients With Conventional Cardiac Pacing. A Monocentric Study In Sub-Saharan Africa

Adoubi, A.; Diby, F.; N’djessan, J.J.; Gnaba, A.; Yangni-Angate, H

doi:10.1016/j.gheart.2018.09.080

Cited by 1 publication

(3 citation statements)

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“…Seventeen studies on bradyarrhythmias and CIEDs in SSA were identified through the systematic search [9,11,12,[105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] (Figure 1). Table 4 depicts 13 of these studies with some uniform data that could be organized into one table.…”

Section: Indications Of Device Implantation Type Of Devicementioning

confidence: 99%

“…The commonest indication for permanent pacing in SSA is atrioventricular block (AVB) accounting for 45-100% of all cases across studies, compared to sick sinus syndrome at 0-35%, and others (atrioventricular node ablation, cardiac re-synchronization therapy, etc) 0-20%. Single chamber ventricular (VVI) pacemakers are the most frequently implanted (17-87%), compared to dual chamber (12-82%), and others like atrial-sensed ventricular-paced (VDD) (0-15%) [107][108][109][110][111][112][113][114][115][116][117]120]. Cost constraints have been identified as the reason for high implant percentage of VVI compared to DDD [114].…”

Section: Indications Of Device Implantation Type Of Devicementioning

confidence: 99%

“…In a study with long-term survival data after permanent pacing in SSA, there was a 17% mortality after a median follow-up time of about nine years [115]. Complications of pacing across studies are infections (0-6%), lead displacements (0-6%), pneumothorax (0-1.5%), hemothorax (0-1.5%), erosions (0-5.3%%), and death (0-2%) [107][108][109][110][111][112][113][114][115]120].…”

Section: Implantation Rates Of Pacemakers and Defibrillators Plus Commentioning

confidence: 99%

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A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Yuyun

Bonny

et al. 2020

Global Heart

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Major structural cardiovascular diseases are associated with cardiac arrhythmias, but their full spectrum remains unknown in sub-Saharan Africa (SSA), which we addressed in this systematic review. Atrial fibrillation/atrial flutter (AF/AFL) prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, but <1% in the general population. Use of oral anticoagulation is heterogenous (9-79%) across SSA. The epidemiology of sudden cardiac arrest/death is less characterized in SSA. Cardiopulmonary resuscitation is challenging, owing to low awareness and lack of equipment for life-support. About 18% of SSA countries have no cardiac implantable electronic devices services, leaving hundreds of millions of people without any access to treatment for advanced bradyarrhythmias, and implant rates are more than 200-fold lower than in the western world. Management of tachyarrhythmias is largely noninvasive (about 80% AF/AFL via rate-controlled strategy only), as electrophysiological study and catheter ablation centers are almost non-existent in most countries. Highlights:-Atrial fibrillation/flutter prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, and <1% in the general population in sub-Saharan Africa (SSA).-Rates of oral anticoagulation use for CHA2DS2VASC score ≥2 are very diverse (9-79%) across SSA countries.-Data on sudden cardiac arrest are scant in SSA with low cardiopulmonary resuscitation awareness.-Low rates of cardiac implantable electronic devices insertions and rarity of invasive arrhythmia treatment centers are seen in SSA, relative to the high-income countries.

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Section: Indications Of Device Implantation Type Of Devicementioning

confidence: 99%

Section: Indications Of Device Implantation Type Of Devicementioning

confidence: 99%

Section: Implantation Rates Of Pacemakers and Defibrillators Plus Commentioning

confidence: 99%

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A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Yuyun

Bonny

et al. 2020

Global Heart

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PO051 Prognosis of Heart Failure In Patients With Conventional Cardiac Pacing. A Monocentric Study In Sub-Saharan Africa

Cited by 1 publication

References 0 publications

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

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