Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria.

Abstract:

BACKGROUND:Paediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done. OBJECTIVE:To evaluate and document the currently available paediatric cardiac services in Nigeria. METHODS:In this questionnaire-based, cross-sectional descriptive study, an audit was undertaken from January 2010 to December 2014, of the personnel and infrastructure, with their distributions according to geopolitical zones of Nigeria. RESULTS:Forty-eight centres participated in the study, with 33 paediatric cardiologists and 31 cardiac surgeons. Echocardiography, electrocardiography and pulse oximetry were available in 45 (93.8%) centres while paediatric intensive care units were in 23 (47.9%). Open-heart surgery was performed in six (12.5%) centres. South-West zone had the majority of centres (20; 41.7%). CONCLUSIONS:Available paediatric cardiac services in Nigeria are grossly inadequate and poorly distributed. Efforts should be intensified to upgrade existing facilities, establish new and functional centres, and train personnel.

journal_name

Cardiovasc J Afr

authors

Ekure EN,Sadoh WE,Bode-Thomas F,Orogade AA,Animasahun AB,Ogunkunle OO,Babaniyi I,Anah MU,Otaigbe BE,Olowu A,Okpokowuruk F,Omokhodion SI,Maduka OC,Onakpoya UU,Adiele DK,Sani UM,Asani M,Yilgwan CS,Daniels Q,Uzodimma C

doi

10.5830/CVJA-2016-057

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

54-59

issue

1

eissn

1995-1892

issn

1680-0745

journal_volume

28

pub_type

杂志文章,多中心研究
  • Factors associated with early mortality in haemodialysis patients undergoing coronary artery bypass surgery.

    abstract:INTRODUCTION:Coronary artery bypass grafting (CABG) results in higher morbidity and mortality rates in end-stage renal disease (ESRD) patient populations than in patients with normal renal function. This study aimed to identify the early results of CABG performed on ESRD patients, and the factors that affected the mort...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2016-066

    authors: Çevirme D,Adademir T,Aksüt M,Örki T,Çakalağaoğlu KC,Alp M,Kirali K

    更新日期:2017-03-01 00:00:00

  • An antibiotic recipe for an arrhythmic disaster.

    abstract::We describe the case of a patient who developed torsade de pointes during temporary pacemaker insertion after administration of intravenous erythromycin. The case highlights the dangers of administering drugs that prolong the QT interval in patients with complete atrioventricular block, and we discuss the underlying p...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2015-006

    authors: McCutcheon K,Manga P

    更新日期:2015-05-01 00:00:00

  • Bare-metal stent thrombosis two decades after stenting.

    abstract::Very late bare-metal stent (BMS) thrombosis is unusual in clinical practice. To the best of our knowledge, the latest that the thrombosis of a BMS has been reported is 14 years after implantation. Here, we describe a case of BMS thrombosis that occurred two decades after stenting. A 68-year-old male patient was admitt...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2015-034

    authors: Acibuca A,Gerede DM,Vurgun VK

    更新日期:2015-07-23 00:00:00

  • In memoriam: Mr Donald Nixon Ross 4 October 1922 to 7 July 2014 (91 years).

    abstract::We are deeply saddened by the loss of our great teacher Donald Ross, a truly global mentor in cardiac surgery, a friend, a respectful colleague, an admirer, and custodian of our profession, who passed away on July 7, 2014. ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Yankah C

    更新日期:2014-07-01 00:00:00

  • Clinical characteristics and outcome of lone atrial fibrillation at a tertiary referral centre: the Groote Schuur Hospital experience.

    abstract:INTRODUCTION:Atrial fibrillation (AF) is a relatively common arrhythmia. When AF represents an electrophysiological phenomenon in structurally normal hearts, it is termed lone AF. This study was a retrospective, case-based analysis of patients attending the Cardiac Clinic at Groote Schuur Hospital (GSH) and describes t...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2018-005

    authors: Thomas V,Schulein S,Millar RN,Mayosi BM

    更新日期:2018-09-01 00:00:00

  • Cardiac surgery for patients with heart failure due to structural heart disease in Uganda: access to surgery and outcomes.

    abstract:OBJECTIVE:Few data are available on heart failure (HF) in sub-Saharan Africa. We aimed to provide a current picture of HF aetiologies in urban Uganda, access to heart surgery, and outcomes. METHODS:We prospectively collected clinical and echocardiographic data from 272 consecutive patients referred for suspected heart...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2014-034

    authors: Grimaldi A,Ammirati E,Karam N,Vermi AC,de Concilio A,Trucco G,Aloi F,Arioli F,Figini F,Ferrarello S,Sacco FM,Grottola R,D'Arbela PG,Alfieri O,Marijon E,Freers J,Mirabel M

    更新日期:2014-09-01 00:00:00

  • Coronary stent restenosis and the association with allergy to metal content of 316L stainless steel.

    abstract:BACKGROUND:Most intra-coronary stents in use are made of 316 L stainless steel, which contains nickel, chromate and molybdenum. Whether inflammatory and allergic reactions to metals contribute to in-stent restenosis is still a matter of debate. AIM:The aim of this study was to ascertain the relationship between metal ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-036

    authors: Slodownik D,Danenberg C,Merkin D,Swaid F,Moshe S,Ingber A,Lotan H,Durst R

    更新日期:2018-01-01 00:00:00

  • Coronavirus disease 2019 (COVID-19) and simultaneous acute anteroseptal and inferior ST-segment elevation myocardial infarction.

    abstract::Coronavirus disease 2019 (COVID-19) is a recently recognised pandemic spreading rapidly from Wuhan, Hubei, to other provinces in China and to many countries around the world. The number of COVID-19-related deaths is steadily increasing. Acute ST-segment elevation myocardial infarction (STEMI) is a disease with high mo...

    journal_title:Cardiovascular journal of Africa

    pub_type:

    doi:10.5830-CVJA-2020-016

    authors: Yolcu M,Gunesdogdu F,Bektas M,Bayirli DT,Serefhanoglu K

    更新日期:2020-11-01 00:00:00

  • Familial hypercholesterolaemia in South Africans: tracking findings and developments over time - with reference to : prevalence of hypercholesterolaemia in young Afrikaners with myocardial infarction. Ischaemic heart disease risk factors.

    abstract::This review discusses the 1987 article by Wyndham, Seftel, Pilcher and Baker on familial hypercholesterolaemia (FH) and myocardial infarction (MI) in young Afrikaners, in terms of the significance at the time of publication, as well as the relevance of their findings versus current observations on hypercholesterolaemi...

    journal_title:Cardiovascular journal of Africa

    pub_type: 历史文章,杂志文章

    doi:

    authors: Delport R

    更新日期:2009-01-01 00:00:00

  • Achieving blood preSsure goals sTudy in uncontrolled hypeRtensive pAtients treated with a fixed-dose combination of ramipriL/hydrochlorothiazide: the ASTRAL study.

    abstract:BACKGROUND:Hypertension is a common cardiovascular disease, affecting adults worldwide and it accounts for up to 30% of all deaths. The need for better control of arterial hypertension justifies observational studies designed to better understand the real-life management of hypertensive patients. The ASTRAL study was p...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,多中心研究

    doi:10.5830/cvja-2010-086

    authors: Okpechi IG,Schoeman HS,Longo-Mbenza B,Oke DA,Kingue S,Nkoua JL,Rayner BL

    更新日期:2011-03-01 00:00:00

  • Sustained idiopathic ventricular tachycardia originating from the posteroseptal tricuspid annulus.

    abstract::Tricuspid annular ventricular tachycardia (VT) is a rarely encountered entity. Despite abundant data on idiopathic VTs, the prevalence and clinical characteristics of this infrequent form are not well defined and the efficacy of radiofrequency (RF) catheter ablation treatment remains unknown. We report on a case of a ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2012-010

    authors: Celik T,Bugan B,Kose S,Yuksel UC,Iyisoy A,Kabul HK,Kursaklioglu H,Isik E

    更新日期:2012-07-12 00:00:00

  • The effect of mebudipine on cardiac function and activity of the myocardial nitric oxide system in ischaemia-reperfusion injury in rats.

    abstract:OBJECTIVES:Previous studies have suggested that failure of the synthesis of nitric oxide is involved in the pathophysiology of myocardial ischaemia-reperfusion injury. In this study, we investigated the effect of mebudipine, a new dihydropyridine calcium channel blocker, on cardiac function and activity of the myocardi...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2010-078

    authors: Ghyasi R,Mohammadi M,Badalzadeh R,Rashidi B,Sepehri G

    更新日期:2011-11-01 00:00:00

  • A diagnostic algorithm for pulmonary hypertension due to left heart disease in resource-limited settings: can busy clinicians adopt a simple, practical approach?

    abstract::Pulmonary hypertension (PH) has progressively moved from an orphan disease to a significant global health problem with a major disease burden in limited7hyphen;resource countries, where over 97% of patients live. The aetiologies of PH differ between high- and low-income nations, but PH due to left heart disease is cre...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2018-042

    authors: Dzudie A,Kengne AP,Lamont K,Dzekem BS,Aminde LN,Abanda MH,Thienemann F,Sliwa K

    更新日期:2019-01-01 00:00:00

  • Subclavian artery cannulation provides better myocardial protection in conventional repair of acute type A aortic dissection: experience from a single medical centre in Taiwan.

    abstract:BACKGROUND:Although many reports have detailed the advantages and disadvantages between femoral and subclavian arterial cannulations for acute aortic dissection type A (AADA), the confounding factors caused by disease severity and surgical procedures could not be completely eliminated. We compared femoral and subclavia...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2015-056

    authors: Hsu PS,Chen JL,Tsai CS,Tsai YT,Lin CY,Lee CY,Ke HY,Lin YC

    更新日期:2016-05-01 00:00:00

  • ACCORD LIPID study results strengthen guideline approach of adding fenofibrate to therapy of dyslipidaemic type 2 diabetic patients.

    abstract::Type 2 diabetic patients treated with statins but still experiencing elevated serum levels of triglycerides (2.3 mmol/l or higher) and low HDL cholesterol (0.8 mmol/l or lower), a pre-specified subgroup, benefited from the addition of fenofibrate to their treatment regimen. Risk of cardiovascular events was reduced by...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Aalbers J

    更新日期:2010-03-01 00:00:00

  • Short-term warfarin treatment for apical thrombus in a patient with Takotsubo cardiomyopathy.

    abstract::Takotsubo cardiomyopathy (TCMP) is characterised by a temporary aneurysm of the left ventricular apex in individuals without significant stenosis of the coronary arteries. It is extremely rare to see it combined with a thrombus. In this case report, we present a 57-year-old female patient with TCMP in whom apical thro...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2016-011

    authors: Icli A,Akilli H,Kayrak M,Aribas A,Ozdemir K

    更新日期:2016-05-01 00:00:00

  • Resection of left anterior descending coronary artery aneurysm on a beating heart.

    abstract::We report on the case of a 65-year-old man with unstable angina due to a left anterior descending (LAD) coronary artery single aneurysm. On a beating heart, the aneurysm was partially resected and the left internal thoracic artery was grafted in situ as a patch to the LAD opening. The patient remains well and free of ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Misthos P,Kokotsakis JN,Lioulias AG,Skouteli EA

    更新日期:2009-03-01 00:00:00

  • Maternal imbalance between pro-angiogenic and anti-angiogenic factors in HIV-infected women with pre-eclampsia.

    abstract::Angiogenic imbalance contributes to the development of preeclampsia. We evaluated the protein expression of the proangiogenic placental growth factor (PlGF) and transforming growth factor beta 1 (TGF-β1) compared with the anti-angiogenic soluble fms-like tyrosine kinase receptor (sFlt1) and soluble endoglin (sEng) in ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-029

    authors: Govender N,Naicker T,Moodley J

    更新日期:2013-06-01 00:00:00

  • Atherosclerotic disease is the predominant aetiology of acute coronary syndrome in young adults.

    abstract:OBJECTIVES:Few studies have evaluated young adults in their third and fourth decades with coronary artery disease (CAD). This study evaluated the clinical and angiographic profile of young adults ( < 35 years) with CAD. METHODS:A 10-year (2003-2012) retrospective chart review was performed on patients less than 35 yea...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-035

    authors: Pillay AK,Naidoo DP

    更新日期:2018-01-01 00:00:00

  • Quality of life-associated factors among patients undergoing coronary artery bypass surgery as measured using the WHOQOL-BREF.

    abstract::This was a study of the pre-operative factors that influence quality of life (QoL) in patients with coronary artery disease and the relationship between pre-operative QoL and early outcome after coronary artery bypass surgery (CABG). Using the WHOQOL-BREF questionnaire, 283 patients who underwent isolated coronary art...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Najafi M,Sheikhvatan M,Montazeri A

    更新日期:2009-09-01 00:00:00

  • Liddle's syndrome in an African male due to a novel frameshift mutation in the beta-subunit of the epithelial sodium channel gene.

    abstract::Resistant hypertension is a common clinical problem in South Africa and is frequently associated with low renin and aldosterone levels, especially in black Africans. In South Africa, novel variants in the epithelial sodium channel (ENaC) have been described to be associated with varying degrees of hypokalaemia and hyp...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-012

    authors: Freercks R,Meldau S,Jones E,Ensor J,Weimers-Willard C,Rayner B

    更新日期:2017-09-23 00:00:00

  • The role of novel atherosclerosis markers in peripheral artery disease: is there a gender difference?

    abstract::Peripheral arterial disease (PAD) represents a major public health problem due to its high and increasing prevalence, worldwide distribution, and significant morbidity and mortality rate. Female gender is a risk factor for PAD globally and especially in low-income countries. In this review, we summarise the present kn...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2018-023

    authors: Comşa HI,Zdrenghea D,Man SC,Pop D

    更新日期:2018-09-01 00:00:00

  • AMP kinase activation and glut4 translocation in isolated cardiomyocytes.

    abstract::Activation of AMP-activated protein kinase (AMPK) results in glucose transporter 4 (GLUT4) translocation from the cytosol to the cell membrane, and glucose uptake in the skeletal muscles. This increased activation of AMPK can be stimulated by a pharmacological agent, AICAR (5' -aminoimidazole-4-carboxamide ribonucleos...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Webster I,Friedrich SO,Lochner A,Huisamen B

    更新日期:2010-03-01 00:00:00

  • Evaluation of ventricular arrhythmogenesis in children with acute rheumatic carditis.

    abstract:BACKGROUND:Recent studies have shown that the Tp-e interval, which on an electrocardiogram (ECG) is the interval between the peak and the end of the T wave, can be used as an index of transmural dispersion of ventricular repolarisation (TDR). Both Tp-e/QT and Tp-e/QTc ratios have also been used in that capacity. Howeve...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2018-043

    authors: Kucuk M,Karadeniz C,Ozdemir R,Meşe T

    更新日期:2018-11-01 00:00:00

  • Clinical profile, management and outcomes of patients with pulmonary embolism: a retrospective tertiary centre study in Angola.

    abstract:OBJECTIVE:Pulmonary embolism (PE) is a potentially fatal disease. In Angola, few data are available on its occurrence. The aim of the study was to characterise the clinical profile, management and outcomes of patients with PE. METHODS:A retrospective observational study was conducted at the Girassol Clinic in Luanda, ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-017

    authors: Manuel A,Aufico A,Africano R,Peralta T,Salas A,Silva A,Ricardo J,Sabola P,Baião D,Sotolongo C,Neto AD,Martins T,Sabino V,van Dúnem J,Júnior APF

    更新日期:2017-11-01 00:00:00

  • [Acute myocardial infarction complicated by acute pulmonary oedema and cardiogenic collapse during dobutamine stress echocardiography].

    abstract::Acute myocardial infarction is a rare complication of dobutamine stress echocardiography. We describe the case of a diabetic patient who presented with an anterior myocardial infarction complicated by an acute pulmonary oedema and cardiogenic collapse during dobutamine stress echocardiography, requiring five days' hos...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-021

    authors: Yameogo NV,Mbaye A,Kagambega LJ,Dioum M,Diagne-Sow D,Kane M,Diack B,Kane A

    更新日期:2013-06-23 00:00:00

  • Surgical management of effusive constrictive pericarditis.

    abstract:OBJECTIVE:The surgical approach for effusive constrictive pericarditis (ECP) has not been extensively studied. We present our institution's early and long-term results of pericardiectomy in our cohort of patients with ECP. METHODS:Diagnosis was made primarily by echocardiography. Right heart catheterisation was perfor...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-042

    authors: Buyukbayrak F,Aksoy E,Tas S,Kirali K

    更新日期:2013-09-01 00:00:00

  • Assessing perinatal depression as an indicator of risk for pregnancy-associated cardiovascular disease.

    abstract::Cardiovascular conditions associated with pregnancy are serious complications. In general, depression is a well-known risk indicator for cardiovascular disease (CVD). Mental distress and depression are associated with physiological responses such as inflammation and oxidative stress. Both inflammation and oxidative st...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2015-087

    authors: Nicholson L,Lecour S,Wedegärtner S,Kindermann I,Böhm M,Sliwa K

    更新日期:2016-03-01 00:00:00

  • Primary care in the prevention, treatment and control of cardiovascular disease in sub-Saharan Africa.

    abstract::Cardiovascular disease (CVD) is the frontrunner in the disease spectrum of sub-Saharan Africa, with stroke and ischaemic heart disease ranked seventh and 14th as leading causes of death, respectively, on this sub-continent. Unfortunately, this region is also grappling with many communicable, maternal, neonatal and nut...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2016-082

    authors: Ojji DB,Lamont K,Ojji OI,Egenti BN,Sliwa K

    更新日期:2017-07-01 00:00:00

  • The role of coronary artery collaterals in the preservation of left ventricular function: a study to address a long-standing controversy.

    abstract:INTRODUCTION:The functional significance of coronary artery collateral (CAC) vasculature in humans has been debated for decades and this has been compounded by the lack of a standard, systematic, objective method of grading and documenting CAC flow in man. CACs serve as alternative conduits for blood in obstructive cor...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2016-054

    authors: Ajayi NO,Vanker EA,Satyapal KS

    更新日期:2017-03-01 00:00:00