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Spectrum of cardiovascular diseases in six main referral hospitals of Ethiopia
  1. Dejuma Yadeta1,
  2. Senbeta Guteta1,
  3. Bekele Alemayehu1,
  4. Dufera Mekonnen1,
  5. Etsegenet Gedlu2,
  6. Henock Benti3,
  7. Hagazi Tesfaye4,
  8. Samuel Berhane4,
  9. Abraha Hailu4,
  10. Abadi Luel5,
  11. Tedros Hailu5,
  12. Wandimu Daniel6,
  13. Abraham Haileamlak6,
  14. Esayas Kebede Gudina7,
  15. Gari Negeri7,
  16. Desalew Mekonnen8,
  17. Kindie Woubeshet9,
  18. Tariku Egeno9,
  19. Kinfe Lemma9,
  20. Vibhu R Kshettry10,
  21. Endale Tefera2
  1. 1Department of Internal Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
  2. 2Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
  3. 3Department of Internal Medicine, St Paul Millennium Medical School, Addis Ababa, Ethiopia
  4. 4Department of Internal Medicine, School of Medicine, College of Health Sciences, Mekele University, Mekele, Ethiopia
  5. 5Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Mekele University, Mekele, Ethiopia
  6. 6Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
  7. 7Department of Internal Medicine, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
  8. 8Department of Internal Medicine, School of Medicine, College of Health Sciences, Gondar University, Gondar, Ethiopia
  9. 9Department of Internal Medicine, School of Medicine, College of Health Sciences, Hawassa University, Hawassa, Ethiopia
  10. 10Minneapolis Heart Institute, Minnesota, USA
  1. Correspondence to Dr Dejuma Yadeta, Department of Internal Medicine, School of Medicine, Addis Ababa University, Addis Ababa 58052, Ethiopia; dejuya{at}yahoo.com

Abstract

Background The spectrum of cardiovascular diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles. Understanding this spectrum requires regional and national data for each region or country. This study was designed to determine the spectrum of cardiovascular diseases in six university hospitals in Ethiopia.

Methods This is a cross-sectional study of the spectrum of cardiovascular diseases in six main referral/teaching hospitals located in different parts of the country. Consecutive patients visiting the follow-up cardiac clinics of these hospitals from 1 January to 30 June 2015 were included in the study. Data were collected on a pretested questionnaire.

Results A total of 6275 patients (58.5% females) were included in the study. Nearly 61% of the patients were from urban areas. The median age was 33 years (IQR 14–55 years). Valvular heart disease was the most common diagnosis, accounting for 40.5% of the cases. Of 2541 patents with valvular heart disease, 2184 (86%) were cases of chronic rheumatic heart disease.

Conclusion Our study shows that chronic rheumatic valvular heart disease is the most common cardiovascular diagnosis among patients seen at cardiology clinics of six referral/teaching hospitals in the country, followed by congenital heart diseases. Hypertensive and ischaemic heart diseases also accounted for a significant proportion of the cases. Therefore, strategies directed towards primary and secondary prevention of acute rheumatic fever as well as prevention of risk factors for hypertension and ischaemic heart disease may need to be strengthened.

  • Cardiovascular
  • rheumatic heart disease
  • congenital heart disease
  • hypertensive heart disease
  • Ethiopia

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Footnotes

  • Contributors DY: conceived and designed the study, participated in the data collection, analysis and interpretation and has critically reviewed the manuscript for scientific content and approved the final version. SG: participated in the design of the study, data collection, analysis and interpretation and has critically reviewed the manuscript for scientific content. BA, DM, EG, HB, HT, SB, AH, TH, WD, AHA, EKG, GN, DMK, KW, TE, KL: participated in the data collection, analysis and interpretation and has read and approved the manuscript in its current form. VKR: participated in the conception and design of the study and interpretation of the data and has critically reviewed the manuscript for scientific content. ET: participated in the design of the study, data collection, interpretation and wrote the manuscript in its current form. All authors have read and approved the manuscript in its current form. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding This study was financed by Friends of Children Heart Fund Ethiopia, Minneapolis, USA.

  • Competing interests None declared.

  • Patient consent Consent obtained from Guardian.

  • Ethics approval Institutional Review Boards of 6 universities that participated.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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