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Global Heart

Mohamed Khalfallah, Ayman Elsheikh, Mohamed Abdalaal
BACKGROUND: The proper time for the use of percutaneous coronary intervention (PCI) following the successful fibrinolysis for ST-segment elevation myocardial infarction (STEMI) for maximum efficiency and minimum side effects has not been determined yet. The present study was designed to compare the outcome of myocardial infarction patients who received fibrinolytic therapy with successful results and underwent PCI very early (within 3-12 h) (group 1) versus early (within 12-24 h) (group 2)...
August 8, 2018: Global Heart
Michael M Engelgau, Joshua P Rosenthal, Bradley J Newsome, LeShawndra Price, Deshiree Belis, George A Mensah
Globally, most of the burden from noncommunicable disease is now evident in low- and middle-income countries (LMICs). At the same time, many effective noncommunicable disease interventions are now available and recommended for implementation and scale-up across LMIC health systems-yet are not being widely implemented. Understanding optimal and sustainable implementation strategies for these interventions within the LMIC context will need locally led and conducted implementation research- a research capacity which currently is lacking...
June 30, 2018: Global Heart
Kitae Sohn
BACKGROUND: Smoking and hypertension are 2 leading causes of death worldwide, and it has been claimed that smoking is a cause of hypertension despite inconsistent results in the literature. In addition, the literature focuses mostly on developed countries, although more people in developing countries are adversely affected by smoking and hypertension. OBJECTIVES: This study attempted to address critical limitations of the literature by analyzing a nationally representative survey of Indonesians with a large sample size and a long follow-up period...
May 23, 2018: Global Heart
David J Heller
No abstract text is available yet for this article.
May 11, 2018: Global Heart
Hussain A Isma'eel, Mohamad M Almedawar, Juliana Breidy, Mona Nasrallah, Nancy Nakhoul, Youssef Mouneimne, Lara Nasreddine, Nathalie Khoueiry-Zgheib, Mohamad Abiad, Hani Tamim
BACKGROUND: Lebanon has no established governmental noncommunicable diseases surveillance and monitoring system to permit reporting on noncommunicable diseases rates. The last World Health Organization-supported surveillance report showed worrying trends in cardiovascular disease (CVD) risk factors. OBJECTIVES: A cardiovascular cohort was established to permit CVD outcomes studies in an urban sample in the Lebanese capital and the study in hand presents the baseline CVD risk factors of this cohort...
April 28, 2018: Global Heart
Michael M Engelgau, K M Venkat Narayan, Majid Ezzati, Luis A Salicrup, Deshiree Belis, Laudan Y Aron, Robert Beaglehole, Alain Beaudet, Peter A Briss, David A Chambers, Marion Devaux, Kevin Fiscella, Michael Gottlieb, Unto Hakkinen, Rain Henderson, Anselm J Hennis, Judith S Hochman, Stephen Jan, Walter J Koroshetz, Johan P Mackenbach, M G Marmot, Pekka Martikainen, Mark McClellan, David Meyers, Polly E Parsons, Clas Rehnberg, Darshak Sanghavi, Stephen Sidney, Anna Maria Siega-Riz, Sharon Straus, Steven H Woolf, Stephanie Constant, Tony L Creazzo, Janet M de Jesus, Nara Gavini, Norma B Lerner, Helena O Mishoe, Cheryl Nelson, Emmanuel Peprah, Antonello Punturieri, Uchechukwu Sampson, Rachael L Tracy, George A Mensah
Four decades ago, U.S. life expectancy was within the same range as other high-income peer countries. However, during the past decades, the United States has fared worse in many key health domains resulting in shorter life expectancy and poorer health-a health disadvantage. The National Heart, Lung, and Blood Institute convened a panel of national and international health experts and stakeholders for a Think Tank meeting to explore the U.S. health disadvantage and to seek specific recommendations for implementation research opportunities for heart, lung, blood, and sleep disorders...
April 28, 2018: Global Heart
Christopher T Longenecker, Ankur Kalra, Emmy Okello, Peter Lwabi, John O Omagino, Cissy Kityo, Moses R Kamya, Allison R Webel, Daniel I Simon, Robert A Salata, Marco A Costa
In this case study, we describe an ongoing approach to develop sustainable acute and chronic cardiovascular care infrastructure in Uganda that involves patient and provider participation. Leveraging strong infrastructure for HIV/AIDS care delivery, University Hospitals Harrington Heart and Vascular Institute and Case Western Reserve University have partnered with U.S. and Ugandan collaborators to improve cardiovascular capabilities. The collaboration has solicited innovative solutions from patients and providers focusing on education and advanced training, penicillin supply, diagnostic strategy (e...
April 20, 2018: Global Heart
Roberto Muniz Ferreira, Lúcia Helena Alvares Salis, Nelson Albuquerque de Souza E Silva
No abstract text is available yet for this article.
March 7, 2018: Global Heart
George A Mensah
No abstract text is available yet for this article.
March 2018: Global Heart
Nathan D Wong, Andrew Moran, Jagat Narula
No abstract text is available yet for this article.
March 2018: Global Heart
Randi E Foraker, Avirup Guha, Henry Chang, Emily C O'Brien, Julie K Bower, Elliott D Crouser, Wayne D Rosamond, Subha V Raman
BACKGROUND: Non-ST-segment elevation myocardial infarction (NSTEMI) comprises the majority of MI worldwide, yet mortality remains high. Management of NSTEMI is relatively delayed and heterogeneous compared with the "time is muscle" approach to ST-segment elevation MI, though it is unknown to what extent comorbid conditions drive NSTEMI mortality. OBJECTIVES: We sought to quantify mortality due to MI versus comorbid conditions in patients with NSTEMI. METHODS: Participants of the ARIC (Atherosclerosis Risk in Communities) study cohort ages 45 to 64 years, who developed incident NSTEMI were identified and incidence-density matched to participants who did not experience an MI by age group, sex, race, and study community...
March 2018: Global Heart
Johann G Beukes, Clint Hendrikse, Stevan R Bruijns
No abstract text is available yet for this article.
March 2018: Global Heart
David Wood, Samira Asma, Douglas Bettcher, Jack Tan Wei Chieh, Rohan Greenland, Floris Italianer, Etienne Krug, Helen McGuire, Durhane Wong-Rieger, Jean-Luc Eiselé, Jeremiah Mwangi, Joanna Markbreiter, Lyndsey Canham, Alastair White
No abstract text is available yet for this article.
March 2018: Global Heart
Hui Qu, Yuan Lu, Emily Gudbranson, Emily M Bucholz, Si Xuan, Frederick A Masoudi, John A Spertus, Xin Zheng, Jing Li, Harlan M Krumholz
With the advent of international precision medicine initiatives, it is important to evaluate existing large-scale studies to inform future investigation. This study sought to review, describe, and evaluate all large-scale cardiovascular disease (CVD) studies completed in China. We undertook a review of all large-scale CVD studies completed in China to describe and evaluate their design, implementation, and dissemination in published medical reports. Seventeen studies met the inclusion criteria. There were substantial variations in study design, geographic location, and data collection...
March 2018: Global Heart
Carolina Nazzal, Steven Shea, Cecilia Castro-Diehl, Tania Alfaro, Patricia Frenz, Carlos J Rodriguez
BACKGROUND: Social determinants differ between countries, which is not always considered when adapting health policies and interventions to face inequalities in noncommunicable diseases and their risk factors. OBJECTIVES: The study sought to analyze educational inequalities in controlled blood pressure (CBP), obesity, and smoking in study populations from Chile and the United States in 2 periods, both countries with large social inequalities. METHODS: The study used data from the first and fifth waves of the MESA (Multiethnic Study of Atherosclerosis) cohort, and the 2003 and 2009 to 2010 Chilean National Health Survey (CNHS) survey outcome measures...
March 2018: Global Heart
Victoria Miller, Lavanya Nambiar, Malvika Saxena, Darryl Leong, Amitava Banerjee, José Pablo Werba, Jose Rocha Faria Neto, Katherine Curi Quinto, Mohammed Moniruzzaman, Shweta Khandelwal
BACKGROUND: Health-system barriers and facilitators associated with cardiovascular medication adherence have seldom been studied, particularly in low- and middle-income countries where uptake rates are poorest. OBJECTIVES: This study sought to explore the major obstacles and facilitators to the use of evidence-supported medications for secondary prevention of cardiovascular disease using qualitative analysis in 2 diverse countries across multiple levels of their health care systems...
March 2018: Global Heart
Anastase Dzudie, Brian Rayner, Dike Ojji, Aletta E Schutte, Marc Twagirumukiza, Albertino Damasceno, Seringe Abdou Ba, Abdoul Kane, Euloge Kramoh, Jean Baptiste Anzouan Kacou, Basden Onwubere, Ruth Cornick, Karen Sliwa, Benedict Anisiuba, Ana Olga Mocumbi, Elijah Ogola, Mohamed Awad, George Nel, Harun Otieno, Ali Ibrahim Toure, Samuel Kingue, Andre Pascal Kengne, Pablo Perel, Alma Adler, Neil Poulter, Bongani Mayosi
BACKGROUND: The Pan-African Society of Cardiology (PASCAR) has identified hypertension as the highest area of priority action to reduce heart disease and stroke on the continent. OBJECTIVES: The aim of this PASCAR roadmap on hypertension was to develop practical guidance on how to implement strategies that translate existing knowledge into effective action and improve detection, treatment and control of hypertension and cardiovascular health in sub-Saharan Africa (SSA) by the year 2025...
March 2018: Global Heart
Mehrshad Abbasi, Mohamadreza Neishaboury, Jalil Koohpayehzadeh, Koorosh Etemad, Alipasha Meysamie, Fereshteh Asgari, Sina Noshad, Mohsen Afarideh, Alireza Ghajar, Morsaleh Ganji, Ali Rafei, Mostafa Mousavizadeh, Elias Khajeh, Behnam Heidari, Mohammad Saadat, Manouchehr Nakhjavani, Alireza Esteghamati
BACKGROUND: Coronary heart disease (CHD) is one of the most common causes of mortality worldwide. The national prevalence remains unclear in most of the developing countries. OBJECTIVE: This study sought to estimate national prevalence of self-reported CHD and chronic stable angina pectoris in the general adult population of Iran using data from the fourth round of the Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD-2011) survey. METHODS: The analysis comprised data of 11,867 civilian, nonhospitalized and noninstitutionalized residents ages 6 to 70 years of age...
February 9, 2018: Global Heart
Maheer Khan, Pablo Lamelas, Hadi Musa, Jared Paty, Tara McCready, Robby Nieuwlaat, Eleonor Ng, Patricio Lopez-Jaramillo, Jose Lopez-Lopez, Khalid Yusoff, Fadhlina A Majid, Kien Keat Ng, Len Garis, Oyere Onuma, Salim Yusuf, Jon-David Schwalm
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death worldwide. The need to address CVD is greatest in low- and middle-income countries where there is a shortage of trained health workers in CVD detection, prevention, and control. OBJECTIVES: Based on the growing evidence that many elements of chronic disease management can be shifted to nonphysician health care workers (NPHW), the HOPE-4 (Heart Outcomes Prevention and Evaluation Program) aimed to develop, test, and implement a training curriculum on CVD prevention and control in Colombia, Malaysia, and low-resource settings in Canada...
January 10, 2018: Global Heart
Nikkil Sudharsanan, Lulu Tian, Emily Ambinder, Alex Ambinder, Neil K Mehta, Rajendra Pradeepa, Mohan Deepa, Viswanathan Mohan, Mohammed K Ali
No abstract text is available yet for this article.
December 13, 2017: Global Heart
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