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Global Heart

Hana Thomas, Jaime Diamond, Adrianna Vieco, Shaoli Chaudhuri, Eliezer Shinnar, Sara Cromer, Pablo Perel, George A Mensah, Jagat Narula, Catherine O Johnson, Gregory A Roth, Andrew E Moran
No abstract text is available yet for this article.
October 6, 2018: Global Heart
Uchechukwu K A Sampson, Elizabeth A McGlynn, Jonathan B Perlin, Mark E Frisse, Sharon B Arnold, Edward J Benz, Troyen Brennan, Peter Briss, Melinda J Beeuwkes Buntin, Sundeep Khosla, Ron G King, Richard Kuntz, Harry Leider, Shari M Ling, Jim Macrae, Richard Murray, Eric Thrailkill, Carrie Wager, Debbie Witchey, Harry R Jacobson
There is a growing gap between available science and evidence and the ability of service providers to deliver high-quality care in a cost-effective way to the entire population. We believe that the chasm between knowledge and action is due to a lack of concerted effort among all organizations that deliver health care services across the life span of patients. Broad participation is needed and necessitates a far more explicit and concerted public-private partnership focused on large-scale transformation. In this context, the National Heart, Lung, and Blood Institute convened a panel made up of leaders of corporate health care entities, including academic health centers, and government agency representatives to inform contemporary strategic partnerships with health care companies...
October 6, 2018: Global Heart
Peter Zilla, Magdi Yacoub, Liesl Zühlke, Friedhelm Beyersdorf, Karen Sliwa, Gennadiy Khubulava, Abdelmalek Bouzid, Ana Olga Mocumbi, Devagourou Velayoudam, Devi Shetty, Chima Ofoegbu, Agneta Geldenhuys, Johan Brink, Jacques Scherman, Henning du Toit, Saeid Hosseini, Hao Zhang, Xin-Jin Luo, Wei Wang, Juan Mejia, Theodoros Kofidis, Robert S D Higgins, Jose Pomar, R Morton Bolman, Bongani M Mayosi, Rajhmun Madansein, Joseph Bavaria, Alberto A Yanes-Quintana, A Sampath Kumar, Oladapo Adeoye, Risenga Frank Chauke, David F Williams
More than 6 billion people live outside industrialized countries and have insufficient access to cardiac surgery. Given the recently confirmed high prevailing mortality for rheumatic heart disease in many of these countries together with increasing numbers of patients needing interventions for lifestyle diseases due to an accelerating epidemiological transition, a significant need for cardiac surgery could be assumed. Yet, need estimates were largely based on extrapolated screening studies while true service levels remained unknown...
September 20, 2018: Global Heart
Naureen Syed, Peter C Rockers, Taryn Vian, Monica Onyango, Richard O Laing, Veronika J Wirtz
BACKGROUND: Estimates of hypertension prevalence in Kenya range from 12.3% to 50.1% nationally. Of those diagnosed, only 1 in 5 were taking medication. OBJECTIVES: This study aims to describe the access to antihypertensive medicines at the household level in 8 counties of Kenya, including factors associated with the location of purchase. METHODS: A household survey was conducted asking individuals with a diagnosis and prescription of antihypertensive medicines about the location of diagnosis and purchase of medicines, the availability of medicines at home, and the costs of medicines per month...
September 20, 2018: Global Heart
Amira Balbaa, Ahmed ElGuindy, Madhu Natarajan, Jon-David Schwalm
No abstract text is available yet for this article.
September 19, 2018: Global Heart
Crystal Sing Yee Tan, Alan Yean Yip Fong, Yuan Hsun Jong, Tiong Kiam Ong
BACKGROUND: Warfarin is an anticoagulant indicated for patients who had undergone mechanical heart valve(s) replacement (MHVR). In these patients, time in therapeutic range (TTR) is important in predicting the bleeding and thrombotic risks. OBJECTIVE: This study aimed to describe the anticoagulation control of warfarin using TTR in patients with MHVR in a tertiary health care referral Center. METHODS: Data were collected retrospectively by reviewing clinical notes of outpatients who attended international normalized ratio (INR) clinics in November 2015...
September 10, 2018: Global Heart
(no author information available yet)
No abstract text is available yet for this article.
September 7, 2018: Global Heart
Prakash Chand Negi, Kunal Mahajan, Vivek Rana, Sachin Sondhi, Nitin Mahajan, Sanjay Rathour, Ritesh Verma, Ashish Dhiman, Munish Dev, Shivani Rao, Sanjeev Asotra, Rajeev Bhardwaj, Neeraj Ganju, Arvind Kandoria, Rajeev Merwaha, Rajesh Sharma, Nirmal Kolte, Ravi Kumar V, Prince Kumar Paul, Davinder Pal Singh
BACKGROUND: Despite the high prevalence of rheumatic heart disease (RHD) in developing countries such as India, data on characteristics, complications, and treatment practices are lacking. The HP-RHD (Himachal Pradesh Rheumatic Heart Disease) registry aimed at reporting these parameters in patients with RHD from a northern state of India. METHODS: A total of 2,005 consecutive patients of RHD were enrolled over a period of 6 years (2011 to 2016) in the present study...
September 6, 2018: Global Heart
Kristian Thygesen, Joseph S Alpert, Allan S Jaffe, Bernard R Chaitman, Jeroen J Bax, David A Morrow, Harvey D White
No abstract text is available yet for this article.
August 23, 2018: Global Heart
Leonard Mzee Ngunga, Gerald Yonga, Benjamin Wachira, Justin A Ezekowitz
BACKGROUND: Health care resource allocation remains challenging in lower middle income countries such as Kenya with meager resources being allocated to resuscitation and critical care. The causes and outcomes for in-hospital cardiac arrest and resuscitation have not been studied. OBJECTIVES: This study sought to determine the initial rhythm and the survival for patients developing in-hospital cardiac arrest. METHODS: This was a prospective study for in-hospital cardiac arrest in 6 Kenyan hospitals from July 2014 to April 2016...
August 18, 2018: 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 2018: Global Heart
David J Heller
No abstract text is available yet for this article.
June 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...
June 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...
June 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...
June 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.
June 2018: Global Heart
Jeffrey I Mechanick, Shan Zhao, W Timothy Garvey
Leptin has central importance in the global obesity and cardiovascular disease problem. Leptin is principally secreted by adipocytes and acts in the hypothalamus to suppress appetite and food intake, increase energy expenditure, and regulate body weight. Based on clinical translation of specific and networked actions, leptin affects the cardiovascular system and may be a marker and driver of cardiometabolic risk factors with interventions that are actionable by cardiologists. Leptin subnetwork analysis demonstrates a statistically significant role for ethnoculturally and socioeconomically appropriate lifestyle intervention in cardiovascular disease...
June 2018: Global Heart
Álvaro Avezum, Pablo Perel, Gustavo B F Oliveira, Patricio Lopez-Jaramillo, Gustavo Restrepo, Fleetwood Loustalot, Andrea Srur, Reinaldo de La Noval, Kenneth I Connell, Salvador Cruz-Flores, Lenildo de Moura, Gabriela Castellac, Antonio C Mattos, Pedro Ordunez
No abstract text is available yet for this article.
June 2018: Global Heart
Nathan Stehouwer, Emmy Okello, Vedant Gupta, Alison L Bailey, Richard Josephson, Sri Krishna Madan Mohan, Mohammed N Osman, Chris T Longenecker
BACKGROUND: The Wilkins score and commissural calcification scores predict outcomes after percutaneous balloon mitral valvuloplasty. However, many cardiologists are inadequately trained in their application-both in the United States where the incidence of rheumatic heart disease has fallen and in rheumatic heart disease endemic countries where training infrastructure is weak. OBJECTIVES: This study sought to develop a computer-based educational module teaching 2 scoring systems for rheumatic mitral stenosis and to validate the module among cardiology fellows in the United States and Uganda...
June 2018: Global Heart
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