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Pattern of heart disease in adults of the Nigerian Savanna: a prospective clinical study.
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1977
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HypertensionHeart FailureProspective Clinical StudyHeart DiseaseStructural Heart DiseaseHeart Disease PredictionNigerian SavannaPublic HealthConstrictive PericarditisAtherosclerosisCardiologyCardiomyopathyCardiovascular EpidemiologyCardiac CareGuinea Savanna RegionEpidemiologyCoronary Heart DiseaseCardiac PathologyCardiovascular DiseaseGlobal HealthInternational HealthVascular ThrombosisMedicine
The pattern of heart disease in 404 patients seen prospectively from the guinea savanna region of Africa is presented. Over 90% presented with cardiac failure. Hypertension, Peripartal Cardiac Failure (PPCF), Congestive Cardiomyopathy and Rheumatic Heart Disease are major problems. The highest incidence of PPCF in the world probably occurs in this area but the prognosis is good. The reasons for this and the possible interrelationship of hypertension with cardiomyopathy and PPCF are discussed. In contrast to the tropical rainforests, no case of endomyocardial fibrosis was seen. During the period of study, vascular thrombosis is uncommon and coronary heart disease is non-existent in Zaria.