Author + information
- Received June 20, 2018
- Revision received September 12, 2018
- Accepted September 13, 2018
- Published online January 7, 2019.
- Aimé Bonny, MD, MSca,b,c,∗ (, )@UPTuks@UCT_news,
- Marcus Ngantcha, MScc,
- Wihan Scholtz, MSc candd,
- Ashley Chin, MD, MBChBe,
- George Nel, MScf,
- Jean-Baptiste Anzouan-Kacou, MDg,
- Kamilu M. Karaye, BMBCh, PhDh,
- Albertino Damasceno, MD, PhDi and
- Thomas C. Crawford, MDj
- aHôpital de District de Bonassama, Douala, Cameroon
- bUniversity of Douala, Douala, Cameroon
- cCameroon Cardiovascular Research Network, Douala, Cameroon
- dDepartment of Physiology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- eThe Cardiac Clinic, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa
- fPan-African Society of Cardiology (PASCAR), Department of Medicine, University of Cape Town, Cape Town, South Africa
- gCardiology Institute of Abidjan, Felix Houphouet Boigny University of Abidjan, Abidjan, Ivory Coast
- hDepartment of Cardiology, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- iFaculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique
- jUniversity of Michigan, Ann Arbor, Michigan
- ↵∗Address for correspondence:
Dr. Aimé Bonny, Hôpital de District de Bonassama, Douala and University of Douala, Douala, Cameroon.
Africa is experiencing an increasing burden of cardiac arrhythmias. Unfortunately, the expanding need for appropriate care remains largely unmet because of inadequate funding, shortage of essential medical expertise, and the high cost of diagnostic equipment and treatment modalities. Thus, patients receive suboptimal care. A total of 5 of 34 countries (15%) in Sub-Saharan Africa (SSA) lack a single trained cardiologist to provide basic cardiac care. One-third of the SSA countries do not have a single pacemaker center, and more than one-half do not have a coronary catheterization laboratory. Only South Africa and several North African countries provide complete services for cardiac arrhythmias, leaving more than hundreds of millions of people in SSA without access to arrhythmia care considered standard in other parts of the world. Key strategies to improve arrhythmia care in Africa include greater government health care funding, increased emphasis on personnel training through fellowship programs, and greater focus on preventive care.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Listen to this manuscript's audio summary by Editor-in-Chief Dr. Valentin Fuster on JACC.org.
- Received June 20, 2018.
- Revision received September 12, 2018.
- Accepted September 13, 2018.
- 2019 American College of Cardiology Foundation
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