Key result
Coronary heart disease and its risk factors are increasing in prevalence in Eastern Africa, highlighting the importance of ECG recognition in diagnosing acute coronary syndromes.
Highlights the increasing prevalence of coronary heart disease in Eastern Africa and emphasizes the importance of ECG recognition skills for diagnosing myocardial infarction in this region.
Supports ECG training emphasis in Eastern Africa; leaves open effects on ACS outcomes.
OBJECTIVE: To review the literature on coronary heart disease (CHD) and its electrocardiogram (ECG) manifestations in Eastern Africa and provide medical education by increasing awareness and strengthening recognition skills of myocardial infarction (MI) through discussion of key features from representative ECGs selected from the Moi Teaching and Referral Hospital (MTRH) ECG service in Eldoret, Kenya. DATA SOURCE: Peer reviewed published articles found using a Medline search. ECGs were reproduced with one complex from each of the 12 standard leads, without patient's name or other identifying information. CONCLUSION: CHD and its risk factors are increasing in prevalence in Eastern Africa over recent years. The ECG remains integral to the diagnosis of acute coronary syndromes, including MI. Representative ECGs from MTRH demonstrate the various features of the common anatomical distributions of MI, enabling medical education. Recognition of CHD and its ECG manifestations is one step on the path to decreasing resultant morbidity and mortality.
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Jablonski‐Cohen et al. (2004) conducted a review in Coronary heart disease. Electrocardiogram (ECG) recognition of myocardial infarction was evaluated. Coronary heart disease and its risk factors are increasing in prevalence in Eastern Africa, highlighting the importance of ECG recognition in diagnosing acute coronary syndromes.
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