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Global Health Action Volume 12, 2019 - Issue 1
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Original Article

Improving the accuracy of heart failure diagnosis in low-resource settings through task sharing and decentralization

Alyssa DeWyerDepartment of Cardiology, Children’s National Health System, Washington, DC, USACorrespondence[email protected]
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,
Amy ScheelDepartment of Cardiology, Children’s National Health System, Washington, DC, USA;School of Medicine, Emory University, Atlanta, GA, USAORCID Iconhttps://orcid.org/0000-0001-6871-1552View further author information
ORCID Icon,
Isaac Omara OtimDepartment of Medicine, Lira Regional Referral Hospital, Cardiac Clinic, Lira, UgandaView further author information
,
Christopher T. LongeneckerDepartment of Cardiology, University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University, Cleveland, OH, USAView further author information
,
Emmy OkelloDepartment of Cardiology, Uganda Heart Institute, Mulago Hospital Complex, Kampala, UgandaView further author information
,
Isaac SsinabulyaDepartment of Cardiology, Uganda Heart Institute, Mulago Hospital Complex, Kampala, UgandaView further author information
,
Stephen MorrisDepartment of Cardiology, University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University, Cleveland, OH, USAView further author information
,
Mark OkwirDepartment of Medicine, Lira Regional Referral Hospital, Cardiac Clinic, Lira, UgandaView further author information
,
William OyangDepartment of Medicine, Lira Regional Referral Hospital, Cardiac Clinic, Lira, UgandaView further author information
,
Erine JoyceDepartment of Medicine, Lira Regional Referral Hospital, Cardiac Clinic, Lira, UgandaView further author information
,
Betty NabongoDepartment of Medicine, Lira Regional Referral Hospital, Cardiac Clinic, Lira, UgandaView further author information
,
Craig SableDepartment of Cardiology, Children’s National Health System, Washington, DC, USAView further author information
,
Ben AlencherryDepartment of Cardiology, University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University, Cleveland, OH, USAView further author information
,
Alison TompsettDepartment of Cardiology, University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University, Cleveland, OH, USAView further author information
,
Twalib AlikuDepartment of Cardiology, Uganda Heart Institute, Mulago Hospital Complex, Kampala, UgandaView further author information
&
Andrea BeatonDepartment of Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA;Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USAORCID Iconhttps://orcid.org/0000-0002-4963-355XView further author information
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Article: 1684070 | Received 01 Jun 2019, Accepted 24 Aug 2019, Published online: 07 Nov 2019

References

  • Ponikowski P, Anker SD, AlHabib KF, et al. Heart failure: preventing disease and death worldwide. ESC Heart Fail. 2014;1:4–10.
  • Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics-2018 update: a report from the american heart association. Circulation. 2018.
  • Savarese G, Lund LH. Global public health burden of heart failure. Card Fail Rev. 2017;3:7–11.
  • Yancy CW, Jessup M, Bozkurt B, et al. ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American college of cardiology/american heart association task force on clinical practice guidelines and the heart failure society of America. Circulation. 2017;136:e137–e161.
  • Carlson S, Duber HC, Achan J, et al. Capacity for diagnosis and treatment of heart failure in sub-Saharan Africa. Heart. 2017;103:1874–1879.
  • Kwan GF, Bukhman AK, Miller AC, et al. A simplified echocardiographic strategy for heart failure diagnosis and management within an integrated noncommunicable disease clinic at district hospital level for sub-Saharan Africa. JACC Heart Fail. 2013;1:230–236.
  • Damasceno A, Cotter G, Dzudie A, et al. Heart failure in sub-saharan Africa: time for action. J Am Coll Cardiol. 2007;50:1688–1693.
  • Maro EE, Kaushik R. The role of echocardiography in the management of patients with congestive heart failure. Tanzanian experience. Cent Afr J Med. 2009;55:35–39.
  • Oyoo GO, Ogola EN. Clinical and socio demographic aspects of congestive heart failure patients at Kenyatta national hospital, Nairobi. East Afr Med J. 1999;76:23–27.
  • Aliku TO, Lubega S, Namuyonga J, et al. Pediatric cardiovascular care in Uganda: current status, challenges, and opportunities for the future. Ann Pediatr Cardiol. 2017;10:50–57.
  • Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–381.
  • Bloomfield GS, Barasa FA, Doll JA, et al. Heart failure in sub-Saharan Africa. Curr Cardiol Rev. 2013;9:157–173.
  • The Republic of Uganda. Uganda Clinical Guidelines. Ministry of Health; 2012. Available from: apps.who.int/medicinedocs/documents/s21741en/s21741en.pdf.
  • The Republic of Uganda, Ministry of Health. Uganda Hospital and Health Centre IV Census Survey. The World Health Organization; 2014. Available from: www.who.int/healthinfo/systems/SARA_H_UGA_Results_2014.pdf.
  • Evangelista A, Galuppo V, Mendez J, et al. Hand-held cardiac ultrasound screening performed by family doctors with remote expert support interpretation. Heart. 2016;102:376–382.

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