Exploring the epidemiology of atrial fibrillation in Nigeria : a focus on atrial fibrillation in heart failure patients and its association with stroke
Alaka, Abiola Onwuzo, Chidera N. Olukorode, John Fagbenro, Adeniyi Ajiboye, Adetayo
Alaka, Abiola
Onwuzo, Chidera N.
Olukorode, John
Fagbenro, Adeniyi
Ajiboye, Adetayo
Affiliation
South Warwickshire University NHS Foundation Trust; University of Michigan, USA; Benjamin S. Carson College of Health and Medical Sciences, Ilishan-Remo, Nigeria; Bowen University College of Health Sciences, Iwo, Nigeria; Central and Northwest London NHS Foundation Trust
Other Contributors
Publication date
2024-02-29
Subject
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
Atrial fibrillation (AF) represents a significant global public health concern, particularly due to its association with adverse health outcomes such as stroke and heart failure. In Nigeria, where the burden of cardiovascular diseases is rising, understanding the prevalence and impact of AF is crucial for effective healthcare planning and intervention strategies. This review examines the epidemiology of AF in Nigeria, comparing it with global and African data. It explores demographic and regional variations, comorbidity factors, and the impact of AF on the healthcare system, mortality, and quality of life. Notably, the prevalence of AF in Nigeria generally falls just under 5%, but this figure rises to approximately 9% in stroke patients and 11-20% among those with heart failure (HF). Rheumatic heart disease (RHD) is identified as a significant AF risk factor within Africa, affecting around 20% of AF patients - a stark contrast to the 2% in North America. AF's association with higher mortality rates and functional deterioration highlights the urgent need for improved diagnostic and therapeutic approaches, alongside broader public health measures. In conclusion, the review emphasises the significant public health concern AF represents in Nigeria, especially among HF and stroke patients, and stresses the importance of tailored healthcare policies and interventions to mitigate AF's impact and improve patient outcomes.
Keywords: atrial fibrillation; cardiovascular disease; epidemiology of atrial fibrillation; heart failure; quality of life; stroke.
Citation
Otabor EO, Alaka A, Onwuzo CN, Olukorode J, Fagbenro A, Ajiboye A. Exploring the Epidemiology of Atrial Fibrillation in Nigeria: A Focus on Atrial Fibrillation in Heart Failure Patients and Its Association With Stroke. Cureus. 2024 Feb 29;16(2):e55241. doi: 10.7759/cureus.55241.
Type
Article