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The clinical records of 702 patients starting antihypertensive treatment between 1985 and 1990 were collected and reviewed at the end of 1992. At the end of an average observation period of three years, 47% of the patients had dropped out of the cardiac clinic. The medication compliance of 146 patients was estimated by both interview method as well as by(More)
Nucleic acid amplification techniques for the diagnosis of tuberculosis (TB) are rapidly being developed. Scant work, however, has focused on pericardial TB. Using cryopreserved specimens from a prior study of pericarditis, we compared PCR to culture and histopathology for the diagnosis of tuberculous pericarditis in 36 specimens of pericardial fluid and 19(More)
OBJECTIVE To determine the pattern of echocardiographic diagnoses in HIV-infected patients presenting with cardiac symptoms at Muhimbili National Hospital in Dar es Salaam, Tanzania. METHODS Patients known to be HIV positive and with cardiac complaints were prospectively recruited from the Hospital's care and treatment centre as well as from the medical(More)
SETTING Large academic medical center in Tanzania. OBJECTIVES To determine the etiologies and outcomes of large pericardial effusions in HIV-infected and uninfected patients. DESIGN Prospective cohort study of patients admitted with new large pericardial effusions, confirmed echocardiographically. Patients had pericardial biopsies and drainage with(More)
OBJECTIVE This study aimed to describe the contemporary aetiology, clinical characteristics and mortality and its predictors in heart failure (HF) in Tanzania. METHODS Design; Prospective observational study. Setting; Cardiovascular Center of the Muhimbili National Hospital in Dar es Salaam, Tanzania. Patients ≥18 years of age with HF defined by the(More)
BACKGROUND Hypertension among diabetics is a well recognized cardiovascular risk factor. This study aimed at determining the prevalence of hypertension, its control and the prevalence of other cardiovascular risk factors among diabetic patients. METHODS We consecutively enrolled 150 adult diabetics. Their age, sex weight, height, blood pressure, fasting(More)
Dyna Indapamide SR. Each sustained release tablet contains 1,5 mg indapamide. Background: Facilities for Holter electrocardiography (ECG) monitoring in many Nigerian hospitals are limited. There are few published works in Nigeria on the use of 24-hour Holter ECG in cardiac arrhythmic evaluation of patients with cardio-vascular diseases. Objective: To study(More)
AIM. To assess prevalence, type and covariates of abnormal left ventricular (LV) geometry in untreated native Tanzanian patients with hypertension in relation to normotensive controls. METHODS. Echocardiography was performed in 161 untreated hypertensive outpatients and 80 normotensive controls at a tertiary hospital in Tanzania. Hypertensive heart disease(More)
AIM To determine the prevalence of left atrial (LA) enlargement and its relation to left ventricular (LV) diastolic dysfunction among asymptomatic diabetic outpatients attending Muhimbili National Hospital in Dar es Salaam, Tanzania. METHODS Echocardiography was performed in 122 type 2 and 58 type 1 diabetic patients. Diastolic dysfunction was defined as(More)
OBJECTIVE To determine the prevalence, correlates and prognostic implications of anaemia and iron deficiency (ID) in patients with heart failure (HF) in Tanzania. METHOD This was a cross-sectional and prospective observational study conducted at Muhimbili National Hospital in Dar es Salaam, Tanzania. Patients were ≥ 18 years of age, with HF defined(More)