Transformation of Cardiology and Cardiothoracic Services at Benjamin Mkapa Hospital, Tanzania: Findings and Experiences from 1,313 Cardiovascular Procedures in Five Years
References
- Mensah GA, Fuster V, Murray CJL, Roth GA, Mensah GA, Abate YH, et al. Global burden of cardiovascular diseases and risks, 1990–2022. J Am Coll Cardiol. 2023;82(25):2350–473. DOI: 10.1016/j.jacc.2023.11.007
- Makubi A, Hage C, Lwakatare J, Kisenge P, Makani J, Rydén L, et al. Contemporary aetiology, clinical characteristics and prognosis of adults with heart failure observed in a tertiary hospital in Tanzania: the prospective Tanzania Heart Failure (TaHeF) study. Heart. 2014;100(16):1235–41. DOI: 10.1136/heartjnl-2014-305599
- Minja NW, Nakagaayi D, Aliku T, Zhang W, Ssinabulya I, Nabaale J, et al. Cardiovascular diseases in Africa in the twenty-first century: gaps and priorities going forward. Front Cardiovasc Med. 2022;9:
1008335 . DOI: 10.3389/fcvm.2022.1008335 - Steyn K, Sliwa K, Hawken S, Commerford P, Onen C, Damasceno A, et al. Risk factors associated with myocardial infarction in Africa: the INTERHEART Africa study. Circulation. 2005;112(23):3554–61. DOI: 10.1161/CIRCULATIONAHA.105.563452
- Yusuf S, Reddy S, Ôunpuu S, Anand S. Global burden of cardiovascular diseases: part II: variations in cardiovascular disease by specific ethnic groups and geographic regions and prevention strategies. Circulation. 2001;104(23):2855–64. DOI: 10.1161/hc4701.099488
- Albaghdadi MS, Khanbhai K, Kisenge P, Powers E, Longopa G, Waane T, et al. Establishing sustainable cardiovascular care in a public teaching hospital in Tanzania. JACC: Advances. 2025;4(1):
101251 . DOI: 10.1016/j.jacadv.2024.101251 - Mocumbi AO. Cardiovascular health care in low- and middle-income countries. Circulation. 2024;149(8):557–9. DOI: 10.1161/CIRCULATIONAHA.123.065717
- Raphael DM, Roos L, Myovela V, Mchomvu E, Namamba J, Kilindimo S, et al. Heart diseases and echocardiography in rural Tanzania: occurrence, characteristics, and etiologies of underappreciated cardiac pathologies. PLOS ONE. 2018;13(12):
e0208931 . DOI: 10.1371/journal.pone.0208931 - Peck RN, Green E, Mtabaji J, Majinge C, Smart LR, Downs JA, et al. Hypertension-related diseases as a common cause of hospital mortality in Tanzania: a 3-year prospective study. J Hypertens. 2013;31(9):1806–11. DOI: 10.1097/HJH.0b013e328362bad7
- Meda JR, Kusima HL, Magitta NF. Angiographic characteristics of coronary artery disease in patients undergoing diagnostic coronary angiography at a tertiary hospital in Tanzania. BMC Cardiovasc Disord. 2024;24(1):
125 . DOI: 10.1186/s12872-024-03773-7 - Rwebembera J, Aliku T, Kayima J, Lubega S, Sebatta E, Kiggundu B, et al. Starting and operating a public cardiac catheterization laboratory in a low resource setting: the eight-year story of the Uganda Heart Institute catheter laboratory. Glob Heart. 2021;16(1):
11 . DOI: 10.5334/gh.859 - Chillo P, Humphrey SH, Meda J, Kerry VB. Cardiac critical care in resource-limited environments: lessons from Tanzania. Glob Heart. 2014;9(3):
311 . DOI: 10.1016/j.gheart.2014.06.004 - Hertz JT, Sakita FM, Kweka GL, Limkakeng AT, Galson SW, Ye JJ, et al. Acute myocardial infarction under-diagnosis and mortality in a Tanzanian emergency department: a prospective observational study. Am Heart J. 2020;226:214–21. DOI: 10.1016/j.ahj.2020.05.017
- Gibore NS, Munyogwa MJ, Ng’weshemi SK, Gesase AP. Prevalence and knowledge of modifiable cardiovascular diseases risk factors among vulnerable population in Central Tanzania. BMC Cardiovasc Disord. 2023;23(1):
373 . DOI: 10.1186/s12872-023-03408-3 - Mebrahtom G, Hailay A, Aberhe W, Zereabruk K, Haile T. Rheumatic heart disease in East Africa: a systematic review and meta-analysis. Int J Rheumatol. 2023;2023:
8834443 . DOI: 10.1155/2023/8834443 - World Health Organization. Global action plan for the prevention and control of NCDs 2013–2020. WHO; 2013. Available from:
https://www.who.int/publications/i/item/9789241506236 - Longenecker CT, Kalra A, Okello E, Lwabi P, Omagino JO, Kityo C, et al. A human-centered approach to CV care. Glob Heart. 2018;13(4):347–54. DOI: 10.1016/j.gheart.2018.02.002
- Bonny A, Ngantcha M, Jeilan M, Okello E, Kaviraj B, Talle MA, et al. Statistics on the use of cardiac electronic devices and interventional electrophysiological procedures in Africa from 2011 to 2016: report of the Pan African Society of Cardiology (PASCAR) cardiac arrhythmias and pacing task forces. EP Europace. 2018;20(9):1513–26. DOI: 10.1093/europace/eux353
- Jouven X, Diop BI, Narayanan K, Adoubi A, Ba SA, Balde D, et al. Cardiac pacing in sub-Saharan Africa. J Am Coll Cardiol. 2019;74(21):2652–60. DOI: 10.1016/j.jacc.2019.09.034
- Aderinto N, Olatunji D. Assessing the condition of percutaneous coronary intervention services in Africa: challenges and prospects for advancement – a review. Ann Med Surg. 2023;85(6):2814–20. DOI: 10.1097/MS9.0000000000000924
- Hertz JT, Stark K, Sakita FM, Mlangi JJ, Kweka GL, Prattipati S, et al. Adapting an intervention to improve acute myocardial infarction care in Tanzania: co-design of the MIMIC intervention. Ann Glob Health. 2024;90(1):
21 . DOI: 10.5334/aogh.4361 - Mendis S, Chestnov O. Costs, benefits, and effectiveness of interventions for the prevention, treatment, and control of cardiovascular diseases and diabetes in Africa. Prog Cardiovasc Dis. 2013;56(3):314–21. DOI: 10.1016/j.pcad.2013.09.001
- Writing Committee Members, Smith SC, Feldman TE, Hirshfeld JW, Jacobs AK, Kern MJ, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention—summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (ACC/AHA/SCAI writing committee to update the 2001 guidelines for percutaneous coronary intervention). Circulation. 2006;113(1):156–75. DOI: 10.1161/CIRCULATIONAHA.105.170815
DOI: https://doi.org/10.5334/gh.1488 | Journal eISSN: 2211-8179
Language: English
Submitted on: May 3, 2025
Accepted on: Oct 7, 2025
Published on: Oct 17, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
© 2025 Anwar Ahmed Salim, Alfred Luvakule, Hindu Ibrahim, Sanun Ally Kessy, Shemsa Khatib, Monica Kessy, Baraka Alphonce, Happiness Kusima, Kelvin Masava, Shija Kessy, Ahmed Toure, Alphonce Chandika, John Meda, Abel Makubi, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.