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CORONARY HEART DISEASE AND ITS ELECTROCARDIOGRAPHIC MANIFESTATIONS IN WESTERN KENYA

M.S. JABLONSKI-COHEN, R. J. KOSGEI, A. J. RERIMOI, J. J. MAMLIN

Abstract


ABSTRACT
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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The East African Medical Journal is published monthly by Kenya Medical Association.

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