The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease.

Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric & adult), heart failure, surgery & basic science. CVJA is the official journal of the PASCAR and has been published since 1990.

Important Notice to all Authors:
Manuscript Submission Fee & Article Processing Charge (effective 13 December 2016)

It has become necessary for the Cardiovascular Journal of Africa to charge a manuscripts submission fees for all articles submitted for publication. On acceptance of a manuscript an additional Article Processing Fee will apply before publishing. This is normal for most, if not all, journals. We so far have been able to survive without charging authors for submissions and processing but can no longer do so. We regret that we have to implement this as from the 13 of December 2016. Payment will need to be made online and once payment has been received, the manuscript will be further processed for possible publication.

The payment of the manuscript submission fee and does not guarantee publication of the article. The manuscript submission fee is not refundable in the event of rejection as processing cost will have been incurred. (Payment can be made online with a valid credit card)
Cardiovascular Journal of Africa: Volume 27, Issue 6, November / December 2016

• Effect of colchicine on tuberculous pericarditis
• Hypertension in semi-urban south-western Nigeria
• Uncontrolled hypertension in primary healthcare in DRC
• Body weight and body fat distribution in black SA women
• FTY720 after myocardial ischaemia/reperfusion
• SABPA study: cortisol:BDNF and silent ischaemia in black males
• European Society of Cardiology congress update
• SASCI/SCTSSA guidelines on TAVI in South Africa

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 27, Issue 5, September / October 2016

• Pre-anesthetic ECG findings in children in Nigeria
• Relationship between fatty liver disease and atherosclerosis
• Congenital heart disease and Down syndrome
• Elevated magnesium levels and coronary artery ectasia
• Strain and strain rate echocardiography in Wilson’s disease
• Cardiovascular risk factors in schoolchildren in Angola
• Cardiovascular risk factors in south-western Nigeria

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 27, Issue 4, July / August 2016

• Fine-tuning Heart Assist 5 devices with echocardiography
• Sirtuin 1 in South African Indians with early-onset CAD
• Management of acute MI patients at Nairobi Hospital
• Acquired von Willebrand syndrome and stenosis
• Remedy® biodegradable peripheral stents
• Coated or uncoated oxygenators during CPB surgery
• ECG findings in HIV patients in south-east Nigeria

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 27, Issue 3, May / June 2016

• Techniques for balloon sizing in percutaneous mitral valvuloplasty
• Hypertrophic cardiomyopathy in South Africans
• Fat distribution, insulin resistance and dyslipidaemia in SA women
• Actions to eradicate rheumatic heart disease in Africa
• Cardiology–cardiothoracic training in South Africa
• Patterns of collaboration in research in sub-Saharan Africa
• Report of the PASCAR Hypertension Task Force

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 27, Issue 2, March / April 2016

• Cardiovascular pathology
• Pre-eclampsia
• Pre-conception counselling
• Medical disease and maternal mortality
• Physiological changes in pregnancy
• Diagnosing cardiac disease
• Hypertensive disorders
• Valvular heart disease
• Perinatal depression

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 27, Issue 1, January / February 2016

• Filamin C: a novel component of the KCNE2 interactome during hypoxia
• Anatomical factors affect mortality rates after endovascular aneurysm repair
• ECG abnormalities and dyslipidaemic syndrome in sickle cell anaemia
• FTO rs9939609 and MC4R rs17782313: elevated nocturnal blood pressure
• Left ventricular systolic function in Nigerian children infected with HIV/AIDS
• Vascular rings: a radiological review of anatomical variations
• Change in right ventricular systolic function according to revascularisation method

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 26, Issue 6, November / December 2015

• Heart-type fatty acid-binding protein as diagnostic marker of non-STEMI
• Topical beta-blocker-induced atrioventricular block
• Interatrial conduction delay with polycystic ovary syndrome
• Protective effects of ginseng extracts on ischaemia–reperfusion injury
• An open-access mobile, electronic patient register for RHD
• Peri-operative myocardial injury and apoptosis during CABG surgery

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 26, Issue 5, PASCAR Congress Abstracts

Joint congress between the Pan-African Society of Cardiology and the Cardiovascular Society of Mauritius. Intercontinental Resort, Balaclava Fort, Mauritius, 3 - 7 October 2015.

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cardiovascular disease
Cardiovascular Journal of Africa: Volume 26, Issue 4, July / August 2015

• Hypertension in sub-Saharan Africa
• Analysis of clinical outcomes of IABP
• Efficacy of milk and lemon juice during MPI
• Risk factors for CKD in Uganda
• Performance of re-used pacemakers and ICDs
• Glycaemic, BP and cholesterol control in diabetics
• First Melody® valve implantations in Africa

This journal is now available to be viewed via our eJournal publication viewer »

Measuring publication impact, and publishing and funding models

The impact factor, or, more correctly, the journal impact factor [JIF; Thompsons Reuters (ISI)] has featured in previous reports of the Cardiovascular Journal of Africa (CVJA). As expected, it has been steadily rising and is now at 1.022 (2015). This is not to be scoffed at. Of the 14 listed medical journals in Africa, it is third to the South African Medical Journal (SAMJ; JIF = 1.5).

Similarly, in another major database, Scopus, it ranks at number 184 out of 333 journals of cardiovascular medicine globally. Within Africa it is the only cardiovascular journal indexed by Thompson Reuters and also by Scopus. These statistics are based on citations to articles that appear in journals, and formulae that relate the number of citations to published articles in a journal over a given time period,4 and are part of the more extensive ways of evaluating scientific output under the umbrella term bibliometrics.

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cardiovascular disease
Cardio News: Frontline initiatives in early myocardial reperfusion with ST -elevation myocardial infarction

Concern has been expressed by leading cardiologists in Africa about the lack of preparedness of healthcare services on this continent in relation to the management of non-communicable diseases and, specifically, cardiovascular disease.This may be attributable to a paucity of surveillance data and registries, a shortage of physicians and cardiologists, interventional measures not being in place, inadequate diagnostic capabilities, and misguided opinions, as reported.

From the South African 2011 census, we know that low household income compounds the problem of inadequate healthcare provision, and also lack of transport to facilities where optimal care can be provided timeously. Public sector clinic services are utilised by 61.2% of households, public hospitals by 9.5%, and private hospitals, private clinics and other services by only about 5% of households. A disparity is evident between the health facility used and the population group, in that 17% of black South Africans versus 88% of white and 64% of Indian households visit private health facilities.

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cardiovascular disease
National Advisory Committee for the Prevention and Control of Rheumatic Fever and Rheumatic Heart Disease in Namibia

In Windhoek, Namibia, Thursday 23 April 2015 marked a historic milestone for the Pan-African campaign to arrest the march of rheumatic fever (RF) and rheumatic heart disease (RHD) throughout our continent. Under the authority of the Minister of Health and Social Services, Dr Bernard Haufiku, the first meeting of the National Advisory Committee on Rheumatic Fever and Rheumatic Heart Disease began to elaborate on a plan for the prevention and control of a heart disease, which, it is estimated, claims the lives of 1.4 million people in less well-resourced countries globally every year. The prevalence in Africa is as high as 30/1 000 among school children.

Among survivors, RHD is a major cause of morbidity through heart failure, atrial fibrillation and cerebrovascular accidents. RHD results in school absenteeism in about two-thirds of affected learners, and because the disease progresses during early adulthood and causes chronic disability, it has the potential to undermine national productivity. The economic impact of RHD in the African region is profound and was estimated at US$791 million to 2.37 billion in 2010.

Significantly, Namibia is the first African country to tackle the prevention and control of RHD in this manner at a national level. The national programme was launched in March 2014 by Dr Richard Kamwi, the health minister at that time. Advocacy for the national programme had been informed by research conducted by the Namibian National Registry of RF and RHD, which is an important partner in the Global Registry of RF and RHD.

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cardiovascular disease
South African hospital the first in the Middle East, Africa, central Asia and Turkey to implant the world’s smallest, minimally invasive cardiac pacemaker

Groote Schuur Hospital in Cape Town is the first hospital in the Middle East, Africa, central Asia and Turkey to implant the world’s smallest pacemaker: the Medtronic Micra™ transcatheter pacing system (TPS). The device was implanted recently as part of the Medtronic global pivotal clinical trial.

One-tenth the size of a conventional pacemaker and comparable in size to a large vitamin, the Micra TPS pacemaker is delivered directly into the heart through a catheter inserted into the femoral vein. Once positioned, the pacemaker is securely attached to the heart wall and can be repositioned if needed. The miniature device does not require the use of wires, known as ‘leads’, to connect to the heart. Attached to the heart via small tines, the pacemaker delivers electrical impulses that pace the heart through an electrode at the end of the device.

‘This miniaturised technology is designed to provide patients with the advanced pacing technology
of traditional pacemakers via a minimally invasive approach’, said Dr Ashley Chin, consultant cardiologist/electrophysiologist at Groote Schuur Hospital and the University of Cape Town, who implanted this first Micra TPS. ‘We are proud that Groote Schuur Hospital was selected among an elite group of institutions to take part in this global clinical trial. If positive, the results of the trial could potentially benefit the more than one million people globally who receive pacemakers each year.’

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cardiovascular disease
Special Supplement to CVJA Volume 26, Issue 2: H3Africa comes of age

With the advent of technology that made possible large-scale sequencing and genotyping studies, it quickly became apparent that the demographic history of our species had been recorded in the genome and we could reconstruct our wanderings across the globe by studying DNA. While the vast majority of genetic variation is shared among continental populations, the most prominent finding from these early surveys of regional populations was the substantially greater degree of heterozygosity found in contemporary African populations. The ‘out of Africa’ story has long been a central dogma in paleoanthropology, and the rich cultural and linguistic heritage of the continent has also been well documented; yet the implications of this phase of human history for biomedicine had never been fully appreciated.

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cardiovascular disease
Social support and management of hypertension in south-west Nigeria

Social support can facilitate compliance or adherence to recommended treatment regimens, especially for chronic disease management. There is little data from Africa on the role of social support in the management of chronic disease.

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The Cardiovascular Journal of Africa has launched an Online First Advance Online Publication (ePublication ahead of print) with full text availability via Pubmed and this website which is accessible via Google and other search engines.

This facility is also known internationally as e-publication, ahead of print and offers authors the opportunity to publish their research articles sooner for an international audience. Read More »
New World’s old disease: cardiac hydatid disease and surgical principles/a>

Published: 20 February 2017
The prevalence and radiological findings of pulmonary embolism in HIV-positive patients referred for computed tomography pulmonary angiography in the Western Cape of South Africa

Published: 15 February 2017
Right ventricular strain as predictor of pulmonary complications in patients with femur fracture

Published: 01 February 2017
The integrated effect of moderate exercise on coronary heart disease

Published: 12 December 2016
Atrial myxoma: a rare cause of hemiplegia in children

Published: 09 December 2016
Myocardial dysfunction in children with intrauterine growth restriction: an echocardiographic study

Published: 07 Desember 2016
Telmisartan decreases microalbuminuria in patients with type 2 diabetes mellitus following coronary artery bypass grafting

Published: 10 November 2016
Left ventricular haematoma mimicking lateral wall myocardial infarction secondary to percutaneous coronary intervention

Published: 10 November 2016
Symptom-to-balloon time and myocardial blush grade are predictors of left ventricular remodelling after successful primary percutaneous coronary intervention

Published: 27 October 2016
The role of genetics in coronary artery bypass surgery patients under 30 years of age

Published: 21 October 2016
Effects of Ramadan intermittent fasting on North African children’s heart rate and oxy-haemoglobin saturation at rest and during sub-maximal exercise

Published: 21 October 2016
Xanthine oxidase inhibitors in ischaemic heart disease

Published: 09 September 2016
Presentation and mortality of patients hospitalised with acute heart failure in Botswana

Published: 24 August 2016
The effect of proximal anastomosis on the expansion rate of a dilated ascending aorta in coronary artery bypass surgery: a prospective study

Published: 22 August 2016
Prevalence of selected cardiometabolic risk factors among adults in urban and semi-urban hospitals in four sub-Saharan African countries

Published: 22 August 2016
Assessment of indirect inflammatory markers in patients with myocardial bridging

Published: 19 August 2016
Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Published: 02 August 2016
Relationship between Vitamin D and the development of atrial fibrillation after on-pump coronary artery bypass graft surgery

Published: 02 August 2016
Factors associated with early mortality in haemodialysis patients undergoing coronary artery bypass surgery

Published: 22 July 2016
The effects of the metabolic syndrome on coronary artery bypass grafting surgery

Published: 13 July 2016
Comparative analysis of anthropometric indices of obesity as correlates and potential predictors of risk for hypertension and prehypertension in a population in Nigeria

Published: 13 July 2016
Obesity in Botswana: time for new cut-off points for abdominal girth?

Published: 04 July 2016
Chicken or the egg: ST elevation in lead aVR or SYNTAX score

Published: 08 June 2016
Endothelial dysfunction and arterial stiffness in pre-eclampsia demonstrated by the EndoPAT method

Published: 19 May 2016
Adropin as a potential marker of enzyme-positive acute coronary syndrome

Published: 19 May 2016
Non-dipper hypertension is associated with slow coronary flow among hypertensives with normal coronary angiogram

Published: 13 May 2016
A comparison of off- and on-pump beating-heart coronary artery bypass surgery on long-term cardiovascular events

Published: 11 May 2016
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