Evidence map›Paper›PMID 42129571›Full record

ReviewNature cardiovascular research2026

Ischemic heart disease burden and healthcare system readiness across sub-Saharan Africa.

Mark P Khurana, Johan S Bundgaard, Kidola Jeremiah, Cody Cichowitz, Godfrey Kisigo, Grace Ruselu, Lily Yan, Maja V Kragh, Rasmus Hasselbalch, Borja Ibáñez and 4 more

Abstract readReview
In one paragraph

Review in Nature cardiovascular research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mark P Khurana *Department of Public Health, University of Copenhagen, Copenhagen, Denmark. mark.khurana@sund.ku.dk.ORCID http://orcid.org/0000-0002-1123-7674
Johan S Bundgaard *Department of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2069-9034
Kidola JeremiahNational Institute of Medical Research, Mwanza, Tanzania.
Cody CichowitzDivision of Cardiology, University of California, San Francisco, San Francisco, CA, USA.
Godfrey KisigoNational Institute of Medical Research, Mwanza, Tanzania.
Grace RuseluNational Institute of Medical Research, Mwanza, Tanzania.
Lily YanCenter for Global Health, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-6363-7920
Maja V KraghDepartment of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark.
Rasmus HasselbalchDepartment of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark.
Borja IbáñezCentro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain.ORCID http://orcid.org/0000-0002-5036-254X
George PraygodNational Institute of Medical Research, Mwanza, Tanzania.
Daniel Faurholt-JepsenDepartment of Infectious Diseases, Copenhagen University Hospital, Copenhagen University Hospital, Copenhagen, Denmark.
Henning BundgaardDepartment of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-0563-7049
Robert N PeckCenter for Global Health, Weill Cornell Medicine, New York, NY, USA.

Funding

HIV, Sleep, Nocturnal Non-dipping, and Cardiovascular Disease: a Tanzanian CohortR01HL160332 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI PECK, ROBERT N · 2021 to 2025
$2.7M
Engaging Religious Leaders to Reduce Blood Pressures in Tanzanian CommunitiesR01HL161673 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Jennifer Alzos Downs, Robert N Peck · 2022 to 2026
$2.6M
Patient-Oriented Research in Global Cardiovascular Diseases and Interactions with HIVK24HL170902 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Robert N Peck · 2023 to 2026
$504k
Environmental Lead Pollution and Heart Failure in HaitiK23HL177149 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Lily Du Yan · 2025 to 2026
$423k
NHLBI NIH HHS K23 HL177149NHLBI NIH HHS K24 HL170902NHLBI NIH HHS R01 HL160332NHLBI NIH HHS R01 HL161673Novo Nordisk Fonden (Novo Nordisk Foundation) NNF23SA0088622U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) K23HL177149U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) K24HL170902U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL161673
6 · The paper itself

Abstract

Sub-Saharan Africa is experiencing a rapid rise in ischemic heart disease, creating new challenges for regional health systems. As populations grow and urbanize, lifestyle, metabolic, nutritional and environmental factors are reshaping the burden of noncommunicable diseases. Yet health systems, historically oriented toward communicable diseases and maternal health, show variable capacity to prevent, diagnose and treat ischemic heart disease. Despite increasing recognition, systematic assessments of country-level disease burden and healthcare capacity are limited, leaving gaps for evidence-based policy. Here we address this gap by assessing healthcare system readiness across four domains: health system capacities, primary care, secondary and tertiary care, and health system context. We highlight how limitations in workforce, essential medicines, diagnostics and policy intersect with upstream drivers such as obesity, hypertension, diabetes, smoking, dietary transitions, urbanization and environmental stressors. Meeting these challenges will require coordinated investment, equitable resource allocation and integrated prevention strategies.

Indexed as

Delivery of Health CareMyocardial IschemiaAfrica South of the SaharaCost of IllnessHealth PolicyHumansPublic Health InfrastructureResource-Limited Settings

Identifiers

PMID42129571
PMCPMC13242213

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.