MINISTRY OF HEALTH
KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
DIVISION OF NON-COMMUNICABLE DISEASES
MINISTRY OF HEALTH
, Republic of Kenya
MINISTRY OF HEALTH
KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
DIVISION OF NON-COMMUNICABLE DISEASES
MINISTRY OF HEALTH
OMBOSIS
THR
OF
Y
AN
IET
DH
YA SOC
AEMOSTASI
E KEN
S
TH
,KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
Developed by the Division of Non-Communicable Diseases - Ministry of Health
Copyright 2018 Ministry of Health
Any part of this document may be freely reviewed quoted, reproduced or translated
in full or in part so long as the source is acknowledged. It is not for sale or for use
in commercial purposes.
Enquiries regarding the Kenya National Guidelines for Cardiovascular Diseases Management
should be addressed to the:
Division of Non-communicable Diseases,
Ministry of Health
P.O. Box 30016 – 00100 Nairobi, Kenya
Telephone: +254 202717077/+254202722599
Email:
Website: www.health.go.ke
, Contents
Foreword ............................................................................................................. ii
Preface .................................................................................................................. iii
Acknowledgement........................................................................................... iv
Introduction ........................................................................................................ 1
Prevention of Cardiovascular Disease ....................................................... 8
Hypertension ....................................................................................................... 24
Ischemic Heart Disease (IHD) ........................................................................ 47
Heart Failure ........................................................................................................ 61
Rheumatic Fever, Rheumatic Heart Disease ............................................ 91
Infective Endocarditis ....................................................................................... 111
Congenital Heart Disease In Children And Adults ................................ 122
Venous Thromboembolism ........................................................................... 132
Stroke .................................................................................................................... 144
Cardiovascular Disease Among The Elderly............................................. 158
Cardiovascular Disease In Diabetes ........................................................... 167
Cardiovascular Disease In People Living
With HIV/AIDS (PLHIV) .................................................................................... 171
Cardiovascular Disease In Chronic Kidney Disease .............................. 193
Cardiovascular Disease In Pregnancy ....................................................... 196
Cardiovascular Disease In Athletes ............................................................. 221
Palliative Care ..................................................................................................... 220
Annexes ................................................................................................................ 226
List of Contributors ........................................................................................... 230
Kenya National Guidelines for Cardiovascular Diseases Management |i
KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
DIVISION OF NON-COMMUNICABLE DISEASES
MINISTRY OF HEALTH
, Republic of Kenya
MINISTRY OF HEALTH
KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
DIVISION OF NON-COMMUNICABLE DISEASES
MINISTRY OF HEALTH
OMBOSIS
THR
OF
Y
AN
IET
DH
YA SOC
AEMOSTASI
E KEN
S
TH
,KENYA NATIONAL GUIDELINES
FOR CARDIOVASCULAR DISEASES
MANAGEMENT
Developed by the Division of Non-Communicable Diseases - Ministry of Health
Copyright 2018 Ministry of Health
Any part of this document may be freely reviewed quoted, reproduced or translated
in full or in part so long as the source is acknowledged. It is not for sale or for use
in commercial purposes.
Enquiries regarding the Kenya National Guidelines for Cardiovascular Diseases Management
should be addressed to the:
Division of Non-communicable Diseases,
Ministry of Health
P.O. Box 30016 – 00100 Nairobi, Kenya
Telephone: +254 202717077/+254202722599
Email:
Website: www.health.go.ke
, Contents
Foreword ............................................................................................................. ii
Preface .................................................................................................................. iii
Acknowledgement........................................................................................... iv
Introduction ........................................................................................................ 1
Prevention of Cardiovascular Disease ....................................................... 8
Hypertension ....................................................................................................... 24
Ischemic Heart Disease (IHD) ........................................................................ 47
Heart Failure ........................................................................................................ 61
Rheumatic Fever, Rheumatic Heart Disease ............................................ 91
Infective Endocarditis ....................................................................................... 111
Congenital Heart Disease In Children And Adults ................................ 122
Venous Thromboembolism ........................................................................... 132
Stroke .................................................................................................................... 144
Cardiovascular Disease Among The Elderly............................................. 158
Cardiovascular Disease In Diabetes ........................................................... 167
Cardiovascular Disease In People Living
With HIV/AIDS (PLHIV) .................................................................................... 171
Cardiovascular Disease In Chronic Kidney Disease .............................. 193
Cardiovascular Disease In Pregnancy ....................................................... 196
Cardiovascular Disease In Athletes ............................................................. 221
Palliative Care ..................................................................................................... 220
Annexes ................................................................................................................ 226
List of Contributors ........................................................................................... 230
Kenya National Guidelines for Cardiovascular Diseases Management |i
