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Current Cardiology Reports
Published in: Current Cardiology Reports 12/2019

01-12-2019 | Heart Surgery | Global Cardiovascular Health (GY Bukhman, Section Editor)

Congenital Heart Disease in Low- and Lower-Middle–Income Countries: Current Status and New Opportunities

Authors: Liesl Zühlke, John Lawrenson, George Comitis, Rik De Decker, Andre Brooks, Barend Fourie, Lenise Swanson, Christopher Hugo-Hamman

Published in: Current Cardiology Reports | Issue 12/2019

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Abstract

Purpose of Review

The paper summarises the most recent data on congenital heart disease (CHD) in low- and lower-middle–income countries (LLMICs). In addition, we present an approach to diagnosis, management and interventions in these regions and present innovations, research priorities and opportunities to improve outcomes and develop new programs.

Recent Findings

The reported birth prevalence of CHD in LLMICs is increasing, with clear evidence of the impact of surgical intervention on the burden of disease. New methods of teaching and training are demonstrating improved outcomes. Local capacity building remains the key.

Summary

There is a significant gap in epidemiological and outcomes data in CHD in LLMICs. Although the global agenda still does not address the needs of children with CHD adequately, regional initiatives are focusing on quality improvement and context-specific interventions. Future research should focus on epidemiology and the use of innovative thinking and partnerships to provide low-cost, high-impact solutions.
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Metadata
Title
Congenital Heart Disease in Low- and Lower-Middle–Income Countries: Current Status and New Opportunities
Authors
Liesl Zühlke
John Lawrenson
George Comitis
Rik De Decker
Andre Brooks
Barend Fourie
Lenise Swanson
Christopher Hugo-Hamman
Publication date
01-12-2019
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 12/2019
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-019-1248-z

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