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Developing country pediatric cardiology

Edward G Abinader
Cardiac patients of all ages were managed in the past by internists who specialized in cardiology. During the past 50 years, the medical field has witnessed great strides in the management of congenital heart disease, and thus pediatric cardiology has become a subspecialty in many countries. This review article focuses on the advances in fetal cardiac interventions (FCI) since its inception by our group in 1975. Three major modes of FCI have evolved during the past 42 years: pharmacologic, closed FCI, and open FCI...
May 2018: Israel Medical Association Journal: IMAJ
Debra Isaac, Vikhashni Nagesh, Alexandra Bell, Rodrigo Soto, Marisa Seepersaud, Kimberley Myers, Saif Zahir
Background: Children with congenital heart disease (CHD) in Guyana have not historically been managed with timely intervention, increasing the likelihood of serious, irreversible complications. In 2014, a pediatric cardiology clinical program (Guyana Paediatric Cardiology Steering Committee [GPCSC]) and partnership with International Children's Heart Foundation (BabyHeart) was developed to improve CHD care. Objectives: To describe the characteristics of CHD in Guyanese children and to determine the impact of GPCSC on CHD outcomes...
2017: Global Pediatric Health
Ana Cristina Oliveira, Sandra Mattos, Miguel Coimbra
BACKGROUND: Early detection of congenital heart disease is a worldwide problem. This is more critical in developing countries, where shortage of professional specialists and structural health care problems are a constant. E-learning has the potential to improve capacity, by overcoming distance barriers and by its ability to adapt to the reduced time of health professionals. OBJECTIVE: The study aimed to develop an e-learning pediatric cardiology basics course and evaluate its pedagogical impact and user satisfaction...
May 10, 2017: JMIR Medical Education
Pedram Nazari, Mohammad Davoodi, Mohammad Faramarzi, Mohammad Bahadoram, Nozar Dorestan
BACKGROUND: Congenital heart disease (CHD) refers to complex abnormalities that affect the structure or function of the heart due to embryonic defects. There is little accurate statistical data about prevalence, incidence and frequency in many developing countries such as Iran. The aim of this study was to evaluate the frequency of CHD in patients who were referred to the Department of Pediatric Cardiology in a large single-center in Southwestern of Iran. METHODS: This is a retrospective, cross-sectional study...
October 1, 2016: Global Journal of Health Science
Ivan Malcić, Daniel Dilber, Hrvoje Kniewald, Darko Anić, Drazen Belina, Dalibor Sarić, Dorotea Bartonicek, Alen Hodalin, Andrea Dasović-Buljević, Sanja Dorner, Vitomir Metlicić, Karmen Markicević, Marija Srsen-Krstulović
AIM: 1. To present an epidemiological (population and clinical) study of congenital heart defects (CHD) in Croatia in a 16-year period (1995-2011). 2. To analyze outcomes of surgical procedures for all patients in a five-year period (2002-2007) and to compare the results between Croatian and foreign centers. 3. To present the progress in surgical care of CHD in Croatia while acknowledging the requirement of achieving postsurgical mortality rate of below 5%. 4. To evaluate the projection of positive development of CHD management in Croatia in cooperation with major cardiac surgical centers in the neighboring countries...
November 2015: Lijec̆nic̆ki Vjesnik
Dinesh Kumar, Narendra Bagri
Pediatric cardiology is outgrowing from the shadows of adult cardiology and cardiac surgery departments in India. It promises to be an attractive and sought-after subspeciality of Pediatrics, dealing with not only congenital cardiac diseases but also metabolic, rheumatic and host of other cardiac diseases. The new government policy shall provide more training avenues for the budding pediatric cardiologists, pediatric cardiac surgeons, pediatric anesthetists, pediatric cardiac intensivists, neonatologists and a host of supportive workforce...
July 2015: Indian Pediatrics
Millena M Galdino, Sheila Mv Hazin, Juliana Ss de Araújo, Cláudio T Regis, Klecida N Rodrigues, Felipe A Mourato, Sandra da Silva Mattos
We present a case of a newborn from a remote, underserved area in the inland of Paraíba, a state from Northeast Brazil. She presented with clinical cyanosis at birth. With the aid of telemedicine, a neonatologist under online cardiology supervision performed a screening echocardiogram. The session established the diagnosis of simple transposition of the great vessels in the baby's first few hours of life. During the same telemedicine session, the necessary arrangements for transferal to a larger maternity center took place...
April 2016: Journal of Telemedicine and Telecare
Vu Minh Phuc, Do Nguyen Tin, Do Thi Cam Giang
Vietnam, in Asia, is a low middle-income country with a relatively large population to cater to. Not many know about Vietnam, or its healthcare sector especially the field of pediatric cardiology and congenital heart disease. In contrast to the developed world, congenital heart disease (CHD) is not diagnosed early. Since most of the patients visit the hospital only in later stages of the disease there are many complications during the operation and post-operatively. But during the past 5 years (from 2009), there has been major improvement in the treatment of CHD, both by intervention and surgery...
January 2015: Annals of Pediatric Cardiology
Mehdi Ghaderian, Abdol Rahman Emami-Moghadam, Mohsen Ali Samir, Majid Amin Zadeh, Abdol Hamid Saadi
INTRODUCTION: Coronary artery disease is one of the most common causes of morbidity and mortality in developed countries. Atherosclerosis begins in early childhood and progresses through life. With advances in pediatric cardiology, the prevalence of congenital heart disease in adults has increased in relation to children. A great deal of research has been conducted on serum glucose and lipid concentrations in patients with congenital heart disease, but comparison has yet to be made between congenital patients and the general population, especially in pediatric groups...
January 12, 2014: Journal of Tehran Heart Center
Marshall L Jacobs
No abstract text is available yet for this article.
January 27, 2015: Circulation
Germán Campuzano-Maya
Helicobacter pylori (H. pylori) is the most common infection in humans, with a marked disparity between developed and developing countries. Although H. pylori infections are asymptomatic in most infected individuals, they are intimately related to malignant gastric conditions such as gastric cancer and gastric mucosa-associated lymphoid tissue (MALT) lymphoma and to benign diseases such as gastritis and duodenal and gastric peptic ulcers. Since it was learned that bacteria could colonize the gastric mucosa, there have been reports in the medical literature of over 50 extragastric manifestations involving a variety medical areas of specialization...
September 28, 2014: World Journal of Gastroenterology: WJG
Nazmi Narin, Fatma Mutlu, Mustafa Argun, Abdullah Ozyurt, Ozge Pamukcu, Ali Baykan, Zeynep Baykan, Kazım Uzum
BACKGROUND: In developing countries, acute rheumatic fever is the most common cause of acquired heart disease in the paediatric and adolescent population. It is believed that vulnerability to developing acute rheumatic fever is associated with several factors such as socio-economic and living conditions. Aim Determine the incidence and clinical characteristics of acute rheumatic fever in the Central Anatolia region of Kayseri within the last 14 years, and to make a comparison of two 7-year periods...
April 2015: Cardiology in the Young
Traci A Wolbrink, Niranjan Kissoon, Jeffrey P Burns
OBJECTIVES: Advances in Internet technology now enable unprecedented global collaboration and collective knowledge exchange. Up to this time, there have been limited efforts to use these technologies to actively promote knowledge exchange across the global pediatric critical care community. To develop an open-access, peer-reviewed, not-for-profit Internet-based learning application, OPENPediatrics, a collaborative effort with the World Federation of Pediatric Intensive and Critical Care Societies, was designed to promote postgraduate educational knowledge exchange for physicians, nurses, and others caring for critically ill children worldwide...
March 2014: Pediatric Critical Care Medicine
Shahla Roodpeyma, Manuchehr Hekmat, Maryam Dordkhar, Sima Rafieyian, Arash Hashemi
OBJECTIVE: To evaluate the incidence of complications, morbidity and mortality, and the associated risk factors with mortality at a Paediatric Cardiology Intensiv Care Unit of a developing country. METHODS: The prospective observational study was conducted at Shahid Modarres Hospital, Tehran, Iran, from August 2009 to July 2010. A total of 202 patients were monitored from the time they entered the Paediatric Cardiology Intensive Care Unit till their final discharge...
January 2013: JPMA. the Journal of the Pakistan Medical Association
Robin H Kinsley
The advances made in pediatric cardiology and cardiac surgery now make it possible for survival into adulthood of the majority of children born with congenitally malformed hearts. On the African continent, unfortunately, this is only a dream as roughly 280,000 neonates born every year on the continent are left untreated, demonstrating the natural history of the congenitally malformed heart by default. Pediatric cardiac surgery is available in very few countries on this continent. This article takes a look at the problem of neonates and infants born with cardiac defects on the continent and attempts an extrapolation of the magnitude of the problem...
April 1, 2012: World Journal for Pediatric & Congenital Heart Surgery
Khawar Siddiqui, Asim Belgaumi
INTRODUCTION: The role of a reliable data-management and information system in oncology services is well established. Being a specialized branch of medicine, outcome of the treatment efforts, besides other established risk factors, is also influenced by geographic and genetic makeup of the population being treated. This shapes the need for treatment modalities to be constantly updated in light of the outcome of previous cohorts of cases. Advances in diagnostic tools and identification of new risk factors also require a constant update of the data items being collected in such systems...
2012: Journal of Registry Management
Constantine D Mavroudis, Constantine Mavroudis, Jeffrey P Jacobs, Allison Siegel
Significant challenges face developing countries as a result of the maldistribution of access to healthcare throughout the world, specifically access to paediatric cardiac care. Sustainable paediatric cardiac programmes must be established in developing countries to provide care to all children with congenital heart disease. Education and research are essential components to sustainable paediatric cardiac programmes in developing countries to define local problems and the incidence of disease, and to generate solutions thereto related...
December 2012: Cardiology in the Young
Theresa Farhat, Zahi Abdul-Sater, Mounir Obeid, Mariam Arabi, Karim Diab, Samer Masri, Zohair Al Haless, Georges Nemer, Fadi Bitar
Congenital heart disease (CHD) is the most common congenital anomaly, affecting 1 % of live births. The field of pediatric cardiology has witnessed major advances over the past 25 years triggered by research initiatives focusing on CHD. However, large disparities exist in research capabilities between Arab developing nations and the developed nations. This study used bibliometric analysis to assess the contribution of the Arab countries to CHD research. To identify articles on CHD published in the Arab countries, the United States, and Europe, a systematic search was run on MEDLINE, PubMed, and Scopus...
February 2013: Pediatric Cardiology
Vera Santos, Ana Sofia Simões, Ana Teixeira, Miguel Abecasis, Marília Loureiro, Rui Anjos
Kawasaki disease (KD) is a systemic vasculitis of unknown etiology, which is the main cause of acquired heart disease in children in developed countries. The main complications result from the development of coronary aneurysms which can lead to ischemic heart disease. We present the case of a teenage boy with a diagnosis of KD at the age of seven. He was treated with gammaglobulin and aspirin and echocardiographic evaluation in the acute phase was apparently normal. At the age of eleven, he developed chest pain and exertional dyspnea...
June 2012: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
K E Kramoh, Y N K N'Goran, E Aké-Traboulsi, K C Konin, B C Boka, D B J Koffi, T M Sow, Y C Mandah, M Kakou-Guikahue
BACKGROUND: Rheumatic fever and acute rheumatic carditis (ARC), though now rare in developed countries, are the main cause of acquired heart disease in children and young adults and remain endemic in developing countries. This study aims to establish the current prevalence of ARC in Ivory Coast. PATIENTS AND METHODS: A cross-sectional retrospective study was performed between January 2000 and December 2009 in the pediatric wards of the three university hospitals in Abidjan and in the Institute of Cardiology of Abidjan...
February 2013: Annales de Cardiologie et D'angéiologie
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