Advancing global equity in cardiac care as cardiac implantable electronic device reuse comes of age.

Autor:	Alyesh D; South Denver Cardiology Associates, Littleton, Colorado., Pavri BB; Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Choe W; South Denver Cardiology Associates, Littleton, Colorado., Chandara M; New World Heart Center, Phnom Penh, Cambodia., Sani MU; Bayero University Kano & Aminu Kano Teaching Hospital, Kano State, Nigeria., Phan PD; Bac Mai Hospital, Hanoi, Vietnam., Bonny A; Gyneco-obstetric and Pediatric Douala Hospital, University of Douala, Douala, Cameroon.; Centre Hospitalier Le Raincy-Montfermeil, France., Khairy P; Montreal Heart Institute, Montreal, Canada., Sinha SK; Johns Hopkins University School of Medicine, Baltimore, Maryland., Srivatsa U; University of California Davis Health, Sacramento, California., Marine JE; Johns Hopkins University School of Medicine, Baltimore, Maryland., Eagle K; University of Michigan, Ann Arbor, Michigan., Crawford TC; University of Michigan, Ann Arbor, Michigan., Lakkireddy D; Kansas City Heart Rhythm Institute, Overland Park, Kansas., Sundaram S; South Denver Cardiology Associates, Littleton, Colorado.
Jazyk:	angličtina
Zdroj:	Heart rhythm O2 [Heart Rhythm O2] 2022 Dec 16; Vol. 3 (6Part B), pp. 799-806. Date of Electronic Publication: 2022 Dec 16 (Print Publication: 2022).
DOI:	10.1016/j.hroo.2022.08.006
Abstrakt:	A nation's health and economic development are inextricably and synergistically connected. Stark differences exist between wealthy and developing nations in the use of cardiac implantable electronic devices (CIEDs). Cardiovascular disease is now the leading cause of death in low- and middle-income countries (LMIC), with a significant burden from rhythm-related diseases. As science, technology, education, and regulatory frameworks have improved, CIED recycling for exportation and reuse in LMIC has become possible and primed for widespread adoption. In our manuscript, we outline the science and regulatory pathways regarding CIED reuse. We propose a pathway to advance this technology that includes creating a task force to establish standards for CIED reuse, leveraging professional organizations in areas of need to foster the professional skills for CIED reuse, collaborating with regulatory agencies to create more efficient regulatory expectations and bring the concept to scale, and establishing a global CIED reuse registry for quality assurance and future science. (© 2022 Heart Rhythm Society. Published by Elsevier Inc.)
Databáze:	MEDLINE
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