Cardiac Pacing in Sub-Saharan Africa JACC International
| Autor: | Xavier, Jouven, Bara I, Diop, Kumar, Narayanan, Anicet, Adoubi, Serigne Abdou, Ba, Dahdi, Balde, Jean-Marie, Damorou, Mamadou Bacary, Diarra, Anastase, Dzudie, Beatriz, Ferreira, Sedonougbo Martin, Houenassi, Meo-Stephane, Ikama, Abdoul, Kane, Adama, Kane, Samuel, Kingue, Jean-Bruno, Mipinda, Ana-Olga, Mocumbi, Ali, Niakara, Merimee, Ouankou, Abdallahi, Aly Sidi, Jean-Laurent, Takombe, Ibrahim Ali, Toure, Patrice, Zabsonré, David S, Celermajer, Antoine, Lafont, Bernard, Dodinot, Pascal, Sagnol, Eloi, Marijon |
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| Přispěvatelé: | Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of the American College of Cardiology Journal of the American College of Cardiology, Elsevier, 2019, 74, pp.2652-2660. ⟨10.1016/j.jacc.2019.09.034⟩ |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/j.jacc.2019.09.034⟩ |
| Popis: | Many parts of the developing world, especially Sub-Saharan Africa, completely lack access to cardiac pacing. The authors initiated a multinational program to implement cardiac pacing in 14 countries in Sub-Saharan Africa (1996 to 2018), aiming to eventually build self-sustainable capacity in each country. This was based on an "on-site training" approach of performing procedures locally and educating local health care teams to work within resource-limited settings, with prospective evaluation of the program. In 64 missions, a total of 542 permanent pacemakers were implanted. In 11 of these countries, the first pacemaker implant in the country was through the mission. More than one-half of those initially listed as suitable died before the mission(s) arrived. The proportion of implantations that were completely handled by local teams increased from 3% in 1996 to 98% in 2018. These findings demonstrate the feasibility and effectiveness of a proctorship-based approach to the development of local cardiac pacing capabilities in Sub-Saharan African nations. |
| Databáze: | OpenAIRE |
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