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

01.12.2019 | Global Cardiovascular Health (GY Bukhman, Section Editor)

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

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

Erschienen in: Current Cardiology Reports | Ausgabe 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.
Literatur
1.
2.••
Zheleva B, Atwood JB. The invisible child: childhood heart disease in global health. Lancet. 2017;389(10064):16–8 This is an important paper for global advocacy. PubMedCrossRef
3.••
Liu Y, Chen S, Zuhlke L, Black GC, Choy MK, Li N, et al. Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol. 2019; This is a recent systematic review.
4.
Tchervenkov CI, Jacobs JP, Bernier PL, Stellin G, Kurosawa H, Mavroudis C, et al. The improvement of care for paediatric and congenital cardiac disease across the world: a challenge for the World Society for Pediatric and Congenital Heart Surgery. Cardiol Young. 2008;18(Suppl 2):63–9.PubMedCrossRef
5.••
van der Bom T, Bouma Bj Fau - Meijboom FJ, Meijboom Fj Fau - Zwinderman AH, Zwinderman Ah Fau - Mulder BJM, Mulder BJ (n.d.) The prevalence of adult congenital heart disease, results from a systematic review and evidence based calculation. (1097-6744 (Electronic)). This is a classic text.
6.••
Zhao QM, Liu F, Wu L, Ma XJ, Niu C, Huang GY. Prevalence of congenital heart disease at live birth in China. J Pediatr. 2019;204:53–8 This is a recent systematic review that demonstrates the increase in prevalence based on a proactive data collection method. PubMedCrossRef
7.
Moons P, Sluysmans T, De Wolf D, Massin M, Suys B, Benatar A, et al. Congenital heart disease in 111 225 births in Belgium: birth prevalence, treatment and survival in the 21st century. Acta Paediatr. 2009;98(3):472–7.PubMedCrossRef
8.•
Murray CJ, Ezzati M, Flaxman AD, Lim S, Lozano R, Michaud C, et al. GBD 2010: design, definitions, and metrics. Lancet. 2012;380(9859):2063–6. Important burden of disease data. PubMedCrossRef
9.••
10.
Batte A, Lwabi P, Lubega S, Kiguli S, Otwombe K, Chimoyi L, et al. Wasting, underweight and stunting among children with congenital heart disease presenting at Mulago hospital. Uganda BMC Pediatr. 2017;17(1):10.PubMedCrossRef
11.
Ngwezi DP, Hornberger LK, Osornio-Vargas A (2018) The role of socioeconomic status and the development of congenital heart disease: a scoping review. Adv Pediatric Res (5)19
12.
GBD 2017 Causes of Death Collaborators. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1736–88.CrossRef
13.••
Higashi H, Barendregt JJ, Kassebaum NJ, Weiser TG, Bickler SW, Vos T. The burden of selected congenital anomalies amenable to surgery in low and middle-income regions: cleft lip and palate, congenital heart anomalies and neural tube defects. Arch Dis Child. 2015;100(3):233–8 This is a fascinating paper and interesting data exploration. PubMedCrossRef
14.
Ellis J, Martin R, Wilde P, Tometzki A, Senkungu J, Nansera D. Echocardiographic, chest X-ray and electrocardiogram findings in children presenting with heart failure to a Ugandan paediatric ward. Trop Dr. 2007;37(3):149–50.
15.
Okoromah CA, Ekure EN, Lesi FE, Okunowo WO, Tijani BO, Okeiyi JC. Prevalence, profile and predictors of malnutrition in children with congenital heart defects: a case-control observational study. Arch Dis Child. 2011;96(4):354–60.PubMedCrossRef
16.
Okoromah CA, Ekure EN, Ojo OO, Animasahun BA, Bastos MI. Structural heart disease in children in Lagos: profile, problems and prospects. Niger Postgrad Med J. 2008;15(2):82–8.PubMed
17.
Abqari S, Gupta A, Shahab T, Rabbani MU, Ali SM, Firdaus U. Profile and risk factors for congenital heart defects: a study in a tertiary care hospital. Ann Pediatr Cardiol. 2016;9(3):216–21.PubMedPubMedCentralCrossRef
18.
Hussain MTS, Sayeed MA, et al. Past and present pattern of congenital heart disease at Dhaka Shishu hospital: a situation analysis. Bangladesh J Child Healt. 2010;34:51–5.CrossRef
19.
Gonzalez Font AE, Carrete Ramirez FA, Gonzalez Fernandez DR. Prenatal diagnosis of congenital heart disease by echocardiography in Matanzas Province, Cuba, from 1990 to 1995. Archivos de Cardiologia de Mexico. 2005;75(2):159–64.PubMed
20.•
Newberry L, Kennedy N, Greene EA. Development of a subspecialty cardiology curriculum for paediatric registrars in Malawi: implementation of a long-distance hybrid model. Malawi Med J. 2016;28(2):57–60 This is an innovative approach. PubMedPubMedCentralCrossRef
21.
Sahu SPS. Current status and challenges of medical device innovations-Indian perspective. J Intellect Property Rights. 2017;22:329–35.
22.
Kumar RK. Screening for congenital heart disease in India: rationale, practical challenges, and pragmatic strategies. Ann Pediatr Cardiol. 2016;9(2):111–4.PubMedPubMedCentralCrossRef
23.
Van Niekerk AM, Cullis RM, Linley LL, Zuhlke L. Feasibility of pulse oximetry pre-discharge screening implementation for detecting critical congenital heart lesions in newborns in a secondary level maternity hospital in the Western Cape, South Africa: the ‘POPSICLe’ study. S Afr Med J. 2016;106(8):817–21.PubMedCrossRef
24.•
Hu XJ, Ma XJ, Zhao QM, Yan WL, Ge XL, Jia B, et al. Pulse oximetry and auscultation for congenital heart disease detection. Pediatrics. 2017;140(4). This is a recent review. PubMedCrossRef
25.
Tworetzky W, McElhinney DB, Brook MM, Reddy VM, Hanley FL, Silverman NH. Echocardiographic diagnosis alone for the complete repair of major congenital heart defects. J Am Coll Cardiol. 1999;33(1):228–33.PubMedCrossRef
26.
Hewitson J, Zilla P. Children’s heart disease in sub-Saharan Africa: challenging the burden of disease. S A Heart. 2010;7(1):18–29.
27.
Hoffman JI, Kaplan S, Liberthson RR. Prevalence of congenital heart disease. Am Heart J. 2004;147(3):425–39.PubMedCrossRef
28.
Leblanc JG. Creating a global climate for pediatric cardiac care. World J Pediatr. 2009;5(2):89–92.PubMedCrossRef
29.•
Ali S, Bushari T. Validation of the accuracy of handheld echocardiography for diagnosis of congenital heart disease. Ann Pediatr Cardiol. 2018;11(3):250–4 This is an innovative approach. PubMedPubMedCentralCrossRef
30.
Chamsi-Pasha MA, Sengupta PP, Zoghbi WA. Handheld echocardiography: current state and future perspectives. Circulation. 2017;136(22):2178–88.PubMedCrossRef
31.
Epstein D, Petersiel N, Klein E, Marcusohn E, Aviran E, Harel R, et al. Pocket-size point-of-care ultrasound in rural Uganda - a unique opportunity “to see”, where no imaging facilities are available. Travel Med Infect Dis. 2018;23:87–93.PubMedCrossRef
32.•
Singh S, Bansal M, Maheshwari P, Adams D, Sengupta SP, Price R, et al. American Society of Echocardiography: remote echocardiography with web-based assessments for referrals at a distance (ASE-REWARD) study. J Am Soc Echocardiogr. 2013;26(3):221–33 This is an innovative approach. PubMedCrossRef
33.•
Kiberu VM, Scott RE, Mars M. Assessing core, e-learning, clinical and technology readiness to integrate telemedicine at public health facilities in Uganda: a health facility - based survey. BMC Health Serv Res. 2019;19(1):266 This is an innovative approach. PubMedPubMedCentralCrossRef
34.•
Isaac D, Nagesh V, Bell A, Soto R, Seepersaud M, Myers K, et al. Impact of a pediatric cardiology clinical program on congenital heart disease outcomes in Guyana. Glob Pediatr Health. 2017;4:2333794X17731667 This is an innovative approach. PubMedPubMedCentral
35.
Groves AM, Singh Y, Dempsey E, Molnar Z, Austin T, El-Khuffash A, et al. Introduction to neonatologist-performed echocardiography. Pediatr Res. 2018;84(Suppl 1):1–12.PubMedPubMedCentralCrossRef
36.
Siripornpitak S, Pornkul R, Khowsathit P, Layangool T, Promphan W, Pongpanich B. Cardiac CT angiography in children with congenital heart disease. Eur J Radiol. 2013;82(7):1067–82.PubMedCrossRef
37.
Cheng Z, Wang X, Duan Y, Wu L, Wu D, Chao B, et al. Low-dose prospective ECG-triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience. Eur Radiol. 2010;20(10):2503–11.PubMedCrossRef
38.
Gokhroo RK, Anantharaj A, Bisht D, Kishor K, Plakkal N, Mondal N. A pediatric echocardiographic Z-score nomogram for a developing country: Indian pediatric echocardiography study - the Z-score. Ann Pediatr Cardiol. 2018;11(1):109–11.PubMedPubMedCentral
39.
Shidhika FF, Hugo-Hamman CT, Lawrenson JB, Du Toit HJ, Vosloo SM, Brooks A, et al. The Namibian Children’s Heart Project: a South-South partnership to provide cardiac care. Cardiol Young. 2019;29(2):206–13.PubMedCrossRef
40.
Molloy FJ, Nguyen N, Mize M, Wright G, St George-Hyslop C, O’Callaghan M, et al. Medical missions for the provision of paediatric cardiac surgery in low- and middle-income countries. Cardiol Young. 2017;27(S6):S47–54.PubMedCrossRef
41.
Corno AF. Paediatric and congenital cardiac surgery in emerging economies: surgical ‘safari’ versus educational programmes. Interact Cardiovasc Thorac Surg. 2016;23(1):163–7.PubMedPubMedCentralCrossRef
42.•
Senga J, Rusingiza E, Mucumbitsi J, Binagwaho A, Suys B, Lys C, et al. Catheter interventions in congenital heart disease without regular catheterization laboratory equipment: the chain of hope experience in Rwanda. Pediatr Cardiol. 2013;34(1):39–45 This is an innovative approach. PubMedCrossRef
43.
Tefera E, Qureshi SA, Bermudez-Canete R. Successful training of self-sufficient interventional paediatric cardiology team in a sub-Saharan setting: a multicentre collaborative model. Cardiol Young. 2015;25(5):874–8.PubMedCrossRef
44.
45.
Almanla A, Charafeddine F, Abutaqa M, Mustafa H, Tabbakh A, Hussein HB, et al. Transcatheter closure of atrial septal defects: comparable experience and outcomes between developing and developed countries. Pediatr Cardiol. 2019;40(3):610–5.PubMedCrossRef
46.
Manuel V, Morais H, Turquetto ALR, Miguel G, Miana LA, Pedro A, et al. Single ventricle palliation in a developing sub-Saharan African country: what should be improved? World J Pediatr Congenit Heart Surg. 2019;10(2):164–70.PubMedCrossRef
47.
Huang YC, Chang JS, Lai YC, Li PC. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Pediatr Neonatol. 2009;50(6):280–6.PubMedCrossRef
48.
Tan CA, Levi DS, Moore JW. Embolization and transcatheter retrieval of coils and devices. Pediatr Cardiol. 2005;26(3):267–74.PubMedCrossRef
49.
Dearani JA, Neirotti R, Kohnke EJ, Sinha KK, Cabalka AK, Barnes RD, et al. Improving pediatric cardiac surgical care in developing countries: matching resources to needs. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2010;13(1):35–43.PubMedCrossRef
50.•
Palacios-Macedo A, Mery CM, Cabrera AG, Bastero P, Tamariz-Cruz O, Diliz-Nava H, et al. A novel private-public hybrid model for treatment of congenital heart disease in Mexico. World J Pediatr Congenit Heart Surg. 2019;10(2):206–13 This is an innovative approach. PubMedCrossRef
51.••
van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of conge nital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241–7 This is a classic text. PubMedCrossRef
52.
Farouk H, Shaker A, El-Faramawy A, Mahrous A, Baghdady Y, Adel A, et al. Adult congenital heart disease registry at Cairo University: a report of the first 100 patients. World J Pediatr Congenit Heart Surg. 2015;6(1):53–8.PubMedCrossRef
53.
Edwin F, Sereboe LA, Tettey MM, Aniteye EA, Kotei DA, Tamatey MM, et al. Experience from a single centre concerning the surgical spectrum and outcome of adolescents and adults with congenitally malformed hearts in West Africa. Cardiol Young. 2010;20(2):159–64.PubMedCrossRef
54.•
Edwin F, Zuhlke L, Farouk H, Mocumbi AO, Entsua-Mensah K, Delsol-Gyan D, et al. Status and challenges of care in Africa for adults with congenital heart defects. World J Pediatr Congenit Heart Surg. 2017;8(4):495–501 This is one of the few texts covering this subject. PubMedCrossRef
55.
Kempny A, Fernandez-Jimenez R, Tutarel O, Dimopoulos K, Uebing A, Shiina Y, et al. Meeting the challenge: the evolving global landscape of adult congenital heart disease. Int J Cardiol. 2013;168(6):5182–9.PubMedCrossRef
56.
Long MA, Smit FE, Brown SC. Twenty years of adult congenital heart surgery: a single-center African experience. World J Pediatr Congenit Heart Surg. 2016;7(5):619–25.PubMedCrossRef
57.
Edwin F, Elgamal MA, Dorra A, Reddy D, Entsua-Mensah K, Adzamli I, et al. Challenges of caring for functionally single ventricle patients in Africa. World J Pediatr Congenit Heart Surg. 2019;10(3):338–42.PubMedCrossRef
58.
Hu Z, Yuan X, Rao K, Zheng Z, Hu S. National trend in congenital heart disease mortality in China during 2003 to 2010: a population-based study. J Thorac Cardiovasc Surg. 2014;148(2):596–602.e1.PubMedCrossRef
59.••
Roos-Hesselink J, Baris L, Johnson M, De Backer J, Otto C, Marelli A, et al. Pregnancy outcomes in women with cardiovascular disease: evolving trends over 10 years in the ESC Registry Of Pregnancy And Cardiac disease (ROPAC). Eur Heart J. 2019. https://​doi.​org/​10.​1093/​eurheartj/​ehz136. This paper discusses the important findings of the ROPAC registry.
60.
Mocumbi AO, Jamal KK, Mbakwem A, Shung-King M, Sliwa K. The pan-African Society of Cardiology position paper on reproductive healthcare for women with rheumatic heart disease. Cardiovasc J Afr. 2018;29:1–10.CrossRef
61.••
Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, Blomstrom-Lundqvist C, Cifkova R, De Bonis M, et al. ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–241 This paper discusses guidelines for the management of cardiovascular diseases during pregnancy. PubMedCrossRef
62.
Sliwa K, Libhaber E, Elliott C, Momberg Z, Osman A, Zuhlke L, et al. Spectrum of cardiac disease in maternity in a low-resource cohort in South Africa. Heart. 2014;100(24):1967–74.PubMedCrossRef
63.
Sliwa K, Azibani F, Baard J, Osman A, Zuhlke L, Lachmann A, et al. Reducing late maternal death due to cardiovascular disease - a pragmatic pilot study. Int J Cardiol. 2018;272:70–6.PubMedCrossRef
64.
Zilla P, Yacoub M, Zuhlke L, Beyersdorf F, Sliwa K, Khubulava G, et al. Global unmet needs in cardiac surgery. Glob Heart. 2018;13(4):293–303.PubMedCrossRef
65.
Zilla P, Bolman RM, Yacoub MH, Beyersdorf F, Sliwa K, Zuhlke L, et al. The Cape Town declaration on access to cardiac surgery in the developing world. Ann Thorac Surg. 2018;106(3):930–3.PubMedCrossRef
66.
Curry C, Zuhlke L, Mocumbi A, Kennedy N. Acquired heart disease in low-income and middle-income countries. Arch Dis Child. 2018;103(1):73–7.PubMedCrossRef
67.
Zühlke L, Mirabel M, Marijon E. Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities. Heart. 2013;99(21):1554–61.PubMedCrossRef
68.
Forcillo J, Watkins DA, Brooks A, Hugo-Hamman C, Chikoya L, Oketcho M, et al. Making cardiac surgery feasible in African countries: experience from Namibia, Uganda, and Zambia. J Thorac Cardiovasc Surg. 2019.
69.••
Mocumbi AO. The challenges of cardiac surgery for African children. Cardiovasc J Afr. 2012;23(3):165–7 This is an important paper and discussion. PubMedPubMedCentralCrossRef
70.
Mocumbi AO, Lameira E, Yaksh A, Paul L, Ferreira MB, Sidi D. Challenges on the management of congenital heart disease in developing countries. Int J Cardiol. 2011;148(3):285–8.PubMedCrossRef
71.
Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011;377(9761):228–41.PubMedCrossRef
72.
Yacoub M, Hosny H, Afifi A. Improving postoperative outcome of congenital heart surgery in low/middle-income countries: climbing mount excellence. Heart. 2017;103(21):1658–9.PubMedCrossRef
73.
Mocumbi AO. African experiences of humanitarian cardiovascular medicine: the Mozambican experience. Cardiovasc Diagn Ther. 2012;2(3):246–51.PubMedPubMedCentral
74.••
Lajos PS, Carpentier AF. Vien Tim Institut du Coeur: success of a congenital heart disease center in a developing country. Ann Glob Health. 2016;82(4):621–4 This paper discusses the IQIC and outcomes. PubMedCrossRef
75.
Khan A, Abdullah A, Ahmad H, Rizvi A, Batool S, Jenkins KJ, et al. Impact of International Quality Improvement Collaborative on congenital heart surgery in Pakistan. Heart. 2017;103(21):1680–6.PubMedCrossRef
76.
Mirabel M, Lachaud M, Offredo L, Lachaud C, Zuschmidt B, Ferreira B, et al. Cardiac surgery in low-income settings: 10 years of experience from two countries. Arch Cardiovasc Dis. 2017;110(2):82–90.PubMedCrossRef
77.•
Dearani JA, Overman DM. Optimizing pediatric cardiac care in developing countries: the role of in-country collaboration. World J Pediatr Congenit Heart Surg. 2019;10(2):214–5 This is an important p discussion. PubMedCrossRef
78.
Schidlow DN, Jenkins KJ, Gauvreau K, Croti UA, Giang DTC, Konda RK, et al. Transposition of the great arteries in the developing world: surgery and outcomes. J Am Coll Cardiol. 2017;69(1):43–51.PubMedPubMedCentralCrossRef
79.
Yacoub M, Hosny H, Afifi A. Surgery for TGA in developing countries: the end of the beginning. J Am Coll Cardiol. 2017;69(1):52–5.PubMedCrossRef
80.
Jenkins KJ, Castaneda AR, Cherian KM, Couser CA, Dale EK, Gauvreau K, et al. Reducing mortality and infections after congenital heart surgery in the developing world. Pediatrics. 2014;134(5):e1422–30.PubMedCrossRef
81.••
Balachandran R, Kappanayil M, Sen AC, Sudhakar A, Nair SG, Sunil GS, et al. Impact of the International Quality Improvement Collaborative on outcomes after congenital heart surgery: a single center experience in a developing economy. Ann Card Anaesth. 2015;18(1):52–7 This paper discusses the IQIC and outcomes. PubMedPubMedCentralCrossRef
82.
Brooks A, Geldenhuys A, Zuhlke L, Human P, Zilla P. Pulmonary artery banding: still a valuable option in developing countries? Eur J Cardiothorac Surg. 2012;41(2):272–6.PubMedCrossRef
83.
Bower JLCC. Disruptive technologies: catching the wave. Harv Bus Rev. 1995;73:43–53.
84.
Aliku TO, Lubega S, Namuyonga J, Mwambu T, Oketcho M, Omagino JO, et al. Pediatric cardiovascular care in Uganda: current status, challenges, and opportunities for the future. Ann Pediatr Cardiol. 2017;10(1):50–7.PubMedPubMedCentralCrossRef
85.
86.
Sinha SK, Razi M, Pandey RN, Kumar P, Krishna V, Jha MJ, et al. Prospective evaluation of the feasibility, safety, and efficacy of Cocoon Duct Occluder for transcatheter closure of large patent ductus arteriosus: a single-center study with short- and medium-term follow-up results. Anatolian J Cardiol. 2017;18(5):321–7.
87.
Chen Q, Cao H, Zhang GC, Chen LW, Lu H, Yu LL. Transcatheter device closure of atrial septal defects guided completely by transthoracic echocardiography: a single cardiac center experience with 152 cases. Anatolian J Cardiol. 2018;20(6):330–5.
88.
89.
Adams AJ, Wasson EA, Admire JR, Pablo Gomez P, Babayeuski RA, Sako EY, et al. A comparison of teaching modalities and fidelity of simulation levels in teaching resuscitation scenarios. J Surg Educ. 2015;72(5):778–85.PubMedCrossRef
Metadaten
Titel
Congenital Heart Disease in Low- and Lower-Middle–Income Countries: Current Status and New Opportunities
verfasst von
Liesl Zühlke
John Lawrenson
George Comitis
Rik De Decker
Andre Brooks
Barend Fourie
Lenise Swanson
Christopher Hugo-Hamman
Publikationsdatum
01.12.2019
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 12/2019
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-019-1248-z

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