Tertiary prevention and treatment of rheumatic heart disease: a National Heart, Lung, and Blood Institute working group summary

被引:9
|
作者
Vervoort, Dominique [1 ]
Yilgwan, Christopher Sabo [2 ]
Ansong, Annette [3 ]
Baumgartner, Jennifer N. [4 ]
Bansal, Geetha [5 ]
Bukhman, Gene [6 ,7 ]
Cannon, Jeffrey W. [8 ]
Cardarelli, Marcelo [9 ]
Cunningham, Madeleine W. [10 ]
Fenton, Kathleen [11 ]
Green-Parker, Melissa [4 ]
Karthikeyan, Ganesan [12 ]
Masterson, Mary [11 ]
Maswime, Salome [13 ]
Mensah, George A. [11 ]
Mocumbi, Ana [14 ,15 ]
Kpodonu, Jacques [16 ]
Okello, Emmy [17 ]
Remenyi, B. [18 ]
Williams, Makeda [11 ]
Zuehlke, Liesl J. [19 ,20 ]
Sable, Craig [21 ]
机构
[1] Univ Toronto, Div Cardiac Surg, Toronto, ON, Canada
[2] JOS Univ Teaching Hosp, Dept Paediat, Jos, Plateau, Nigeria
[3] Childrens Natl Hosp, Outpatient Cardiol, Washington, DC USA
[4] Natl Inst Hlth Off Dis Prevent, Bethesda, MD USA
[5] John E Fogarty Int Ctr, Div Int Training & Res, Bethesda, MD USA
[6] Brigham & Womens Hosp, Ctr Integrat Sci, Boston, MA USA
[7] Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA
[8] Telethon Kids Inst, Dept Global Hlth & Populat, Nedlands, WA, Australia
[9] Inova Children Hosp, Pediat Heart Surg, Falls Church, VA USA
[10] Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USA
[11] NHLBI, Bethesda, MD USA
[12] All India Inst Med Sci, New Delhi, Delhi, India
[13] Univ Cape Town Fac Hlth Sci, Global Surg, Observ, Western Cape, South Africa
[14] Inst Nacl Saude, Non Communicable Dis, Maputo, Mozambique
[15] Univ Eduardo Mondlane, Maputo, Mozambique
[16] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Surg, Div Cardiac Surg, Boston, MA USA
[17] Uganda Heart Inst Ltd, Cardiol, Kampala, Uganda
[18] Charles Darwin Univ, Menzies Sch Hlth Res, Casuarina, NT, Australia
[19] South African Med Res Council, Tygerberg, South Africa
[20] Red Cross War Mem Childrens Hosp, Dept Med, Rondebosch, Western Cape, South Africa
[21] Childrens Natl Hosp, Div Cardiol, Washington, DC 20010 USA
来源
BMJ GLOBAL HEALTH | 2023年 / 8卷 / SUPPL_9期
基金
英国医学研究理事会; 加拿大健康研究院; 美国国家卫生研究院; 新加坡国家研究基金会;
关键词
treatment; prevention strategies; cardiovascular disease; review; surgery; MITRAL-VALVE-REPLACEMENT; CARDIAC-SURGERY; ATRIAL-FIBRILLATION; DEVELOPING-COUNTRIES; CLINICAL-OUTCOMES; PULMONARY VALVE; GLOBAL BURDEN; RISK-FACTORS; FAILURE; CHILDREN;
D O I
10.1136/bmjgh-2023-012355
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Although entirely preventable, rheumatic heart disease (RHD), a disease of poverty and social disadvantage resulting in high morbidity and mortality, remains an ever-present burden in low-income and middle-income countries (LMICs) and rural, remote, marginalised and disenfranchised populations within high-income countries. In late 2021, the National Heart, Lung, and Blood Institute convened a workshop to explore the current state of science, to identify basic science and clinical research priorities to support RHD eradication efforts worldwide. This was done through the inclusion of multidisciplinary global experts, including cardiovascular and non-cardiovascular specialists as well as health policy and health economics experts, many of whom also represented or closely worked with patient-family organisations and local governments. This report summarises findings from one of the four working groups, the Tertiary Prevention Working Group, that was charged with assessing the management of late complications of RHD, including surgical interventions for patients with RHD. Due to the high prevalence of RHD in LMICs, particular emphasis was made on gaining a better understanding of needs in the field from the perspectives of the patient, community, provider, health system and policy-maker. We outline priorities to support the development, and implementation of accessible, affordable and sustainable interventions in low-resource settings to manage RHD and related complications. These priorities and other interventions need to be adapted to and driven by local contexts and integrated into health systems to best meet the needs of local communities.
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页数:11
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