Portal de Periódicos da CAPES

Cardiac Pacing in Sub-Saharan Africa

2019; Elsevier BV; Volume: 74; Issue: 21 Linguagem: Inglês

10.1016/j.jacc.2019.09.034

1558-3597

Xavier Jouven, Bara Ibrahima Diop, Kumar Narayanan, Anicet Adoubi, Serigne Abdou Bâ, D Balde, Jean-Marie Damorou, Mamadou Bacary Diarra, Anastase Dzudié, Beatriz Ferreira, Sedonougbo Martin Houenassi, M.S. Ikama, A. Kane, A. Kane, Samuel Kingué, Jean-Bruno Mipinda, Ana Olga Mocumbi, A Niakara, M. Ouankou, Abdallahi Aly Sidi, Jean-Laurent Takombe, Ibrahim Ali Toure, Patrice Zabsonré, David S. Celermajer, Antoine Lafont, B Dodinot, Pascal Sagnol, Éloi Marijon,

Cardiac Structural Anomalies and Repair

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.