Acquired heart disease in low-income and middle-income countries
Acquired heart disease in low-income and middle-income countries
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DOI：
10.1136/archdischild-2016-312521
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发表时间：
2018-01-01
影响因子：
5.2
通讯作者：
Kennedy, Neil
中科院分区：
文献类型：
--
作者：
Curry, Chris;Zuhlke, Liesl;Kennedy, Neil
低收入和中等收入国家（LMIC）儿童获得性心脏病相关的疾病负担很大，可能与先天性心脏病相当。风湿性心脏病、肌内膜纤维化、心肌病（包括HIV心肌病）和结核病是最重要的原因。所有这些都与贫困有关，最需要帮助的儿童获得照顾的机会最少。相关的死亡率和发病率很高。迫切需要改善LMIC的心脏护理，特别是在负担最高的撒哈拉以南非洲和东南亚部分地区。
The burden of illness associated with acquired cardiac disease in children in low-income and middle-income countries (LMIC) is significant and may be equivalent to that of congenital heart disease. Rheumatic heart disease, endomyocardial fibrosis, cardiomyopathy (including HIV cardiomyopathy) and tuberculosis are the most important causes. All are associated with poverty with the neediest children having the least access to care. The associated mortality and morbidity is high. There is an urgent need to improve cardiac care in LMIC, particularly in sub-Saharan Africa and parts of Southeast Asia where the burden is highest.