The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)

Detalhes bibliográficos
Autor(a) principal: Antunes, Manuel J.
Data de Publicação: 2020
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.21470/1678-9741-2020-0514
Texto Completo: http://hdl.handle.net/10316/105842
https://doi.org/10.21470/1678-9741-2020-0514
Resumo: Rheumatic heart disease (RHD) remains the most common cardiovascular disease in young adults and adolescents in need of heart surgery in low- and middle-income countries (LMICs). The mean age of patients is 20-25 years, often much younger. By contrast, the few patients with chronic RHD in developed countries present a mean age of around 55 years. It is absolutely fundamental to differentiate these two types of population. Pathology, lesions and surgical methods are different, and the results should not be compared. It is not all the same! A certain enthusiasm for mitral repair has recently surged, with several reports showing excellent results in children and young adults, resulting from the renewed interest of cardiac surgeons, also based on new and modified techniques developed in the meantime. While surgery is easily accessible to patients in developed countries, the situation in LMICs is often dramatic, with countries where there is a complete absence of or few surgical facilities absolutely unable to meet gigantic demands. Many foreign surgical teams conduct humanitarian missions in several of these countries. They are just a "drop of water in the ocean" of needs. In some cases, however, these missions led to the establishment of local teams that now work independently and, in some cases, outperform the foreign teams still visiting.
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spelling The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)Rheumatic Heart DiseaseMitral ValveMitral Valve RepairDeveloping CountriesAltruismAdolescentAdultChildHumansMiddle AgedYoung AdultCardiac Surgical ProceduresHeart Valve Prosthesis ImplantationRheumatic Heart DiseaseRheumatic heart disease (RHD) remains the most common cardiovascular disease in young adults and adolescents in need of heart surgery in low- and middle-income countries (LMICs). The mean age of patients is 20-25 years, often much younger. By contrast, the few patients with chronic RHD in developed countries present a mean age of around 55 years. It is absolutely fundamental to differentiate these two types of population. Pathology, lesions and surgical methods are different, and the results should not be compared. It is not all the same! A certain enthusiasm for mitral repair has recently surged, with several reports showing excellent results in children and young adults, resulting from the renewed interest of cardiac surgeons, also based on new and modified techniques developed in the meantime. While surgery is easily accessible to patients in developed countries, the situation in LMICs is often dramatic, with countries where there is a complete absence of or few surgical facilities absolutely unable to meet gigantic demands. Many foreign surgical teams conduct humanitarian missions in several of these countries. They are just a "drop of water in the ocean" of needs. In some cases, however, these missions led to the establishment of local teams that now work independently and, in some cases, outperform the foreign teams still visiting.Sociedade Brasileira de Cirurgia Cardiovascular2020-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/105842http://hdl.handle.net/10316/105842https://doi.org/10.21470/1678-9741-2020-0514eng16789741Antunes, Manuel J.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T21:34:19Zoai:estudogeral.uc.pt:10316/105842Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:20.462854Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
title The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
spellingShingle The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
Antunes, Manuel J.
Rheumatic Heart Disease
Mitral Valve
Mitral Valve Repair
Developing Countries
Altruism
Adolescent
Adult
Child
Humans
Middle Aged
Young Adult
Cardiac Surgical Procedures
Heart Valve Prosthesis Implantation
Rheumatic Heart Disease
Antunes, Manuel J.
Rheumatic Heart Disease
Mitral Valve
Mitral Valve Repair
Developing Countries
Altruism
Adolescent
Adult
Child
Humans
Middle Aged
Young Adult
Cardiac Surgical Procedures
Heart Valve Prosthesis Implantation
Rheumatic Heart Disease
title_short The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
title_full The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
title_fullStr The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
title_full_unstemmed The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
title_sort The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
author Antunes, Manuel J.
author_facet Antunes, Manuel J.
Antunes, Manuel J.
author_role author
dc.contributor.author.fl_str_mv Antunes, Manuel J.
dc.subject.por.fl_str_mv Rheumatic Heart Disease
Mitral Valve
Mitral Valve Repair
Developing Countries
Altruism
Adolescent
Adult
Child
Humans
Middle Aged
Young Adult
Cardiac Surgical Procedures
Heart Valve Prosthesis Implantation
Rheumatic Heart Disease
topic Rheumatic Heart Disease
Mitral Valve
Mitral Valve Repair
Developing Countries
Altruism
Adolescent
Adult
Child
Humans
Middle Aged
Young Adult
Cardiac Surgical Procedures
Heart Valve Prosthesis Implantation
Rheumatic Heart Disease
description Rheumatic heart disease (RHD) remains the most common cardiovascular disease in young adults and adolescents in need of heart surgery in low- and middle-income countries (LMICs). The mean age of patients is 20-25 years, often much younger. By contrast, the few patients with chronic RHD in developed countries present a mean age of around 55 years. It is absolutely fundamental to differentiate these two types of population. Pathology, lesions and surgical methods are different, and the results should not be compared. It is not all the same! A certain enthusiasm for mitral repair has recently surged, with several reports showing excellent results in children and young adults, resulting from the renewed interest of cardiac surgeons, also based on new and modified techniques developed in the meantime. While surgery is easily accessible to patients in developed countries, the situation in LMICs is often dramatic, with countries where there is a complete absence of or few surgical facilities absolutely unable to meet gigantic demands. Many foreign surgical teams conduct humanitarian missions in several of these countries. They are just a "drop of water in the ocean" of needs. In some cases, however, these missions led to the establishment of local teams that now work independently and, in some cases, outperform the foreign teams still visiting.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/105842
http://hdl.handle.net/10316/105842
https://doi.org/10.21470/1678-9741-2020-0514
url http://hdl.handle.net/10316/105842
https://doi.org/10.21470/1678-9741-2020-0514
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 16789741
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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dc.identifier.doi.none.fl_str_mv 10.21470/1678-9741-2020-0514