The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
Autor(a) principal: | |
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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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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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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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 |
|
_version_ |
1822240123520024576 |
dc.identifier.doi.none.fl_str_mv |
10.21470/1678-9741-2020-0514 |