Global disparities in arrhythmia care: Mind the gap

Sharif, Zain; Ptaszek, Leon M.

doi:10.1016/j.hroo.2022.09.007

Cited by 3 publications

(3 citation statements)

References 80 publications

(105 reference statements)

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“…27 Moreover, notwithstanding the associated morbimortality, many of the resource-limited settings have deficiencies in delivery of comprehensive arrhythmia care. 7,28 Particularly in SSA region, about 50% of patients requiring pacemaker implantation succumb to premature sudden cardiac death due to unavailability of pacing services. 4,29 Psychiatric assessment continues to be the exception rather than the standard of care in routine clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…inadequate access to formal electrophysiology capacity development) gaps. 6,7 It is apparent that chronic diseases provoke significant distress and consequently necessitate modification in various life domains across the disease trajectory course. 8 Irrespective of their baseline mental status, psychological adaptation after pacemaker implantation could be challenging to patients.…”

Section: Introductionmentioning

confidence: 99%

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Psychopathology associated with cardiac pacing in Tanzania: A case series

Pallangyo,

Mgopa,

Bhalia

et al. 2023

SAGE Open Medical Case Reports

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Emotional disarray linked to interventional procedures may potentially aggravate previous psychiatric conditions or even precipitate new psychopathologies. Despite of the well-known deleterious impact of mental health disorders on cardiac outcomes, psychological disturbances are relatively understudied yet of vital importance to the overall health of post-pacing patients. In this case series we present a spectrum of mental illnesses observed in a cohort of patients who underwent permanent pacemaker implantation in Tanzania’s national referral cardiac centre. Five individuals of African origin aged between 58 and 81 years presented to Jakaya Kikwete Cardiac Institute with clinical conditions warranting permanent pacemaker implantation. All five denied prior history of mental illness, however, after thorough psychiatric reviews; organic brain syndrome, panic disorder, brief psychotic disorder, adjustment disorder and major depressive disorder diagnoses were reached. All five were successfully channeled for medical psychotherapy. To conclude, this case series illustrates variable consequences of poor psychological adaptation to implantable cardiac devices, and it underscores the importance of continued psychological evaluation to such patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychopathology associated with cardiac pacing in Tanzania: A case series

Pallangyo,

Mgopa,

Bhalia

et al. 2023

SAGE Open Medical Case Reports

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“…Sharif and Ptaszek 13 elaborate on the global disparities in the epidemiology of arrhythmias, specifically because of limitations in registries and diagnostic studies. The rate of implantation of bradycardia devices in African countries dominated by lupus, sarcoid, or postsurgical atrioventricular block is 200-fold lower than that in high-income countries.…”

mentioning

confidence: 99%

Special issue on electrophysiology and arrhythmia management around the globe: Challenges and opportunities explored

Srivatsa

2022

Heart Rhythm O2

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Cardiac implantable electronic device infection: Microbiology and antibiotic prophylaxis

Paralkar,

Godbole,

Mundhe

2023

IJMR

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Cardiovascular implantable electronic devices (CIED) improve quality of life of patients with cardiac arrhythmias and also improves chances of survival. CIEDs, however it may cause complications. To avoid these complications surgical prophylaxis in CIED insertion is required to avoid infection. Due to the rise in antimicrobial resistance the use of antimicrobial agents should be rational and under control. To prevent resistance of antibiotics their use and duration of therapy should be monitored. The high-end and restricted antibiotics should be used only if organisms grow in cultures or if suggested by infectious disease specialists. This review focuses on empirical antibiotics used as prophylaxis. The purpose of this document is to outline the antimicrobial options which can be used as an empirical prophylactic agent in CIED infections.

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Global disparities in arrhythmia care: Mind the gap

Cited by 3 publications

References 80 publications

Psychopathology associated with cardiac pacing in Tanzania: A case series

Psychopathology associated with cardiac pacing in Tanzania: A case series

Special issue on electrophysiology and arrhythmia management around the globe: Challenges and opportunities explored

Cardiac implantable electronic device infection: Microbiology and antibiotic prophylaxis

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