Pacemakers implantation and radiofrequency catheter ablation procedures during medical missions in Morocco: an 8-year experience

Bun, Sok‐Sithikun; Laţcu, Decebal Gabriel; Errahmouni, Abdelkarim; Zarqane, Naïma; Yaici, K.; Moustaghfir, A.; Tazi-Mezalek, Amale; Saoudi, Nadir

doi:10.1093/europace/euv292

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…Four of the studies on heart failure patients were hospital-based and 1 included outpatients [32]. Patients who (recently) underwent cardiac surgery had an AF prevalence of 4.0% to 17.0% [36][37][38][39][40]. Stroke patients, which include patients who had an acute stroke or had a history of stroke, had an AF prevalence of 1.5% to 17.6% [41][42][43][44][45][46][47].…”

Section: Af Prevalencementioning

confidence: 99%

Atrial Fibrillation in Africa—An Under-Reported and Unrecognized Risk Factor for Stroke: A Systematic Review

Jacobs

Hulst

Adeoye

et al. 2019

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Over three-quarters of deaths from cardiovascular disease and diabetes occur in low-and middle-income countries, which include many African countries. Global studies showed that the prevalence of the cardiac arrhythmia atrial fibrillation (AF) appeared to be lower in Africa. A systematic search of PubMed and African Journals Online was conducted to determine the prevalence of AF and associated stroke risk factors in Africa and to quantify the need for screening. The publications search yielded a total of 840 articles of which 41 were included. AF was often not identified as the disease of primary interest with its own risks. Data on prevalence in the general population was scarce. The prevalence of stroke risk factors showed a large variation between studies, as well as within clustered subpopulations. AF in Africa is under-reported in published reports. The study types and populations are highly heterogeneous, making it difficult to draw a definitive conclusion on AF prevalence.

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Section: Af Prevalencementioning

confidence: 99%

Atrial Fibrillation in Africa—An Under-Reported and Unrecognized Risk Factor for Stroke: A Systematic Review

Jacobs

Hulst

Adeoye

et al. 2019

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“…In 2007, the Monaco-Morocco Cardiology Association was created to develop strategies to provide assistance to an LMIC. 59 Two medical missions per year were scheduled, averaging 4 days for each stay, with two physicians and a nurse traveling from Monaco to Morocco. All pacemakers (the can-generator, and the leads implanted in the heart)…”

Section: Non-ngo Initiativesmentioning

confidence: 99%

“…Non‐NGO initiatives include hospital groups from developed countries targeting specific assistance to a LMIC. In 2007, the Monaco–Morocco Cardiology Association was created to develop strategies to provide assistance to an LMIC 59 …”

Section: Non‐ngo Initiativesmentioning

confidence: 99%

The reuse of cardiac pacemakers and defibrillators: A convoluted history in an era of global health

Lemery

2023

Cardiovasc electrophysiol

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Following the development of permanent transvenous cardiac pacing in the 1960s, the costs of pacemakers quickly led to their reuse in both developed countries and in low‐and middle‐income countries (LMIC). Legal, ethical, and industrial factors gradually resulted in the termination of reuse in developed countries. Without health care budgets to pay for costly pacemaker technologies, nongovernmental organizations (NGOs), and other groups have provided support to physicians and hospitals treating patients with heart block in LMICs. Multiple other academic and private groups have also assisted such patients in LMICs. Pacemaker companies have provided physicians and hospitals with new devices (that have an expired package date or through charitable donations). Greater care of preparing and cleaning refurbished devices have demonstrated overwhelmingly the safety and effectiveness of reused devices. More recently, cardiac resynchronization therapy and implantable cardioverter‐defibrillators have also been reused in patients in LMICs. While the globalization of noncommunicable diseases continues, patients with rhythm disorders in LMICs can no longer be left behind. While patients in developed countries only receive new devices to treat rhythm disorders, the practice of reused cardiac implantable electronic devices will expand in LMICs, until equal access to device technologies be made available to all.

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“…Sok-Sithikun and colleagues performed 31 radiofrequency ablations of different types of SVTs during medical missions to Morocco with a 93.5% success rate. Although the procedures were performed by experienced cardiac electrophysiologists, they were performed in orthopedics or gynecology theater, without good quality fluoroscopy and contemporary electroanatomic mapping or ablation catheters (49).…”

Section: Challenges To Management Of Svt In Lmicsmentioning

confidence: 99%

Cardiac arrhythmias in low- and middle-income countries

Mkoko¹,

Bahiru²,

Ajijola³

et al. 2020

Cardiovasc Diagn Ther

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Pacemakers implantation and radiofrequency catheter ablation procedures during medical missions in Morocco: an 8-year experience

Abstract: Radiofrequency catheter ablation for arrhythmias in developing countries is technically challenging but feasible, despite technical and cultural difficulties.

Cited by 5 publications

References 12 publications

Atrial Fibrillation in Africa—An Under-Reported and Unrecognized Risk Factor for Stroke: A Systematic Review

Atrial Fibrillation in Africa—An Under-Reported and Unrecognized Risk Factor for Stroke: A Systematic Review

The reuse of cardiac pacemakers and defibrillators: A convoluted history in an era of global health

Cardiac arrhythmias in low- and middle-income countries

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