Pacemaker therapy is inaccessible to most patients with bradycardia in Africa. Use of reconditioned pacemakers has been proposed as a safe, efficacious, and ethical means of delivering this therapy. A collaboration between PASCAR, Pace4Life, and Project My Heart Your Heart is working to address this deficit in health care in Africa.
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References
Agyepong, I. A. et al. The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa. Lancet 390, 2803–2859 (2018).
Bonny, A. et al. Statistics on the use of cardiac electronic devices and interventional electrophysiological procedures in Africa from 2011 to 2016: report of the Pan African Society of Cardiology (PASCAR) Cardiac Arrhythmias and Pacing Task Forces. Europace https://doi.org/10.1093/europace/eux353 (2017).
Baman, T. S. et al. Safety of pacemaker reuse: a meta-analysis with implications for underserved nations. Circ. Arrhythm. Electrophysiol. 4, 318–323 (2011).
Jama, Z. V. et al. Performance of re-used pacemakers and implantable cardioverter defibrillators compared with new devices at Groote Schuur Hospital in Cape Town, South Africa. Cardiovasc. J. Afr. 26, 181–187 (2015).
Kirkpatrick, J. N. et al. Reuse of pacemakers and defibrillators in developing countries: logistical, legal, and ethical barriers and solutions. Heart Rhythm 7, 1623–1627 (2010).
Baman, T. S. et al. Feasibility of postmortem device acquisition for potential reuse in underserved nations. Heart Rhythm 9, 211–214 (2012).
Gakenheimer, L. et al. Cardiac implantable electronic device reutilization: battery life of explanted devices at a tertiary care center. Pacing Clin. Electrophysiol. 37, 569–575 (2014).
Crawford, T. C. et al. Cleaning and sterilization of used cardiac implantable electronic devices with process validation: the next hurdle in device recycling. JACC Clin. Electrophysiol. 3, 623–631 (2017).
VanArtsdalen, J. et al. Pacemaker reuse for patients in resource poor countries: is something always better than nothing? Prog. Cardiovasc. Dis. 55, 300–306 (2012).
Persad, G. C. & Emanuel, E. J. The case for resource sensitivity: why it is ethical to provide cheaper, less effective treatments in global health. Hastings Cent. Rep. 47, 17–24 (2017).
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Related links
NEScientific: https://www.smarthealth-care.com/
Pace4Life: http://www.pace4life.org/
Pan-African Society of Cardiology (PASCAR): http://www.pascar.org/
Project My Heart Your Heart: http://www.myheartyourheart.org/
WHO’s Sustainable Development Goal: https://sustainabledevelopment.un.org/?menu=1300
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Wunderly, K., Yousef, Z., Bonny, A. et al. Using reconditioned pacemakers to treat bradycardia in Africa. Nat Rev Cardiol 15, 725–726 (2018). https://doi.org/10.1038/s41569-018-0076-y
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DOI: https://doi.org/10.1038/s41569-018-0076-y
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Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
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