School of Nursing, The Johns Hopkins University, 525 North Wolfe St., Baltimore, MD, USA.
Partners in Health, Koidu, Sierra Leone.
Curr Cardiol Rep. 2020 May 19;22(7):37. doi: 10.1007/s11886-020-01290-5.
Low- and middle-income countries (LMICs) have long-battled communicable diseases, and now, a rise in non-communicable diseases (NCD) is conferring tremendous burden in these areas. Cardiovascular disease (CVD) remains the number one cause of death among NCDs across the globe. The current review provides insight regarding this disease burden and highlights challenges as well as strategies for establishing functional cardiac surgery centers and sustainable access to comprehensive cardiovascular care within LMICs.
Without effective prevention and treatment strategies, estimates suggest that deaths from CVDs will reach 24 million by the year 2030. Surgery exists as a limited option for selected patients with advanced cardiac disease in LMICs in comparison with its availability in developed countries. Multi-lateral or public-private initiatives, government investment, philanthropic efforts, innovative financing systems to strengthen Universal Health Coverage, and expansion of training options through centers of excellence appear to be the way forward to broadening the availability of cardiovascular services, inclusive of surgery, to LMICs.
中低收入国家（LMICs）长期以来一直在与传染病作斗争，而现在，非传染性疾病（NCD）的上升在这些地区带来了巨大的负担。心血管疾病（CVD）仍然是全球 NCD 死亡的首要原因。本综述提供了有关这一疾病负担的深入了解，并强调了在 LMICs 中建立功能性心脏手术中心和可持续获得全面心血管护理的挑战和策略。
如果没有有效的预防和治疗策略，估计到 2030 年，心血管疾病导致的死亡人数将达到 2400 万。与发达国家相比，手术只是 LMICs 中少数患有晚期心脏病患者的有限选择。多边或公私倡议、政府投资、慈善努力、创新融资系统以加强全民健康覆盖，以及通过卓越中心扩大培训选择，似乎是扩大心血管服务（包括手术）在 LMICs 中可及性的途径。
