Department of Cardiology and Vascular Medicine, Faculty of Medicine, Hasanuddin University, Makassar 90245, Indonesia.
Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Glob Heart. 2022 Sep 13;17(1):66. doi: 10.5334/gh.1133. eCollection 2022.
Although cardiovascular care has improved in the last decade in the low- and middle-income countries (LMICs) in South-East Asia Region; these countries, particularly Indonesia, are still encountering a number of challenges in providing standardized healthcare systems. This article aimed to highlight the current state of cardiology practices in primary and secondary care, including the novel cardiovascular risk factors, recommendations for improving the quality of care, and future directions of cardiovascular research in limited settings in South-East Asia. We also provided the most recent evidence by addressing our latest findings on cardiovascular research in Indonesia, a region where infrastructure, human, and financial resources are largely limited. Improving healthcare policies to reduce a nations' exposure to CVD risk factors, providing affordable and accessible cardiovascular care both at primary and secondary levels, and increasing capacity building for clinical research should be warranted in the LMICs in South-East Asia.
尽管过去十年中东南亚地区的低收入和中等收入国家（LMICs）的心血管保健水平有所提高，但这些国家，特别是印度尼西亚，在提供标准化医疗保健系统方面仍面临许多挑战。本文旨在重点介绍初级和二级保健中心的心脏病学实践现状，包括新出现的心血管危险因素、改善护理质量的建议，以及在东南亚资源有限的环境中进行心血管研究的未来方向。我们还通过探讨印度尼西亚心血管研究的最新发现提供了最新证据，印度尼西亚的基础设施、人力和财力资源都非常有限。改善医疗保健政策以减少国家面临的 CVD 危险因素，提供负担得起和可及的初级和二级心血管保健，以及加强临床研究能力建设，这些都应该在东南亚的 LMICs 中得到重视。
