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Front Cardiovasc Med. 2021 Nov 02;8:740745. doi: 10.3389/fcvm.2021.740745. eCollection 2021.

Societies of Futures Past: Examining the History and Potential of International Society Collaborations in Addressing the Burden of Rheumatic Heart Disease in the Developing World.

Frontiers in cardiovascular medicine

Zachary Obinna Enumah, Percy Boateng, Ralph Morton Bolman, Friedhelm Beyersdorf, Liesl Zühlke, Maurice Musoni, Adriano Tivane, Peter Zilla

Affiliations

  1. Cardiac Surgery Intersociety Alliance, Cape Town, South Africa.
  2. University of Minnesota, Minneapolis, MN, United States.
  3. Department of Cardiovascular Surgery, University Hospital Freiburg, Freiburg im Breisgau, Germany.
  4. Faculty of Medicine, Albert-Ludwigs-University Freiburg, Freiburg im Breisgau, Germany.
  5. Division of Paediatric Cardiology, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
  6. Division of Cardiology, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
  7. Cape Heart Institute (CHI), Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
  8. Faculty of Health Sciences, Institute of Infectious Disease and Molecular Medicine (IDM), University of Cape Town, Cape Town, South Africa.
  9. King Faisal Hospital Kigali, Kigali, Rwanda.

PMID: 34796211 PMCID: PMC8592898 DOI: 10.3389/fcvm.2021.740745

Abstract

This paper explores the role and place of national, regional, and international society collaborations in addressing the major global burden of rheumatic heart disease (RHD). On the same order of HIV, RHD affects over 40 million people worldwide. In this article, we will outline the background and current therapeutic landscape for cardiac surgery in low- and middle-income countries (LMICs) including the resource-constrained settings within which RHD surgery often occurs. This creates numerous challenges to delivering adequate surgical care and post-operative management for RHD patients, and thus provides some context for a growing movement for and applicability of structural heart approaches, innovative valve replacement technologies, and minimally invasive techniques in this setting. Intertwined and building from this context will be the remainder of the paper which elaborates how national, regional, and international societies have collaborated to address rheumatic heart disease in the past (e.g., Drakensberg Declaration, World Heart Federation Working Group on RHD) with a focus on primary and secondary prevention. We then provide the recent history and context of the growing movement for how surgery has become front and center in the discussion of addressing RHD through the passing of the Cape Town Declaration.

Copyright © 2021 Enumah, Boateng, Bolman, Beyersdorf, Zühlke, Musoni, Tivane and Zilla.

Keywords: CSIA; academic societies; cardiac surgery; cardiac surgery intersociety alliance; registry; rheumatic heart disease

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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