Worldwide practice of pediatric cardiology

Daniël De Wolf, Christopher Hugo-Hamman, Emmanuel Rusingiza, Steve Sosebee

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


mportant differences exist in the organization of care for patients with congenital heart disease (CHD) in different parts of the world. While high-income countries may provide similar care to patients, in low-income countries, patients with CHD are confronted with serious healthcare dysfunctions, including cardiac care. This leads to increased morbidity and mortality. Most of these countries do not have the necessary financial, infrastructural, logistic nor educational resources to establish a well-functioning cardiac care system on their own. Nevertheless, successful programs are realized in some of these countries. These successful programs guarantee a sustainable care resulting in improved morbidity and mortality and become reasonably independent of foreign medical support at some point. The creation of such a successful congenital cardiac care program is possible after careful planning and agreements between local authorities, health services, and foreign partners. Continuous financial support, in addition to medical, technical, and educational help, are needed to create a sustainable center that will be able to provide high-quality cardiac care. That center should create a nationwide network, allowing early diagnosis and timely referral for all patients. The center should become the motor driving education and research in the field. The goal should be to enable the local programs to operate independently of foreign partners and continue to collaborate in a mutually respectful partnership.
Original languageEnglish
Title of host publicationPediatric cardiology: fetal, pediatric, and adult congenital heart diseases
Number of pages26
ISBN (Electronic)9783030429379
Publication statusPublished - May 2023

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