Key result
Pediatric cardiac critical care lowers cardiovascular mortality in high-income countries, but disparities persist in lower-income regions.
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OBJECTIVES: The objectives of this review are to discuss the global epidemiology of cardiovascular disease, emphasizing congenital heart disease; to discuss the concept of epidemiologic transition and its role in studying the evolving epidemiology of disease; and to assess and address the global burden of congenital heart disease including its prevention and treatment. DATA SOURCE: MEDLINE and PubMed. CONCLUSIONS: Despite impressive reductions in mortality from congenital and acquired cardiovascular disease in high-income countries, these reductions have not been observed on a global scale. It will be necessary to continue our attempts to extend rational programs of care to middle- and low-income countries based on community empowerment, economics, and population health. The specialist in pediatric cardiac critical care can be a central driver of these programs.
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Daniel J. Penny (2016) conducted a review in Congenital and acquired cardiovascular disease in pediatric patients. Pediatric cardiac critical care programs in high-income countries have reduced cardiovascular mortality, but these reductions have not yet been observed in low- and middle-income countries.
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