Burden of bradycardia and barriers to accessing bradycardia therapy in underserved countries

Author:

Egas Diego12,Rodriguez Francisco1,Jaswal Aparna3,Jeilan Mohamed4,Milasinovic Goran5,Al Fagih Ahmed6

Affiliation:

1. Impulso Especialistas en Enfermedades Cardíacas, Department of Cardiology and Electrophysiology, Metropolitano Hospital of Quito, Ecuador, Medical Towers Metropolitano Hospital , Office 214 , Quito 170135, Ecuador

2. PUCE-TEC Technologies, Pontifical Catholic University of Ecuador , Quito 170143 , Ecuador

3. Department of Cardiac Pacing & Electropysiology, Fortis Escorts Heart Institute , New Delhi, Delhi 110025 , India

4. Section of Cardiology, Aga Khan University Hospital , Box 30270, Nairobi , Kenya

5. Referral Pacemaker Center, Clinical Centre of Serbia , 11000 Belgrade , Serbia

6. Electrophysiology Division, Prince Sultan Cardiac Center , As Sulimaniyah, Riyadh 13213 , Saudi Arabia

Abstract

Abstract Bradycardia, a condition characterized by an abnormally slow heart rate, poses significant challenges in terms of diagnosis and treatment. While it is a concern world-wide, low- and middle-income countries (LMICs) face substantial barriers in accessing appropriate bradycardia therapy. This article aims to explore the global aetiology and incidence of bradycardia, compare the prevalence and management of the condition in high-income countries versus LMICs, identify the key reasons behind the disparities in access to bradycardia therapy in LMICs, and emphasize the urgent need to address these disparities to ensure equitable healthcare on a global scale.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

Reference43 articles.

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4. Familial sinus bradycardia associated with a mutation in the cardiac pacemaker channel;Milanesi;N Engl J Med,2006

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