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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 30, No 3, May/June 2019

AFRICA

161

18. Shavadia J, Yonga G, Otieno H. A prospective review of acute coronary

syndromes in an urban hospital in sub-Saharan Africa.

Cardiovasc J Afr

2012;

23

(6): 318–321.

19. Abusin S. State of the Journal.

Sudan Heart J

2017;

5

(1): 138–140.

20. Johnson A, Falase B, Ajose I, Onabowale Y. A cross-sectional study of

stand-alone percutaneous coronary intervention in a Nigerian Cardiac

Catheterization Laboratory.

BMC Cardiovasc Disord

2014;

14

: 8.

21. Bodian M, Sangaré Z, Mingou JS, Dioum M, Ndiaye MB, Sarr SA,

et al

.

Activity review of coronarography and angioplasty a debutant center in

sub-Saharan Africa.

Paripex-Indian J Res

2018;

7

(3): 121–123.

22. Carlson S, Duber HC, Achan J, Ikilezi G, Mokdad AH, Stergachis A,

et al

. Capacity for diagnosis and treatment of heart failure in sub-Saha-

ran Africa.

Heart

2017;

103

(23): 1874–1879.

23. Gueret P, Joffre F. Guide de bonnes pratiques et recommandations en

imagerie cardiaque en coupes.

Arch Cardiovasc Dis

2009; 1(Suppl 1): 7–62.

24. Barone-Rochette G, Jankowski A, Rodiere M. Apport de l’IRM et du

scanner cardiaque en pratique clinique courante.

Rev Med Interne

2014;

35

(11): 742–751.

25. Agboton H, Massougbodji M, Badarr G, Tchabi Y, Dossouvi C, Akindes

R. Facteurs épidémiologiques des myocardiopathies au Bénin.

Cardiol

Trop

1986;

12

: 179–183.

26. Kingué S, Kamdajeu R, Ngu BK, Bouelet AB, Ndobo P, Muna WFT.

Pronostic de la cardiomyopathie dilatée chez le noir africain selon les

données échocardiographiques et le degré d’insuffisance cardiaque.

Cardiol Trop

1999;

25

: 49–53.

27. Bertrand E. Evolution et état actuel des maladies cardiovasculaires en

Afrique subsaharienne. Paris.

Soc Pathol Exot

21 mai 2008.

28. Pyramide des âges d’Afrique subsaharienne [Available at: https://www.

populationpyramid.net/fr/afrique-subsaharienne/2018/.

Accessed date:

26th June 2018].

29. World Health Organization. The top 10 causes of death [Available at:

http://www.who.int/fr/news-room/mediacentre/fact-sheets/detail/the-top-

10-causes-of-death. Accessed date: 26th June 2018].

30. Ford ES, Giles WH, Mokdad AH. The distribution of 10-year risk for

coronary heart disease among US adults: findings from the National

Health and Nutrition Examination Survey III.

J Am Coll Cardiol

2004;

43

(10): 1791–1796.

31. Velazquez EJ, Lee KL, Deja MA, Jain A, Sokpo G, Marchenko A,

et al

.

Coronary artery bypass surgery in patients with left ventricular dysfunc-

tion.

N Engl J Med

2011;

364

(17): 1607–1616.

Cardiac surgery for the forgotten millions: the way forward

CSIA site-selection criteria

Forwarded by the CSIA members

Rheumatic heart disease (RHD) affects a disproportionate

number of people living in low- to middle-income countries

(LMIC) and exacts a heavy toll in terms of morbidity and

mortality in those afflicted. RHD is the most common

cardiovascular disease in young people worldwide, and a

majority of patients with acute rheumatic fever will develop

valvular heart disease and/or heart failure.

The Drakensberg Declaration,

1

which focused on primary

and secondary prevention, has made a significant impact

on RHD, however there remains a large number of patients

who develop structural heart disease for whom surgery is the

only effective treatment. Access to cardiac surgery remains

woefully limited or absent in the majority of LMIC. Hence

the magnitude of the suffering faced by the patients living in

these LMIC becomes apparent.

With an understanding that surgery is, and will remain, an

integral part of the management of RHD, ‘The Cape Town

Declaration on access to cardiac surgery in the developing

world’

2

was unanimously adopted, signed and published in

all the major cardiothoracic journals. The Cardiac Surgery

Intersociety Alliance (CSIA) was created along the guidelines

of the first aim of the Cape Town Declaration (CTD) to be

the effector arm of the CTD.

The CSIA is composed of representatives from the major

cardiothoracic societies [the Society of Thoracic Surgeons

(STS), the American Association for Thoracic Surgery

(AATS),theEuropeanAssociationforCardiothoracicSurgery

(EACTS) and the Asian Society for Cardiovascular and

Thoracic Surgery (ASCVTS)], the World Heart Federation

(WHF) and an industry partner. The CSIA is charged with

evaluating, endorsing, mentoring and monitoring potential

sites in LMIC to increase access to cardiac surgery, as well as

training of providers at these sites.

To achieve this goal, a list of criteria for programme

selection by the CSIA was created and is included in this

publication. This list has been reviewed and ratified by the

leadership of all of the societies whose members make up

the CSIA. The tenets of the document embody the central

message of the CTD. The criteria list was created with the

goal of being collaborative with the sites while ensuring

commitment, engagement, transparency and sustainability

from the sites that are chosen. Any site chosen will ideally

have the five pillars of CSIA-supported projects, which are

the Driver (Champion), the Local Guarantor, the Sponsor,

the Training Site and the Academic Partner.

The initial plan is to select two to three pilot sites to

initiate the project. Once success and feasibility have been

demonstrated, CSIA will expand this project to additional

sites. The CSIA is looking for sites that are passionate,

dedicated and determined to establish an enduring, successful

partnership. The CSIA will be accepting applications until

15 July 2019. All programmes are encouraged to apply. If

not selected for the initial pilot site, all applications will be

entered into a database for consideration at a future date.

References

1.

Mayosi B. Robertson K. Volmink J, Adebo W, Akinyore K, Amoah

A,

et al

. The Drakensberg Declaration on the control of rheumatic

fever and rheumatic heart disease in Africa.

S Afr Med J

2006;

96

: 246.

2.

Zilla, P, Bolman, R, Yacoub, M,

et al

. Cape Town Declaration

on access to cardiac surgery in the developing world.

J Thorac

Cardiovasc Surg

2018;

156

(6): 2206–2209.