Device Use in the Developing World-Device Use in the Developing World

Video Transcription

Video Summary

The session at the Heart Rhythm 2025 conference in San Diego, hosted by esteemed professionals from Yale, Mount Sinai, University of Michigan, and other notable institutions, highlighted the challenges and innovations in device use for cardiovascular diseases in developing countries. The focus was on improving access to pacemakers in resource-limited settings, where significant disparities in healthcare availability exist. Dr. Thomas Crawford, from the University of Michigan, shared insights from the "My Heart, Your Heart" project, which is studying the post-mortem reuse of pacemakers. He explained the rigorous process of device sterilization and testing, emphasizing the project's success in clinical trials that showed no significant difference in safety between new and reconditioned devices. Dr. Okeudo Nwowo discussed the need for affordable pacemaker alternatives, suggesting the development of simpler devices emphasizing essential functions. Dr. Ijeoma Ikeru highlighted the holistic approach required for successful device implantation programs, stressing the importance of comprehensive ecosystems that include diagnostic, follow-up, and education components. Lastly, Dr. Sri Sundaram described the long-term benefits of skill transfer missions, which have led to sustainable pacemaker programs in countries like Cambodia. The session underscored the critical need for international collaboration, innovative solutions, and the development of local expertise to address the vast need for cardiac devices in low and middle-income countries. The discussion also touched on the importance of patient follow-up care and the potential for remote monitoring technologies to enhance device management and patient outcomes.

Keywords

Heart Rhythm 2025

cardiovascular diseases

pacemakers

developing countries

device sterilization

healthcare disparities

My Heart Your Heart project

affordable pacemaker alternatives

skill transfer missions

remote monitoring technologies