Global Device Use - Cautionary Tales, Case Studies and Success Stories-Global Device Use - Cautionary Tales, Case Studies and Success Stories

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Video Summary

The session at the Heart Rhythm 2025 conference focused on various topics related to cardiac device implantation in different global regions, notably Africa and Pakistan, highlighting both advancements and challenges. Dr. Felix Shogady discussed the landscape of cardiac resynchronization therapy (CRT) implantation in Africa, emphasizing significant regional disparities, limited data due to centralized registries, and the role of socio-economic factors affecting implantation rates. He underscored the necessity for global collaboration to address these disparities and improve device accessibility and healthcare infrastructure.<br /><br />In a similar vein, Dr. Fareeha Sadiq Ali from Pakistan outlined the cultural and economic barriers faced in her country. She discussed her journey in setting up a specialized electrophysiology practice, touching on cultural myths that hinder device acceptance and the economic challenges of affording these life-saving devices. She also highlighted innovative solutions like remote monitoring systems and the potential implementation of reprocessed devices to curb costs.<br /><br />Dr. Brian Bezzi shared insights from South Africa about conduction system pacing and innovative dual-lead ICD implants, pointing at potential cost-saving strategies crucial for regions with limited resources.<br /><br />Dr. Fania Mela spoke about the exigency and mechanisms for establishing lead extraction programs, emphasizing the importance of infection management, the challenges in setting up such programs, and the potential utility of remote consultations in resource-limited settings.<br /><br />The discussions reflected a mix of technological advancements, regional disparities, and efforts to address them through collaboration, training, and innovative cost-effective solutions.

Keywords

Heart Rhythm 2025

cardiac device implantation

Africa

Pakistan

cardiac resynchronization therapy

socio-economic factors

electrophysiology practice

cultural barriers

remote monitoring

lead extraction programs