PMID- 28838969 OWN - NLM STAT- MEDLINE DCOM- 20171226 LR - 20180124 IS - 1468-2044 (Electronic) IS - 0003-9888 (Linking) VI - 103 IP - 1 DP - 2018 Jan TI - Acquired heart disease in low-income and middle-income countries. PG - 73-77 LID - 10.1136/archdischild-2016-312521 [doi] AB - The burden of illness associated with acquired cardiac disease in children in low-income and middle-income countries (LMIC) is significant and may be equivalent to that of congenital heart disease. Rheumatic heart disease, endomyocardial fibrosis, cardiomyopathy (including HIV cardiomyopathy) and tuberculosis are the most important causes. All are associated with poverty with the neediest children having the least access to care. The associated mortality and morbidity is high. There is an urgent need to improve cardiac care in LMIC, particularly in sub-Saharan Africa and parts of Southeast Asia where the burden is highest. CI - (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. FAU - Curry, Chris AU - Curry C AD - Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK. FAU - Zuhlke, Liesl AU - Zuhlke L AD - Cardiology, University of Cape Town, Cape Town, South Africa. FAU - Mocumbi, Ana AU - Mocumbi A AD - Cardiology, University Eduardo Mondlane, Maputo, Mozambique. FAU - Kennedy, Neil AU - Kennedy N AD - Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK. LA - eng PT - Journal Article PT - Review DEP - 20170824 PL - England TA - Arch Dis Child JT - Archives of disease in childhood JID - 0372434 SB - IM MH - Child MH - *Cost of Illness MH - Developing Countries MH - Heart Diseases/*epidemiology/etiology/therapy MH - Humans MH - Poverty OTO - NOTNLM OT - cardiology OT - tropical paediatrics COIS- Competing interests: None declared. EDAT- 2017/08/26 06:00 MHDA- 2017/12/27 06:00 CRDT- 2017/08/26 06:00 PHST- 2017/04/12 00:00 [received] PHST- 2017/08/05 00:00 [revised] PHST- 2017/08/13 00:00 [accepted] PHST- 2017/08/26 06:00 [pubmed] PHST- 2017/12/27 06:00 [medline] PHST- 2017/08/26 06:00 [entrez] AID - archdischild-2016-312521 [pii] AID - 10.1136/archdischild-2016-312521 [doi] PST - ppublish SO - Arch Dis Child. 2018 Jan;103(1):73-77. doi: 10.1136/archdischild-2016-312521. Epub 2017 Aug 24.