Author + information
- Received March 3, 2020
- Revision received April 20, 2020
- Accepted April 21, 2020
- Published online July 20, 2020.
- Joselyn Rwebembera, MBChB, FCarda,∗,
- Mohamed Jeilan, MDb,∗,
- Olujimi A. Ajijola, MD, PhDc,
- Mohammed Talle, MD, MSc, MedScd,
- Mahmoud U. Sani, MD, PhDe,
- Kamilu M. Karaye, BMBCh, PhDe,
- Matthew F. Yuyun, MD, PhDf,
- George Nel, MSc, Edg,
- Loreen Akinyi, BScb,
- Saad Subahih,
- Mervat Aboulmaaty, MDi,
- Felix Sogade, MDj,
- Yazid Aoudia, MDk,
- Amam Mbakwem, MDl,
- Cabral Tantchou, MD, PhDm,
- Mohamed Salim, MD, CEPSn,
- Muzahir H. Tayebjee, MBChB, MDo,
- Joseph W. Poku, MDp,
- Brian Vezi, MBChB, MPharmMedq,
- Bundhoo Kaviraj, MDr,
- Marcus Ngantcha, MScs,
- Ashley Chin, MBChB, MPhilt and
- Aimé Bonny, MD, MScs,u,∗ (, )@BonnyAime
- aUganda Heart Institute, Kampala, Uganda
- bDepartment of Cardiology, Aga Khan University Hospital, Nairobi, Kenya
- cDavid Geffen School of Medicine at UCLA, Los Angeles, California
- dUniversity of Maiduguri Teaching Hospital, Maiduguri, Nigeria
- eBayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- fHarvard Medical School and VA Boston Healthcare System, Boston, Massachusetts
- gPan African Society of Cardiology, Head Office, Cape Town, South Africa
- hShab Teaching Hospital, Department of Cardiology, Khartoum, Sudan
- iDepartment of Cardiology, Shams University Hospital, Cairo, Egypt
- jGeorgia Arrhythmia Consultants & Research Institute, Macon, Georgia
- kCentre Hospitalier Mustapha d'Alger, Algeria
- lUniversity of Lagos and Lagos University Teaching Hospital, College of Medicine, Department of Medicine, Lagos, Nigeria
- mCardiac Centre Shisong, Shisong, Cameroon
- nAga Khan Hospital, Department of Cardiology, Mombasa, Kenya
- oWest Yorkshire Arrhythmia Service, Leeds General Infirmary, Great George Street, Leeds, United Kingdom
- pGeorgia Arrythmia Consultants, Macon, Georgia
- qGateway Private Hospital, Durban, South Africa
- rDr A.G Jeetoo Hospital, Department of Cardiology, Port Louis, Mauritius
- sHomeland Heart Center, Douala, Cameroon
- tUniversity Cape Town (UCT), Groote Schuur Hospital, Cape Town, South Africa
- uDistrict Hospital of Bonassama, University of Douala, Douala, Cameroon
- ↵∗Address for correspondence:
Dr. Aime Bonny, Homeland Heart Center, Douala, Cameroon/University of Douala, BP 2701, Douala, Cameroon.
• Studies show that pacing in Africa is insufficient with expertise only found in few cities.
• This paper reflects severe inaccessibility to life-saving treatments, which is an urgent concern.
• This paper reviews historical and current approaches to pacing training in Africa.
• Standards for a high-quality pacing training service in a resource-constrained continent are reviewed with recommendations.
The field of pacing in Africa has evolved in an uncoordinated way across the continent with significant variation in local expertise, cost, and utilization. There are many countries where pacemaker services do not meet one-hundredth of the national demand. Regional, national, and institutional standards for pacemaker qualification and credentials are lacking. This paper reviews the current needs for bradycardia pacing and evaluates what standards should be set to develop pacemaker services in a resource-constrained continent, including the challenges and opportunities of capacity building and training as well as standards for training programs (training prerequisites, case volumes, program content, and evaluation).
↵∗ Drs. Rwebembera and Jeilan contributed equally to this work.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors’ institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC author instructions page.
- Received March 3, 2020.
- Revision received April 20, 2020.
- Accepted April 21, 2020.
- 2020 American College of Cardiology Foundation
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