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Border Medicine: The Pediatric Cardiology Perspective

Ashutosh Agrawal1, Sethuraman Swaminathan2, Suvarna L Guvvala1

  • 1Texas Tech University Health Sciences Center, 4801 Alberta Avenue, El Paso, TX, 79905, USA.

Pediatric Cardiology
|July 26, 2019
PubMed

Insights

Congenital heart disease (CHD) remains a leading cause of infant death despite advances. Management is complicated by location, health systems, and socioeconomic factors, especially in US-Mexico border cities.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Surgery
  • Public Health

Background:

  • Congenital heart disease (CHD) is a significant cause of mortality in infants and young children.
  • Despite advancements in pediatric cardiology and cardiovascular surgery, CHD outcomes remain a concern.
  • Geographical location is a critical factor influencing patient outcomes.

Observation:

  • The US-Mexico border presents unique challenges in CHD management.
  • Interplay between two distinct healthcare systems complicates care delivery.
  • Socioeconomic disparities further impact patient outcomes in this region.

Findings:

  • This article examines the multifaceted factors affecting CHD patient outcomes in border cities.
  • It highlights the difficulties encountered by pediatric cardiologists practicing in these complex environments.
  • The study evaluates the interplay of patient-related and independent factors in the US-Mexico border context.

Implications:

  • Understanding these challenges is crucial for improving CHD care in border regions.
  • Addressing health system integration and socioeconomic disparities can enhance outcomes.
  • Findings can inform policy and clinical practice for pediatric cardiologists serving diverse populations.

Keywords:
Congenital heart diseasePediatric cardiologyUS–Mexico border

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