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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.
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.
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