Cardiac Emergencies in Countries with Limited Resources

  • Manish Chokhandre
  • Rekha Solomon
  • Swati Garekar


The incidence of congenital heart disease worldwide is known to be relatively unaffected by economic disparity. The challenges faced by physicians of the third world are due to paucity of resources and trained personnel in the field of pediatric cardiology.

It is estimated that nearly 100,000 babies with critical congenital heart disease are born annually in India. There are approximately 30 dedicated cardiac centers to cater to this population. This coupled with the numerous intangible effects of a less literate population poses a barrier to the care provided.

This chapter is an overview of common or important heart diseases seen by the third-world physicians. A few are primarily cardiac, while the rest are where the cardiac manifestation is a part of systemic involvement. The underlying theme is that vaccination, better nutrition, general hygiene, and timely care can either prevent these diseases or ensure a better outcome.


Stroke Dengue Human immunodeficiency virus Diphtheria Tetanus Hypocalcemic cardiomyopathy Resource-limited/developing/third world Infective endocarditis 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Manish Chokhandre
    • 1
  • Rekha Solomon
    • 2
  • Swati Garekar
    • 1
  1. 1.Fortis HospitalMumbaiIndia
  2. 2.BJ Wadia Hospital for ChildrenMumbaiIndia

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