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Global leadership in paediatric and congenital cardiac care: “global health advocacy, lift as you rise – an interview with Liesl J. Zühlke, MBChB, MPH, PhD”

Published online by Cambridge University Press:  04 October 2021

Justin T. Tretter*
Affiliation:
The Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
Jeffrey P. Jacobs
Affiliation:
Congenital Heart Center, UF Health Shands Children’s Hospital, Gainesville, FL, USA Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA Cardiology in the Young, Cambridge University Press, Cambridge, UK
*
Author for correspondence: J. T. Tretter, MD, The Heart Institute, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH45229, USA. Tel: 513-636-4432; Fax: 513-636-3952. E-mail: [email protected]

Abstract

Professor Liesl Zühlke is the focus of our fifth in a series of interviews in Cardiology in the Young entitled, “Global Leadership in Paediatric and Congenital Cardiac Care”. Professor Zühlke (nee Hendricks) was born in Cape Town, South Africa. She would attend medical school in her hometown at University of Cape Town, graduating in 1991. Professor Zühlke then went on to complete a Diploma in Child Health at College of Medicine in Cape Town followed by completion of her Paediatric and Paediatric Cardiology training in 1999 and 2007, respectively. She would subsequently complete her Masters of Public Health (Clinical Research Methods) at the University of Cape Town, completing her dissertation in 2011 on computer-assisted auscultation as a screening tool for cardiovascular disease, under the supervision of Professors Landon Myer and Bongani Mayosi.

Professor Zühlke began her clinical position as a paediatric cardiologist in the Department of Paediatrics and Child Health at the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa in 2007. In this role, she has been instrumental in developing a transitional clinic at the paediatric hospital, is a team member of the combined cardio-obstetric and grown-up congenital heart disease clinics, each of which are rare in South Africa, with very few similar clinics in Africa. Professor Zühlke would continue her research training, completing her Doctorate at the University of Cape Town in 2015, with her dissertation on the outcomes of asymptomatic and symptomatic rheumatic heart disease under the supervision of Professor Bongani Mayosi and Associate Professor Mark Engel. In 2015, in affiliation with the University of Cape Town and the Department of Paediatrics and the Institute of Child Health, she established The Children’s Heart Disease Research Unit, with the goals to conduct, promote and support paediatric cardiac research on the African continent, facilitate Implementation Science and provide postgraduate supervision and training in paediatric cardiac research. In 2018, she would subsequently complete her Master of Science at the London School of Economics in Health Economics, Outcomes and Management of cardiovascular sciences. Professor Zühlke currently serves as the acting Deputy-Dean of Research at the Faculty of Health Sciences, University of Cape Town.

Professor Zühlke has achieved the highest leadership positions within cardiology in South Africa, including President of the Paediatric Cardiac Society of South Africa and President of the South African Heart Association. She is internationally regarded as a leader in research related to rheumatic heart disease. Professor Zühlke’s work includes patient, family and health advocacy on a global scale, being involved in the development of policies that have been adopted by major global organisations such as the World Health Organization. In addition to her clinical and research efforts, she is highly regarded by students, colleagues and graduates as an effective teacher, mentor and advisor. This article presents our interview with Professor Zühlke, an interview that covers her experience as a thought leader in the field of Paediatric Cardiology, specifically in her work related to rheumatic heart disease, Global Health and paediatric and congenital cardiac care in resource-limited settings.

Type
Interview
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Tretter, JT, Jacobs, JP. Global leadership in paediatric and congenital cardiac care: “Following the ‘Golden Rule’ in multicentre collaborations - an interview with Jane W. Newburger, MD”. Cardiol Young 2020; 30: 12211225.CrossRefGoogle Scholar
Tretter, JT, Jacobs, JP. Global leadership in paediatric and congenital cardiac care: “Using data to improve outcomes - an interview with Jennifer S. Li, MD, MHS”. Cardiol Young 2020; 30: 12261230.CrossRefGoogle Scholar
Tretter, JT, Jacobs, JP. Global leadership in paediatric and congenital cardiac care: “Coding our way to improved care: an interview with Rodney C. G. Franklin, MBBS, MD, FRCP, FRCPCH”. Cardiol Young 2021; 31: 1119.CrossRefGoogle Scholar
Tretter, JT, Jacobs, JP. Global leadership in paediatric and congenital cardiac care: “Humility in Leadership - an interview with Katarina Hanséus, MD, PhD, President of the Association for European Paediatric and Congenital Cardiology (AEPC). Cardiol Young 2021; 31: 689695.CrossRefGoogle Scholar
Massad, MG. Christiaan Neethling Barnard (1922–2001). J Thorac Cardiovasc Surg 2002; 123: 12.CrossRefGoogle Scholar
Robertson, KA, Volmink, JA, Mayosi, BM. Towards a uniform plan for the control of rheumatic fever and rheumatic heart disease in Africa--the Awareness Surveillance Advocacy Prevention (A.S.A.P.) Programme. S Afr Med J 2006; 96: 241.Google ScholarPubMed
Carapetis, JR, Steer, AC, Mulholland, EK, Weber, M. The global burden of group A streptococcal diseases. Lancet Infect Dis 2005; 5: 685694.CrossRefGoogle Scholar
Wyber, R, Zühlke, L, Carapetis, J. The case for global investment in rheumatic heart-disease control. Bull World Health Organ 2014; 92: 768770.CrossRefGoogle ScholarPubMed
Zühlke, L, Karthikeyan, G, Engel, ME, et al. Clinical outcomes in 3343 children and adults with rheumatic heart disease from 14 low- and middle-income countries: two-year follow-up of the Global Rheumatic Heart Disease Registry (the REMEDY study). Circulation 2016; 134: 14561466.CrossRefGoogle Scholar
Karthikeyan, G, Zühlke, L, Engel, M, et al. Rationale and design of a Global Rheumatic Heart Disease Registry: the REMEDY study. Am Heart J 2012; 163: 535–40.e1.CrossRefGoogle ScholarPubMed
Zühlke, L, Engel, ME, Karthikeyan, G, et al. Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the Global Rheumatic Heart Disease Registry (the REMEDY study). Eur Heart J 2015; 36: 111522a.CrossRefGoogle Scholar
Prendergast, EA, Perkins, S, Engel, ME, et al. Participation in research improves overall patient management: insights from the Global Rheumatic Heart Disease registry (REMEDY). Cardiovasc J Afr 2018; 29: 98105.CrossRefGoogle Scholar
Karthikeyan, G, Connolly, SJ, Ntsekhe, M, et al. The INVICTUS rheumatic heart disease research program: rationale, design and baseline characteristics of a randomized trial of rivaroxaban compared to vitamin K antagonists in rheumatic valvular disease and atrial fibrillation. Am Heart J 2020; 225: 6977.CrossRefGoogle ScholarPubMed
Zühlke, L, Watkins, D, Engel, ME. Incidence, prevalence and outcomes of rheumatic heart disease in South Africa: a systematic review protocol. BMJ Open 2014; 4: e004844.CrossRefGoogle ScholarPubMed
Zühlke, LJ, Engel, ME, Watkins, D, Mayosi, BM. Incidence, prevalence and outcome of rheumatic heart disease in South Africa: a systematic review of contemporary studies. Int J Cardiol 2015; 199: 375383.CrossRefGoogle ScholarPubMed
Coates, MM, Sliwa, K, Watkins, DA, et al. An investment case for the prevention and management of rheumatic heart disease in the African Union 2021-30: a modelling study. Lancet Glob Health 2021; 9: e957e966.CrossRefGoogle ScholarPubMed
Okello, E, Beaton, A. Targeted investment needed to end rheumatic heart disease in Africa. Lancet Glob Health 2021; 9: e887e888.CrossRefGoogle ScholarPubMed
Zilla, P, Bolman, RM, Yacoub, MH, et al. The Cape Town declaration on access to cardiac surgery in the developing world. Eur J Cardiothorac Surg 2018; 54: 407410.CrossRefGoogle ScholarPubMed
Yadeta, D, Hailu, A, Haileamlak, A, et al. Prevalence of rheumatic heart disease among school children in Ethiopia: a multisite echocardiography-based screening. Int J Cardiol 2016; 221: 260263.CrossRefGoogle ScholarPubMed
Zühlke, L, Perkins, S, Cembi, S. Rheumatic heart disease patient event: Cape Town hosts 4th Annual Listen to My Heart Rheumatic Heart Disease for patients at the South African Heart Association meeting in 2017. Eur Heart J 2018; 39: 16691671.CrossRefGoogle Scholar
Dearani, JA, Neirotti, R, Kohnke, EJ, et al. Improving pediatric cardiac surgical care in developing countries: matching resources to needs. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010; 13: 3543.CrossRefGoogle Scholar
Nguyen, N, Jacobs, JP, Dearani, JA, et al. Survey of nongovernmental organizations providing pediatric cardiovascular care in low- and middle-income countries. World J Pediatr Congenit Heart Surg 2014; 5: 248255.CrossRefGoogle ScholarPubMed
Dearani, JA, Jacobs, JP, Bolman, RM, et al. Humanitarian outreach in cardiothoracic surgery: from setup to sustainability. Ann Thorac Surg 2016; 102: 10041011.CrossRefGoogle ScholarPubMed
Tretter, JT, Windram, J, Faulkner, T, et al. Heart University: a new online educational forum in paediatric and adult congenital cardiac care. The future of virtual learning in a post-pandemic world? Cardiol Young 2020; 30: 560567.CrossRefGoogle Scholar
Tretter, JT, Ramachandran, P, Zheleva, B, et al. Reply to letter “Leveraging e-learning for medical education in low- and middle-income countries. Cardiol Young 2020; 30: 905906.CrossRefGoogle Scholar
Jacobs, JP, Tchervenkov, CI, Stellin, G, et al. History of the World Society for Pediatric and Congenital Heart Surgery: the first decade. World J Pediatr Congenit Heart Surg 2018; 9: 392406.CrossRefGoogle ScholarPubMed
McMahon, CJ, Tretter, JT, Redington, AN, et al. Medical education and training within congenital cardiology: current global status and future directions in a post COVID-19 world. Cardiol Young 2021, 113. doi: 10.1017/S1047951121001645.CrossRefGoogle Scholar
Tchervenkov, CI, Herbst, C, Jacobs, JP, et al. Current status of training and certification for congenital heart surgery around the world: proceedings of the meetings of the Global Council on Education for Congenital Heart Surgery of the World Society for Pediatric and Congenital Heart Surgery. World J Pediatr Congenit Heart Surg 2021; 12: 394405.CrossRefGoogle ScholarPubMed
Hickey, PA, Connor, JA, Cherian, KM, et al. International quality improvement initiatives. Cardiol Young 2017; 27: S61s68.CrossRefGoogle ScholarPubMed
St Louis, JD, Kurosawa, H, Jonas, RA, et al. The World Database for Pediatric and Congenital Heart Surgery: the dawn of a new era of global communication and quality improvement in congenital heart disease. World J Pediatr Congenit Heart Surg 2017; 8: 597599.CrossRefGoogle ScholarPubMed
Musa, NL, Hjortdal, V, Zheleva, B, et al. The global burden of paediatric heart disease. Cardiol Young 2017; 27: S3s8.CrossRefGoogle ScholarPubMed
Zuhlke, L, Lawrenson, J, Comitis, G, et al. Congenital heart disease in low- and lower-middle-income countries: current status and new opportunities. Curr Cardiol Rep 2019; 21: 163.CrossRefGoogle ScholarPubMed
Forcillo, J, Watkins, DA, Brooks, A, et al. Making cardiac surgery feasible in African countries: experience from Namibia, Uganda, and Zambia. J Thorac Cardiovasc Surg 2019; 158: 13841393.CrossRefGoogle ScholarPubMed
Fullman, N, Yearwood, J, Abay, SM, Cristiana, A. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016. Lancet 2018; 391: 22362271.CrossRefGoogle Scholar
Zilla, P, Yacoub, M, Zühlke, L, et al. Global unmet needs in cardiac surgery. Glob Heart 2018; 13: 293303.CrossRefGoogle ScholarPubMed
Small, HY, Timoteo, AT, Buchanan, GL, et al. Gender balance at the heart of science. Cardiovasc Res 2020; 116: e115e117.CrossRefGoogle Scholar