Visit our new website: worldnews.easybranches.com

Karnataka cardiologists to extend angioplasty scheme to remote areas

  • Mon, 20 Mar 2017 14:16

Cardiologists from Karnataka are set to launch a major programme to expand the coverage of angioplasty in far-flung areas. Doctors from Sri Jayadeva Institute of Cardiology, Narayana Hrudalaya and many smaller hospitals would be associated with the scheme that is likely to be rolled out first in Kalaburagi by the middle of this year.

"We will have to equip 10-15 taluk hospitals and train the doctors, which may take some time. We hope to start the programme around June-July," cardiologist and director of Jayadeva Hospital C M Manjunath told DH.

The programme would be based on a hub-and-spoke model that involves quick transfer of a patient in an ambulance to a small health centre before transferring him/her to a bigger hospital. Trained paramedics would perform an ECG inside the ambulance and transmit the image to specialists in hub hospitals where cardiologists would screen it and guide the van to nearby spoke centres for clot-busting medication before the patient is taken to the hub hospital for angiography and angioplasty, if needed. Subsequently, three more programmes would begin in areas surrounding Bengaluru, Mysuru and Mangaluru, each catering to a population of about 25 lakh.

The model was successfully tested in Tamil Nadu and received support from the Indian Council of Medical Research (ICMR). "We are expanding our model in Karnataka, Andhra Pradesh, Telangana and Meghalaya. In Karnataka, 12 cath labs will be associated with the programme, including Jayadeva Hospital and Narayan Hrudalaya," said Director of Cardiology at the Madras Medical Mission Ajit Mullasari.

"Currently, the average symptoms-to-door (hospital) time in the country is about 400 minutes whereas ideally, the patient should be hospitalised within half-an-hour and arterial procedure be done within two hours. Such programmes would help bridge the time gap," said ICMR official S Meenakshi. The Tamil Nadu ST Elevation Myocardial Infarction Programme (TN-STEMI) is a unique heart attack management programme that demonstrated how it was possible to reduce mortality rate due to heart attacks significantly by involving a large number of hospitals and ambulances in the network.

The Tamil Nadu programme led to a nearly 10-fold increase (3.7% to 33.5%) in the proportion of patients transferred from smaller centres to bigger hospitals, higher rates of coronary angiography (from 35% to 60%) and higher rates of primary angioplasty (46% to 70%). More than 48% patients belonged from poor socio-economic background.

"Each cluster needs about Rs 1.5 crore and at least 12 ambulances for the programme," said Thomas Alexander, a cardiologist at Kovai Medical Centre and Hospital in Coimbatore, which too is involved with the Tamil Nadu project.
DH News Service

Deccan Herald - City

Tags


US Weekly

Related Stories

Signs you don't need to lose any more weight
  • Mon, 21 Aug 2017 14:40

Our body gives us different signs to indicate if we have the ideal weight. One being body's resistance to shed any more kilos, which we assume as 'wei...

Lt Col Purohit, main accused in 2008 Malegaon blast case, granted bail after 9 years in jail
  • Mon, 21 Aug 2017 12:34

Lt Colonel Prasad Shrikant Purohit, the main accused in the 2008 Malegaon blast case, was today granted interim bail by the Supreme Court. India Toda...

Doklam stand-off: 46 key roads along China border still not ready
  • Mon, 21 Aug 2017 10:32

Concerned over inordinate delays in the construction of strategic roads along the India-China border, the defence ministry has delegated more administ...

Nine airports that might make you extend a stopover
  • Mon, 21 Aug 2017 09:25

By Kate Silver Airports can sometimes feel like a necessary evil, what with the serpentine security lines, hours-long flight delays and mediocre pretz...

Egyptian MP steps back from call to extend president's term
  • Mon, 21 Aug 2017 07:18

CAIRO — The Egyptian lawmaker behind a call to amend the constitution to extend the president's term by two years says the change won't apply to Pre...

War won’t give China any clear gain, only cause casualties, assesses govt
  • Mon, 21 Aug 2017 06:37

Escalation of the Doklam stand off into a shooting war is unlikely to deliver significant gains for China, and a wider conflict carries the risk of he...

Bellandur lake now froths less, claims BDA
  • Mon, 21 Aug 2017 02:34

Bellandur lake now froths less than it did a few days ago. That's because 26 sprinklers are working round the clock in the 910-acre water body.The Ban...

Flood situation worsens in Bihar as death toll rises to 253 and more areas are inundated
  • Mon, 21 Aug 2017 00:34

Araria district accounted for 57 deaths alone, followed by Sitamarhi (31), West Champaran (29), Katihar (23), East Champaran (19) while 13 each have d...

Flight services at Delhi airport resume after drone threat
  • Sun, 20 Aug 2017 22:33

Flight services at Delhi's Indira Gandhi airport were temporarily halted after a pilot spotted a drone in the area. India Today| Top Stories

Utkal Express derails in UP's Muzaffarnagar
  • Sun, 20 Aug 2017 20:32

Times of India

U.S. extend Solheim Cup lead over Europe
  • Sun, 20 Aug 2017 19:42

(Reuters) - The United States extended their Solheim Cup advantage to a commanding five points after an impressive afternoon fourball session at Des M...


News Categories