HeartRescue focuses on working with healthcare partners in select communities in Bangalore, India, drawing upon lessons learned and expertise from the HeartRescue Project currently operating in the United States, and starting in Shanghai, China.
HeartRescue will begin operating in Bangalore, India, a leading education and technology center that has played an early role in the recent development of Emergency Medicine training programs.
Community Assessments: HeartRescue India is working with local partners to conduct needs assessments in each district to identify access-related barriers, service delivery gaps, community requirements, and opportunities within the acute health system.
Demonstration Projects: With results from the community assessments, HeartRescue India will engage multi-sector stakeholders to guide the program and to contribute to the design and execution of demonstration projects. These projects will focus on community-based interventions that leverage best practices and opportunities to integrate with existing health programs, supporting related policy.
Management, Measurement and Collaboration: During the implementation of the demonstration projects, HeartRescue India will manage and monitor the performance of the local initiatives to build capacity and provide technical assistance as needed. HeartRescue India will also facilitate routine information-sharing and peer-to-peer learning among the partners and local stakeholders by convening technical forums and other events.
Evaluation: At the completion of the demonstration projects, HeartRescue India will conduct evaluations in the targeted geographies to assess the impact of the program. It is expected that the emerging best practices and lessons learned will guide future acute CV systems of care in India and beyond.
India PartnersResearch Triangle Institute (RTI) International
RTI will coordinate HeartRescue global and country-level programs. RTI International is one of the world’s leading research institutes, dedicated to improving the human condition by turning knowledge into practice.The Institute for Health Metrics and Evaluation (IHME)
IHME will drive HeartRescue monitoring and evaluation. IHME is an independent global health research organization at the University of Washington that provides rigorous and comparable measurement of the world’s most important health problems.M.S. Ramaiah Medical College, Bangalore
M.S. Ramaiah Medical College, Memorial Hospital, and Advanced Learning Centre, will together coordinate the program implementation in Bangalore, India. M.S. Ramaiah Medical College is a top-25 medical research and education institute in India, with strong academic and clinical programs. It has two major hospitals, with two more hospitals in the rural setting. The Advanced Learning Centre trains hundreds of healthcare professionals each year in their state-of-the-art medical skills training labs.The University of Illinois at Chicago College of Medicine
The Department of Emergency Medicine and the Center for Global Health will partner with M.S. Ramaiah. Like M.S. Ramaiah, the University of Illinois has several health science education programs, including medicine and nursing, and was a pioneer in developing one of the first Emergency Medicine training programs in the United States. The University of Illinois at Chicago is the coordinating institution for Illinois HeartRescue.
Aruna C. Ramesh, MD, PhD, Professor & Head, Department of Emergency Medicine, MSRMC & Hospitals Chief of Operations, Medical Response, KIA, Bangalore Coordinator Medical Skills Lab, MSRALC HeartRescue India Program Director, Bangalore, India
Heart Disease and Acute CV Events in India
- Cardiovascular diseases (CVDs) remain a major cause of death worldwide. More than 17 million people died from CVDs in 2008. Over 80 percent of CVD occurs in low- and middle- income countries, and an estimated 45 percent all CVD deaths are attributed to ischemic heart diseases, including acute myocardial infarction.
- India has the largest cardiovascular disease burden of any country in the world, based on total numbers and the young age of those affected(1-4).
- Coronary artery disease (CAD) is a major contributor to death and disability in India, and its overall prevalence is increasing to epidemic proportions in Asian Indian populations. In 2010, more deaths due to ischemic heart disease occurred in South Asia than in any other region of the world(2). It is projected that by 2020, more than half of the cardiovascular heart disease burden will be in India(3).
- The highest prevalence of CVD is found in urban populations, but there is a very rapid rate of increase in CVD in rural populations as well(1,4). Current data show that 3% to 4% of Indians in rural areas and 8% to 10% in urban areas have CAD(5). Therefore, there is an urgent need for surveillance of CVD and other noncommunicable diseases (NCDs) all across India, especially with its diverse population of more than 1 billion(6).
- India is the largest democracy in the world, the second most populous country, and one of the most progressive countries in the globe. However, there are vast disparities in cardiovascular care due to limited resources, man-power, and lack of pre-hospital care infrastructure. Furthermore, interventions and treatments become challenging when the cost of care has to be borne almost entirely by the patient(7). Nevertheless, emergency medicine has recently been recognized as a new speciality and the time is ripe for a paradigm shift as the country is aware that emergency care is a right of the citizen(8).
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2. Moran AE, Forouzanfar MH, Roth GA, et al. Temporal trends in ischemic heart disease mortality in 21 world regions, 1980 to 2010: the Global Burden of Disease 2010 study. Circulation 2014;129: 1483–92.
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