Heart is a precious organ of the body , amongst all the organs Heart is regarded as King of organs. With the beating heart life starts ,when heart beat stops life end.
Heart breaks, heart can be repaired .one can see heart through imaging studies ,you can listen heart but heart doesn’t listen last not the least heart speaks ,but it’s language ” miyaoo miyaoo ” every physician can’t understand it require good clinical training and experience indeed ,it’s science and a art . Which has vanished in modern clinical practice.
First World heart day was celeberated by World heart federation on 24th September 2000.since then it’s celeberated all over the world every year last Sunday of September. We were not far behind thanks to Mrs Nargis malik editor of jang Sunday magazine, we celeberated ist World heart day on 30th September 2001.prof Hamid Shafqat was president of pakistan cardiac society ,Prof Azhar Masood Farooqui ( my teacher in South ward during NICVD residency in 1987) I was representing Dow medical college and civil hospital cardiology junior most British trained cardiologist in City in those days.( I presented data of 5000 CHK patients )
Long Before independence of Pakistan communicable infectious diseases were main cause of death.In 1998 and 1999 World health organization first time published a report and things turn turtle they said in one year GLOBALLY 60% people died because of non communicable diseases ( NCD ) and cardiovascular problems were on top of the list .This was a thought provoking first report .At that time WHO gave warning to World that if we did not took serious notice of this vivid message to World that it will rise to 73% by 2020.
Only this week WHO has published report from Geneva by Bente Mikkelsen that non communicable disease ( CVS ,Cancer, diabetes are responsible for 74% deaths globally.surprizingly 86% of global premature deaths are occuring in lower to middle income countries.
41 million people die because of unhealthy lifestyle and poor living.17 million died under age of 70 year .Every 2 second some body is dying some where in world below age of 70 yr.
Now we can imagine our success in past 20 years , who should be blamed.I think all stakeholders.
Despite knowing all yet we spent very minimal amount at national and even internationally financing is spent on NCD .Its not a matter of health issue but also a issue of equity.Many people in poor countries do not have access to prevention and guide line directed treatment and care they need . Our people are still dying from mosquitoes.
we have a huge network of heart hospitals across the country ,we spent tons of money on treatment of extreme heart problems at the cost of very little on prevention of preventable heart problems.
We have focused on acute heart attack and primary PCI ,which is very good .with the successful treatment of acute MI we have produced millions of stage B heart failure.
Are we doing enough to target stage A and B pre asymptomatic heart failure to prevent symptomatic stage stage C heart failure,which is main cause of ist and recurrent heart failure admissions.costly and deadly situation.
Is Any hospital in country offering services to diagnose stage D advanced heart failure syndrome .
Do we have a single cardio pulmonary exercise test (CPET ) maschine which is gold standard in diagnosis of advanced heart failure to offer advanced therapies ( like LVAD and orthotopic heart transplant ).if yes kindly update me.
On this world heart day I have my self created two new slides one traditional factors for atherothrombotic CAD and few I have added from my side beyond CAD and few spiritual factors based on my own experience.
Last not the least Every thing to be done by WHO for us where we stand in 75 years so here is my Pakistan healthy heart living zones .
Green,orange and red zones any layman above 13 years of age can apply in day today life , it’s very simple ,free comprehensive message .so be ever green but remember score zero does not mean nothing will happen,but probability of cardiac event is low.
If any body has burning question ,comments or critism please do comment and to help to improve selfcare zone system.( it’s summary of problems on World heart day.
