HeartmateIII

Hartfalen op afstand patiëntbeheersysteem

1. Heart disease, the major killer worldwide (31%).

2. Heart attack and stroke contribute 89% of deaths.

3. Heart attack? Only 2 hours available with us to act and save a life.

4. 90% of people cannot reach a hospital in 2 hours (Indian scenario).

5. After a Heart attack, 25-30% die in 6 months. Maximum deaths in the first 24 hours.

6. Only 25% of people get proper cardiac care.

7. Our project HEARTMATE-III can solve this problem to a major extent.

Cardiovascular Diseases(CVD) are the number one cause of death globally. More people die annually from CVDs than from any other cause. An estimated 17.9 million people died from CVDs in 2016, representing 31% of all global deaths. Of these deaths, 85% are due to heart attack and stroke. Once there is a heart attack, heart muscle injury starts after 20 minutes. And necrosis of myocardium completed in 3 to 4 hours depending on severity and anatomy. Once necrosis sets in, it may lead to death or heart failure reducing life expectancy. More than 90% of people in India don't have access to a Cardiac Center and many of them cannot reach to a Hospital within 4 hours of the onset of chest pain. It is the reason for the higher number of death resulting out of heart attack or heart failure in survivors.

The global incidence and prevalence rates of HF are approaching epidemic proportions as evidenced by the relentless increase in the number of heart failure hospitalizations , the growing number of heart failure deaths and the spiraling costs associated with the care of HF patients.. Worldwide HF affects almost 23 million people. In the united states, the most recent epidemiologic data suggest that 5.7 million Americans have HF and is estimated that by 2030 the prevalence will increase by 25% from current estimates. The estimated prevalence of symptomatic HF in the general European population is similar to that in the United States and ranges from 0.4% to 2%. As per NIH study lifetime risk of developing HF is approximately one in five for a 40-year-old.

The burden of HF in India is very high which is about 5-10 million patients. Indian patients are younger , sicker and get less medication and care as compared to what is recommended in guidelines. The mortality is 20-30% over six months after an episode of acute decompensation and use of guideline-based medical therapy is only 25-50%. In the Trivandrum Heart Failure Registry, one of the three HF patients died within 1 year of follow-up.

Higher incidence and less of resource, the increasing trend in young Indian population is a major concern.

1. WHO has prescribed a 1:1000 doctor-patient ratio, but this ratio in India is about 1:2000.

2. Rural India has one-fourth the doctors as compared to urban areas.

3. India has less than 600 Cardiac Care centres in India as per data of National Intervention Cardiology Council.

4. 25 districts in Odisha don’t have Cardiac care facility.

5. More than 90% of people cannot reach to a cardiac care centre within 4 hours of heart attack and fatality is very high.

6. After a cardiac event poor follow-up and care in rural population further add on to mortality rate.

We need a system which can assist in Instant diagnosis of Myocardial Infarction (Heart Attack) so that treatment delay can be overcome. Diagnosis and treatment can be started at the village level before patient reach hospital, which will save a life. The same system can further be utilized for monitoring of health status of a cardiac patient at his home, that will reduce unnecessary hospital visit plus warning the patient when to visit the hospital. It reduces the cost of therapy as well as reduce morbidity and mortality.