When Every Minute Matters: Bangladesh needs a National Heart Care Network

The World Heart Federation's theme for World Heart Day, "Use Heart for Action", calls for coordinated action to address cardiovascular diseases, which remain the world's leading cause of death. In Bangladesh, where cardiovascular diseases cause a significant number of deaths annually, a national heart care network is needed. Rapid recognition of warning signs, quick access to help, and timely definitive treatment are crucial in saving lives.

Many cardiovascular issues can be prevented or delayed through early detection and management of risk factors like hypertension, diabetes, high cholesterol, tobacco use, obesity, kidney disease, and family history. Primary healthcare should routinely screen for these conditions, but personal responsibility alone is insufficient.

Creating safe environments for physical activity, improving food environments, strengthening tobacco control, and reducing air pollution are also necessary. Time is critical during a heart attack, and patients should receive prompt medical assessment and treatment. An ECG should be performed and interpreted rapidly, and blood tests with high-sensitivity cardiac troponin can assist diagnosis.

If a major heart attack occurs due to complete blockage of a coronary artery, restoring blood flow quickly is essential to save heart muscle and life. Bangladesh should establish a national acute coronary care network, with organized primary care, healthy living practices, and education about symptoms, CPR, and emergency activation.

Ambulances should be equipped with trained personnel, monitoring, defibrillation equipment, and communication with hospitals. Public-access defibrillators can also help, but training and maintenance are crucial.