Rheumatic heart disease (RHD) remains the most common acquired heart disease in children in many countries of the world, especially in developing countries like Nepal. The global burden of disease caused by RHD currently falls disproportionately on children and adolescents living in the developing world, and is responsible for about 250,000 deaths annually, especially where poverty is widespread.
In Nepal, 30% of patients in a rural areas are suffering from RHD. Out of which, 10-15% need urgent surgery to prevent lifelong disability and ultimately save their life. According to recent studies, yearly about 75000 to 100000 young people are detected to have Rheumatic heart disease. If 10% of them require urgent surgery that means, yearly around 10000 young population needs surgery to prevent their early death and disability.
Due to change in life style, lack of physical exercise, use of junk food and increasing obesity, incidence of Coronary Artery disease (Heart Attack) is rising in Nepal. Its incidence is from7% to 15% depending upon the geographical condition of Nepal. In big cities like Kathmandu, Bharatpur, Birgunj, Pokhara, Hetauda and Nepalgunj incidence of heart attack is increasing rapidly up to 20%.
Congenital heart disease is another heart problem, which is absolutely unaddressed in Nepal. Most of the kids born with complex congenital heart disease don't reach their 5th birthday. Those who survive, live their life with severe disability.
Surgical Treatment of Heart disease is very much limited in Nepal. It is mostly concentrated in the Capital city, Kathmandu. Other centers, out of Kathmandu, have been established, but they are contributing minimally to tackle this huge burden of the cardiac problem.
For acute cardiac problem like heart attack, time factor matters a lot. In case of heart attack, revascularization (opening of blocked artery) is necessary to be done within 90 minutes. Due to bad roads, chaotic traffic condition, increased cost of transportation and other logistic problems, it's not always feasible to reach to a cardiac surgical center, which is in Kathmandu, on time.
1.Initiation and continuation of Cardiac Center OPD services at Hetauda Hospital.
List of Equipment for Initiation of Cardiac Center OPD
1.ECHO -1 set
2.ECG 12 channel -1 set
3.ABP Halter-4 set