Rural Cardiac Screening: Leveraging Technology from a Previously Established Echocardiographic Network

T. Johnson, E. Skipper, F. Robicsek
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Abstract

Objectives:  The authors review the history of two cardiac programs in Guatemala and Belize that were initiated by the late Dr. Francis Robicsek.  Building upon his legacy, the aim of the rural cardiac screening program is to further extend the reach to those individuals disenfranchised from cardiac services. Methods:  Complementary to the Nan Van Every Cardiology Diagnostic Network, screening stations are organized once a year at two cardiac echo stations in Guatemala and two clinics in Belize. Demographic information and medical history are collected; limited physical and diagnostic tests performed; and results are reviewed by a cardiologist and relayed to the participant. Participants with a suspected heart issue are referred to one of the cardiology and cardiac programs in Guatemala or Belize for in-depth evaluation.  Education on cardiovascular diseases, signs, symptoms, and risk factors is provided, as well as healthy lifestyle habits.  Results:  Building upon successful cardiac programs in low resource settings lends the ability to expand the cardiovascular screening and awareness reach. Heart disease is brought to the forefront in communities where there is no previously known access and clinicians are educated to identify heart problems. Conclusion: The success of Unidad de Cirugía Cardiovascular de Guatemala (UNICAR) in Guatemala City, and the cardiology and cardiac surgical programs at Karl Heusner Memorial Hospital Authority in Belize, and the Nan Van Every Cardiology Diagnostic Network, are the cornerstones to scaling the expansion and encounter individuals who have little, if any, knowledge about cardiac diseases, signs, symptoms and prevention.
农村心脏筛查:利用先前建立的超声心动图网络的技术
目的:作者回顾了危地马拉和伯利兹两个心脏项目的历史,这两个项目是由已故的弗朗西斯·罗比塞克博士发起的。以他的遗产为基础,农村心脏筛查项目的目标是进一步扩大到那些被剥夺心脏服务权利的人。方法:作为Nan Van Every心脏病学诊断网络的补充,在危地马拉的两个心脏回声站和伯利兹的两个诊所每年组织一次筛查站。收集人口统计信息和病史;进行的体检和诊断检查有限;结果由心脏病专家审查并传达给参与者。疑似心脏问题的参与者被转介到危地马拉或伯利兹的心脏病学和心脏项目之一进行深入评估。提供关于心血管疾病、体征、症状和危险因素以及健康生活习惯的教育。结果:在低资源环境下建立成功的心脏项目有助于扩大心血管筛查和意识范围。在以前没有已知途径的社区,心脏病被带到最前沿,临床医生接受了识别心脏问题的教育。结论:危地马拉心血管协会Cirugía (UNICAR)在危地马拉城的成功,以及伯利兹卡尔·豪斯纳纪念医院管理局的心脏病学和心脏外科项目,以及Nan Van Every心脏病学诊断网络的成功,是扩大规模和接触那些对心脏病、体征、症状和预防知之甚少的人的基石。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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