Combating Rheumatic Heart Disease in Pakistan: An Experience of Training, Screening and Community Outreach

Amna Zaheer
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Abstract

This experience outlines a training session conducted by Darul Qalb, a U.S.-based organization dedicated to eradicating Rheumatic Heart Disease (RHD) in low-income countries, in collaboration with HOPES, a student-run welfare organization at Karachi Medical and Dental College. The session aimed to equip medical students with essential skills to detect subclinical RHD using advanced portable ultrasound devices. Led by Dr. Ahmad Akhtar, the session introduced the Point-of-Care Ultrasound (POCUS) technique, a critical tool for assessing heart valve changes indicative of RHD. Through hands-on practice, participants, including myself, learned to effectively use ultrasound technology, which was later applied in a community outreach initiative where we screened children for RHD. Guided by experienced mentors, I identified cases of subclinical RHD, highlighting the importance of early detection in improving health outcomes. This experience demonstrated the powerful synergy of medical education, technology, and community outreach in combating RHD in resource-limited settings like Pakistan.
在巴基斯坦防治风湿性心脏病:培训、筛查和社区外展的经验
这段经历概述了美国致力于在低收入国家根除风湿性心脏病(RHD)的组织Darul Qalb与卡拉奇医学和牙科学院(Karachi Medical and Dental College)学生开办的福利组织hope合作举办的培训课程。该课程旨在让医学生掌握使用先进的便携式超声设备检测亚临床RHD的基本技能。在Ahmad Akhtar博士的带领下,会议介绍了即时超声(POCUS)技术,这是评估RHD指示性心脏瓣膜变化的关键工具。通过亲身实践,包括我在内的参与者学会了如何有效地使用超声波技术,这项技术后来被应用到一个社区外展活动中,我们在那里为儿童筛查RHD。在经验丰富的导师的指导下,我确定了亚临床RHD病例,强调了早期发现对改善健康结果的重要性。这一经验表明,在巴基斯坦等资源有限的环境中,医学教育、技术和社区外展在防治RHD方面具有强大的协同作用。
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