Quality care in heart diseases
While thinking about the public hospital set-ups in Bangladesh, a common scenario comes to the mind where poor healthcare facilitates are being provided with very limited resources. Most often, the ailing people have to learn that some better treatment options are not available due to the shortage or unavailability of equipment as well as skilled manpower. The condition pushes the affordable class in the private set-up leaving the poor with no answer. But the scenario at the coronary care unit of Mitford Hospital (incorporated with Sir Salimullah Medical College) at the old part of Dhaka city tells quite different. The newly established unit has almost all the required facilities available to provide quality cardiac care at an affordable cost where the poor can be benefitted the most. The management of critical cardiac cases are very good here with the sophisticated equipment at bedside of the patients. Besides, all necessary investigation facilities are also available. The full-functinal cath lab provides the opportunity of doing diagnostic and therapeutic interventional procedures. Diagnostic procedures include coronary angiogram, peripheral angiogram, renal angiogram, cerebral angiogram, cardiac catheterisation for congenital heart diseases, implantation of temporary pacemakes while therapeutic procedures include implantation of permanent pacemaker, coronary angioplasty, mitral and pulmonary valvuloplasty. An Associate Professor at the department Dr Mir Jamal informed Star Health that coronary angiograms are being done here even in transradial route. It means the approach of angiogram through the vessels of hands. He has done angiogram of many cases in this route. The conventional route of angiogram is transfemoral i.e. through the vessels of groin. Dr Mir Jamal discussed that there are few benefits of angiogram in transradial approach over the conventional femoral approach. These benefits include more ambulance of the patients, less chance of bleeding and hematoma (formation of blood clot), less dependence of the patients on his/her attendances and with some other significant clinical benefits. Moreover, the patients can be discharged within six hours of the procedure. Since facilities are available at very reasonable cost, even poor people are availing these services from Mitford hospital. More public hospitals should come forward with these sort of services with their full dedication.
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