Cardiovascular diseases (CVDs) are a leading cause of global mortality.
Pakistan faces a high prevalence of CVD risk factors, including
high-cholesterol diets, physical inactivity, hypertension, obesity,
diabetes, and smoking. Timely management of cardiac emergencies is
critical to saving lives. The National Institute of Cardiovascular
Diseases (NICVD) introduced an innovative cardiac care model called the
Chest Pain Unit (CPU) in May 2017. These units are strategically placed
in Karachi and other cities in Sindh to tackle traffic congestion amid
the emergency and serve densely populated areas. Since its inception,
CPUs have treated approximately 990,640 individuals and saved over
22,443 lives. CPUs specialize in pre-hospital diagnosis and management
of acute heart issues, are equipped with electrocardiogram (EKG),
cardiopulmonary resuscitation (CPR) kits, and defibrillators, and are
staffed by specialized teams. A “Healthy Heart Clinic” program screens
patients for cardiac risk factors. The future plan includes expanding
the CPU network nationwide, potentially serving as a model for other
countries grappling with CVDs. This approach could also apply to other
acute diseases requiring timely treatment for improved outcomes.