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Reducing heart attack deaths in Delhi

Monday 3rd August 2009 New Delhi HCFI: Heart disease is the biggest killer in Delhi. Heart attack kills 42 people in Delhi every day out of total 277 deaths per day. Out of 42 deaths 30 deaths occur outside the hospital and can be saved if public is taught chest compression cardiac resuscitation and automated external heart shock devises are placed in public busy areas said Dr KK Aggarwal President, Heart Care Foundation of India, BSNL Dil Ka Durbar, MTNL Perfect Health Mela and Director, IMA AKN Sinha Institute.
There are 5 lac heart patients in Delhi with over 50000 heart attack events every year and 500 deaths per year. Heart disease in Delhi affects 10% population. The incidence of heart attack is 12.9/1000 in men 30 to 34 years old and 5.2/1000 in women 35 to 44 years old. Heart attack is eight times greater in men and women aged 55 to 64 years. 17. 4 to 10 percent of patients with heart attack are less than 40 or 45 years of age.
In Delhi 270 angiographies, 55-60 angioplasties and 20 pace makers are implanted every day.
Automated external defibrillators, or AEDs, can save the life of someone who is in cardiac arrest. In cardiac arrest, the heart doesn't function, and without immediate cardiopulmonary resuscitation from someone, brain damage or death can occur in just four to six minutes. AEDs send an electric shock to the heart and allow it to return to a normal rhythm.
Two studies published in July 27 editions in Circulation have shown that about 25 percent of cardiac arrests that occur outside of a hospital happen in public places.
AED coverage in 10 percent of the city would cover about 67 percent of all cardiac arrests. The highest number of cardiac arrests happens in train stations, large shopping centers, central bus terminals, sports centers and other high-density areas.

If AED deployment in the community is driven by local or political initiatives and not on strategic AED placement, there is a high risk of AEDs being place primarily in low-incidence areas of cardiac arrest and, hence, low likelihood of the AEDs ever being used.