Specialized training for pediatric cardiologists
Why CHF started Hridya Saksham program?
A huge gap exists between India's requirements for pediatric cardiologists and the available numbers. It is generally recommended that one infant and new born heart surgery program is required for 5-10 million people.
In order to bridge the gap, CHF initiated this program to train medical fraternity in Rural and semi Urban areas of the Country. This will increase the screening and diagnosis of children with CHD
The requirement of pediatric cardiac care and pediatric cardiologists is far in excess of what is available.
There are no guidelines at present in India for uniform training in pediatric cardiology.
Training programs are essential to provide adequate numbers of community-level pediatric cardiologists who could further reach out to rural population where the awareness and diagnosis of CHD is almost negligible.
The initial generation of pediatric cardiologists mainly comprised adult cardiologists who took special interest in CHD. A closer look at the present scenario reveals major inadequacies
A huge gap exists between India's requirements for pediatric cardiologists and the available numbers.  It is generally recommended that one infant and newborn heart surgery program is required for 5-10 million people.
This would translate into a requirement of at least 1,000 pediatric heart centers for all of India. Only about 32 centers and 130 trained pediatric cardiologists are available.
An estimated 72,000-100,000 children suffering from CHD needing intervention are born every year in India.
The burden of rheumatic fever and pediatric valvular heart disease remains significant
There are large parts of the country with no pediatric cardiac services.
TOOLS & TECHNIQUES
Echocardiography has become an indispensable tool for pediatric cardiologists. While this training aims to provide basic abilities, practice and refinement of the method and interpretation.
This includes understanding the principles of echocardiography and Doppler, safe sedation, monitoring, echocardiography views, recording of good images, measurement of chamber dimensions, and anatomical description of common pediatric heart diseases.
The trainee must correlate the clinical picture with the echocardiography findings, and attempt to quantify abnormal flow, regurgitation, obstruction, and shunts.
General skills in the echocardiography laboratory include basic understanding of the machine and transducers, care of the equipment, teamwork, time management, documentation, and confidentiality.
The trainee must also participate in bedside echocardiography, targeted echocardiography.
This diagnostic tool is routinely used to assess the electrical and muscular functions of the heart. While it is a relatively simple test to perform, the interpretation of the ECG tracing requires significant amounts of training.
The heart is a two stage electrical pump and the heart's electrical activity can be measured by electrodes placed on the skin. The electrocardiogram can measure the rate and rhythm of the heartbeat, as well as provide indirect evidence of blood flow to the heart muscle.