Multidisciplinary heart failure programm at Altamash General Hospital Clifton Karachi

1. ALTAMASH HOSPITAL
First Multidisciplinary Heart Failure
Programme & Network
Dr Asadullah Khan Soomro
Consultant Cardiologist and Heart Failure Specialist
MBBS , Diploma Cardiology Royal Brompton National Heart & Lung Institute University Of London .
Dear Colleague
I am Available for cardiology and heart failure consultation .
Kindly refer your patients on heart failure clinic & oblige.
Altamash General Hospital
ST-9/A Block 1 Clifton Karachi.
Daily , Monday to Saturday .
10 am to 1 Pm ,
Evening 6 Pm to 8 Pm
( Phone No ; 021 35187000 – Ext 111 )
( Mobile, 0302 2308718 )
Echocardiography & Stress Test ( ETT ) By appointment)
Retired Heart Failure Programme Co ordinator , Prince Sultan Cardiac Center ( PSCCH ) Al Ahsa, & King Abdullah Medical City Holy Makkah ( KAMC )

2. An author of a book on cardiovascular Problems in intending Hajjis
and a , manual on how to build Multidisciplinary Heart Failure
Program & network.
This Unique manual is dedicated to Shaheed Z A Bhutto
Building
Heart Failure Program to improve heart failure
services in Sindh , Pakistan

3. I was born in soomro family of Ratodero distt Larkana , graduated from Chandka medical college Larkana. After internship at CHK karachi, I
did three years hectic training at National institute of cardiovascular diseases ( NICVD ) Karachi Pakistan ,and joined Royal Brompton National
Heart & Lung Institute University of London (1989 to 1990 batch) one of the 9 students from all over world. After passing examination ,got
clinical attachment at Hilingdon hospital London ,had honor to work with Prof philip poole Wilson and Dr GC Sutton , learned art of heart
failure and clinical cardiology until April 1991. Returned back to Pakistan, passed grade 18 Sindh Public service commission in flying colors
,secured first position in Sindh province and appointed senior registrar cardiology at Dow medical and Civil hospital Karachi . Established first
heart failure clinic in 1993 ,unique in country ,presented results of 330 heart failure patients audit in Golden Jubilee and centenary
50/100 Dow medical College and Civil hospital Karachi in December 1996 ( First largest local registry in Sindh) .
Came to Al Ahsa KSA joined King Fahad hospital ministry of health in January 2002, elevated to work as consultant & head of cardiology
division ( thanks to Dr Mehmoud al Bagshi) .Organized various heart failure symposiums in Al-Ahssa region. Offered to join Prince sultan
Cardiac center in 2007.Being PSCCH pioneer physician , I had honor to established three specialized clinics for , adult congenital heart disease
,Valve disease clinic and First heart failure clinic in region indeed. Completed my journey from heart failure clinic in Oct 2007 to
multidisciplinary heart failure programme in October 2017. During this period registered 650 patients with acute heart failure, unique in Al -
Ahssa health eastern province Kingdom of Saudi Arabia . I had unique dual honor of being morbidity and mortality co-ordinator for 8 years
and Heart failure co-ordinator in 2017 ) .With in 6 months of dynamic team efforts Special thanks to Dr Khalil Kayam and his quality team,
our prestigious ( PSCCH) heart center accredited by JCI as first and only heart center in middle east as CCPC ( Clinical Care Programme
certification ) achiever in heart failure.
Authors Biography&
32 years Heart Failure journey
( 1990 – 2022 )

4. In August 2018 joined king Abdullah medical city holy Makkah .Reactivated heart failure clinic on every Tuesday evening
from October 2018, with support of Dr Burai Adlan , Dr Najeeb Jaha, Dr Abdullah Esam Ghabashi and support of adult
cardiology/surgery department indeed .
We established network of multidisciplinary out patient HF services including cardio-oncology especially ,
chemotherapy induced cardiomyopathy ,had unique honor to provide intradepartmental heart failure consultation
service to patients admitted with acute heart failure, provided services of rapid access heart failure ( RAHFC ) and post
discharge heart failure clinic services ( PDHFC) to prevent ist admission and recurrent hospitalization especially to
vulnerable patients in vulnerable phase.
Registered around 993 HF patients including hajjis ( 2019) from various countries. First time started HF novel drug
( Sacubitril/Entresto) on 8th October 2018 until May 2021, 330 sacubitril patients registered and followed them closely .
52.1 % of them titrated to target dose of 200 mg ( highest in Makkah region).I wish I could have worked to have CCPC
,KAMC Makkah region, but I stand retire and decided to join family on 3rd July 2022 .
Last not the least , Iam grateful to all who gave me tough time and who helped me all along.
Jazak Allah khairan Ya Akhwan.
Authors Biography &
32 years Heart Failure Journey
( 1990 – 2022 )

5. ( Dr GC Sutton , my Heart Failure mentor and his team)
Hillingdon Hospital London (1990 to 1991) My heart
failure journey started from here

6. Heart Failure Journey at Civil hospital and Dow medical
College Karachi ( Established First heart Failure Clinic &
HF registry at CHK 1995 to 1997 )

7. I was appointed as Clinical care Heart Failure program ( CCPC) coordinator
on 2nd April 2017. CCPC heart failure was accredited by JCI on 18th October
2017 ( with JCI CCPC HF Surveyor Brenda K. Shelton ) just in 6 months.
Dr Soomro’s Heart failure Journey at PSCCH
Established first Heart failure Clinic at Prince Sultan Cardiac Center Al Hassa region in 2007 to Clinical care Programme
certification ( CCPC ) in Heart failure accredited by JCI in October 2017, First center in middle East.
It was not just a 6 months game but my journey started while working as head of cardiology in King Fahad hospital Hofuf,
Being first physician, to join PSCCH,I alone screened all the cardiac patients from King Fahad hospital , and registered them
on specialized clinics ,like adult congenital heart ,Valve disease and heart failure clinic indeed. I registered around 550 acute
heart failure patients admitted to PSCCH during 2011 to 2017.

8. Dr Asadullah Soomro
Morbidity & Mortality Co-Ordinator
October 2009 to October 2017
He was assigned a job of morbidity & mortality coordinator on 6th
september 2009 . Ist morbidity & mortality round was held on
Monday afternoon 30th Shawal 1430 (19.10. 2009).
Ist case was 87 year male who was admitted on 15th shawal 1430 at 1.25am
Sunday on CCU bed 6 .He was admitted through ER with missed MI (
LBBB on EKG) No DM HTN only smoker. Echo showed akinetic anterior wall
severe LV systolic dysfunction EF 15-20%, Not thrombolysed. Complicated
by cardiogenic shock. Intubated & ventilated on ionotrops and expired on
same day at 7.50 am ( 9-10 hours of admission ) .
After 8 years journey , Last case he audited ,76 year male ,DM, PAD,
presented with acute anterior wall STEMI with RBBB ,complicated by
cardiogenic shock at presentation.
Admitted on Tuesday 24th October 2017 at 1.51pm, shifted to cath lab .
CAG showed multi vessel CAD. RCA was CTO ,LAD total thrombotic
occlusion proximally, intubated ventilated, on ionotropic support .During
PCI to culprit LAD further complicated by ventricular fibrillation,
resuscitation done but failed and expired at 3.51pm ( With in 2 hours of
admission) .

9. Heart Failure Journey From 2007 to 2018 to 2021
( Prince sultan cardiac center Al Ahssa & King Abdullah Medical City
Holy Makkah )

10. 4th Global CSR Leadership Conference & Award
15th December 2022 Marriott Hotel Karachi