Unique Book in urdu on cardiovascular problems during hajj for public awareness

1. Heart Failure Journey from 2007 ( PSCCH ) to 2021 ( KAMC ) . Heart failure clinic to heart failure Programme ( CCPC )
Dr Asadullah Khan Soomro
Summary of my book on Cardiovascular Problems in intending Hajjis

2. I was born in Soomro family of Ratodero dist Larkana , graduated from Chandka medical college Larkana in 1985 . After internship at Civil
Hospital 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 Hillingdon 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 coordinator for 8 years and
Heart failure coordinator 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 )

3. In August 2018 joined king Abdullah medical city holy Makkah ( KAMC ). Reactivated heart failure clinic on every
Tuesday evening from October 2018, with support of Dr Burai Adlan , Dr Najeeb Jaha, Dr Abdullah Essam 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 )

4. Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%
Hajj Experience Mina al Jassar Hospital Makkah ( 2004 )
Al –Ansar Hospital Madina ( 2005 )

5. Cardiovascular Problems in Intending
Hajjis ( Title page )
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

8. Hajj Journey
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

9. Pre - Hajj Cardio - vascular Screening &
Risk Assessment

10. Atherothrombotic Coronary Artery Syndromes
in intending Hajjis
Myocardial Infarction ,Heart Failure & Cardiac arrest / sudden cardiac death
STEMI
Ant wall MI
( V2 to V6 ) 1 aVL V2 to V6
Inferior Wall MI
( II,III,& aVF )
Posterior Wall MI
( V1 to V3, posterior leads V7,8.9 )
Lateral wall MI
(1,aVL , V5 & V6 )
RV Extension / Right Ventricular MI
( V1 , Right sided leads V3R & V4R )
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

11. Atherothrombotic CAD in Intending
Hajjis ( Cardiac Arrest )
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

12. Ischemic Heart Failure Syndromes in
Intending Hajjis
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

13. Cardiac Arrest & Sudden Cardiac Death
in Intending Hajjis
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

14. Strokes , Valvular & Grownup Congenital
Heart Problems in Intending Hajjis .
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

15. Cardiovascular Problems / Heart Failure in
Pregnant women during Hajj
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

16. Atherothrombotic
Cardiovascular Risk Factors in intending Hajjis
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

17. Humble suggestions to improve Cardiovascular
outcomes during Hajj & Take home message
Left Main < 1%
Aorta
LAD 55%
LCX 10%
RCA 35%

18. MHFR ( Makkah Heart Failure Registry)
Saudi Heart Association Conference 7th October 2021
Total Patients 993 Average Age 56.9 + _ 13.2 years ( Men 752 ( 75.7% ) Women 241( 24%
Patients Demography and clinical characteristics
Registry groups &
No of Patients
Location of registry
Type of Registry
Average Age
Men/ Women %
Ischemic Etiology
Valvular Etiology
On Target Dose
Of Sacubitril
Average LVEF %
HF in Saudis
Deaths = 90
Group I = 330 ( 33.2% ) Group II = 586 ( 59% ) Group III = 77 ( 7.7% )
Acute & chronic HF KAMC Cardiac
Center ( October 2018 to june 21)
Acute & Chronic HF KAMC Cardiac
Center ( October 2018 to June 21 )
Acute HF KAMC Cardiac Center
30 Days ,August Hajj 2019
Sacubitril Registry EF < 40% Non Sacubitril Registry
Both systolic and Perserved EF
Non Sacubitril Registry
Both Systolic & Perserved EF
53.9 +_ 12.3 Years 57.7 + _ 13.5 Years 63.8 + _ 10.8 Years
Men 278 ( 83.5 % ) Women 52 ( 15.7% ) Men 424 (72.2 % ) Women 162 ( 27.6%) Men 50( 64.9 % ) Women 27 ( 35% )
128/330 ( 38.7% ) 250/586 ( 42.6% ) 50/77 ( 64.9% )
15/202 non ischemic ( 7.4% ) 95/ 314 ( Non ischemic ) 30.2% 15/27 ( Non ischemic ) 55.5%
172/ 330 ( 52.1% ) Not Prescribed Not Prescribed
23.2 + _ 7.4% 31.7 + _ 10.8 % 33.8 + _ 0.4%
290/330 ( 87.8% ) 524/685 ( 89.4% ) 2/77 ( 2.5 % )
23 /330 ( 6.9% ) M = 18, F = 5 52/586 ( 8.8 % ) M = 42 F = 10 15/77 ( 19.4% ) M = 11, F = 4

19. FAHFR
First Acute Heart Failure
Registry Audit
Hajj 2019

20. 4th Global CSR Leadership Conference & Award
15th December 2022 Marriott Hotel Karachi

21. Aurthor of 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 during Hajj
Building Heart Failure Program to improve heart failure
services during Hajj ( Gift from Pakistan )
For Contacts ; Email, hssbasadsoomro@gmail.com Mobile , 0092 – 302 – 2308718
Uncle Abdul Razak Soomro with shaheed ZA Bhutto in 1970
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