CAPH

The problems they encounter are similar to those in all developing countries, lack of awareness and teaching in pulmonary hypertension and PVD, consequent late referral, poor management, poor access to expensive medicines, inadequate treatment and follow-up. In addition, high altitude pulmonary hypertension is a major problem in Kyrgyzstan, Tajikistan and Mongolia (Western Mongolia). In these countries a large percentage of the population either lives permanently at high altitude or is semi-nomadic, spending the summer months at altitude with their flocks.

There is no infrastructure, no clinical networks, and no physicians or nurses specifically trained to care for this patient group. Several also acknowledged that they had equipment, such as echocardiography machines but no staff trained to use them properly. Few had access to cardiac catheterisation facilities, although several admitted that there were catheter labs used by cardiologists for coronary arterial studies.

All the republics have had problems transferring from the Soviet Semashko system of health care to their own new model. The Soviet polyclinic system remains. All confessed that following independence they had made quite good progress but that they had now ‘got stuck’, usually due to lack of funds. There are significant financial differences between republics. All are poor except Kazakhstan. Kazakhstan has two well-funded cardiac centres, in Almaty and Astana. Cardiac transplantation is carried out in Astana.

CAPH Mission:

Suggested Plan for future

1. CAPH members  acknowledged the lack of awareness and the consequent   lack of expertise in diagnosing and managing patients with pulmonary hypertension, in all countries. All welcomed the suggestion of holding master classes in pulmonary hypertension. The venue, date and financing of this initiative is to be arranged and the plan/programme needs much thought and consideration if it is to meet local needs. Majdy Idrees agreed to help plan the master classes, having recently undertaken a similar exercise in Saudi Arabia.
2. The participants agreed that they need:
   1. National patient registries primarily to understand the burden of disease in the hospital system and the distribution of the various aetiologies of pulmonary hypertension in their population. Registries form the resource for clinical research studies.
   2.  Diagnostic and treatment algorithms for pulmonary hypertension, principally Idiopathic Pulmonary Arterial Hypertension and Chronic Thrombo-embolic Pulmonary Hypertension.
   3. a protocol for right heart cardiac catheterisation with acute vasodilator testing, noting that NO is not available to them with the possible exception of Kazakhstan.
   4. The Task Force members would like to take part in clinical trials but expressed their need to establish a firm, stable, sustainable infrastructure first.

About Central Asia

Central Asia is the core region of the Asian continent and stretches from the Caspian Sea in the west to China in the east and from Afghanistan in the south to Russia in the north. It is also sometimes referred to as Middle Asia, and, colloquially, "the...

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CAPH Executive Committee

List of the executive committee: Chairman:  Talant Sooronbaev Vice Chairman: Treasurer: Executive committee:  

CAPH Internatioanl Collaboration

CAP/Russian Federation PH group

SAPH/APH collaboration

CAPH Young Council

The current list of CAPH young Council Click on the image to enlarge Batyr Osmonov z_cool@mail.ru Bishkek Kyrghyzstan Aigerim Yeshtay aigerim.yeshtay@gmail.com Almaty Kazakhstan Aigerim Toibayeva toibayevaak@gmail.com...

Excellence Centers

It was agreed by the physicians from Kyrgyzstan, Kazakhstan, and Mongolia that they need to identify centres which would become centres of excellence in Pulmonary Hypertension, not more than two in each country, each to have a named leader. These centres...

PVRI Excellence center for pulmonary hypertension in Kyrgyzstan

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Scientific Center of Pediatrics and Pediatric Surgery, Almaty

Научный центр педиатрии и детской хирургии является единственным многопрофильным центром республиканского уровня, специализирующимся на диагностике и лечении заболеваний детского и подросткового возраста. Мощность клиники рассчитана на 280 коек. Матер...

List of CAPH members

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