SCHOLARSHIP

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Heart Friends Around The World and the School of Cardiology. 

Next week, from May 17 to 22, in San Pellegrino Terme (Bergamo, Italy) at the “Casa di Cura Dr. Quarenghi” Cardiac Rehabilitation Center, the School of Cardiology organized by Heart Friends Around the World will take place (www.hfatw.org).  Dr. Flavio Burgarella is the founder and Executive Director of Heart Friends Around the World.

The idea of the scholarship was born in September 2009 in Abuja, Nigeria, during the Pan African Congress of Cardiology. In that occasion Dr. Burgarella decided to provide an opportunity for young African cardiologists to "get experience" in Italy, with free accommodation and participation for the theoretical and practical studies.

This idea started without thinking of economic coverage, as this aspect was considered secondary to the need to adequately train cardiologists staff, to face the health emergency that cardiovascular disease will represent in the next years in developing countries. In those countries which lack of medicines and medical structures, the education to medical practitioners should not miss. As Europeans, we can and must give help for medical education, to ensure that doctors do not find themselves unprepared for the treatment of diseases.

It’s never wrong to trust in providence, so that the Regional Council of Lombardy and the Credito Bergamasco bank subsequently sponsored the initiative, which was also sponsored by the Province of Bergamo and the Mountain Community of the Brembana Valley.

The course will consist of a theoretical part supported by cardiologists, hemodynamic specialists, cardiac surgeons and vascular surgeons of the “Ospedali Riuniti di Bergamo” General Hospital, Bergamo, Italy, coordinated by Dr. Antonello Gavazzi with the help of Dr. Paolo Ferrazzi, Dr. Orazio Valsecchi and Dr. Luigi Aiazzi.

The practical part will take place in the clinic facility and nursing home gym of the “Casa di Cura Dr. Quarenghi” Cardiac Rehabilitation Center”, thanks to the sensibility of the Board and of Dr. Michelle Quarenghi, General Director, and the collaboration of cardiologists, nurses and physiotherapists.

One goal of the school, attended also by Dr. Walter Locatelli, General Director of the Sanitary District of Milan, is the training for the establishment of health centers dedicated to the rehabilitation and prevention of heart disease in Africa. The new centers will then be assisted in their establishment and development by Heart Friends Around the World.

The participants, who personally paid the cost of air travel (although this was quite unthinkable at the beginning of the proposal, given their national economy), will be received at the airports of Milan - Malpensa and Milan - Orio al Serio by the Alpine Group of the Brembana Valley, thanks to Mr. Angelo Bonzi. The will be then carried to the Central Hotel in San Pellegrino Terme, where they will have the accommodation. In the following days the young cardiologists will also have the opportunity to visit the Division of Cardiology and Cardiac Surgery of the “Ospedali Riuniti di Bergamo” General Hospital, to visit the headquarter of the Province of Bergamo, thanks to  the Councillor Fausto Carrara, and to visit the village of Bianzano, thanks to the interest of the Mayor Marilena Vitali. In Bianzano and Spinone al Lago, along the health training path located in the Burgarella Farm, students will be taught on how to practically implement in their nations specific training paths for cardiac rehabilitation.

Students of the International Heart School of Bergamo, founded by Prof. Lucio Parenzan who will attend as a speaker at the event, will join the theoretical and practical lessons.

Heart Friends Around The World and the School of Cardiology.


It has concluded in San Pellegrino, Bergamo, Italy, at the “Casa di Cura Dr. Quarenghi” Cardiac Rehabilitation Center, the School of Cardiology organized by Heart Friends Around the World and its founder and Executive Director, Dr. Flavio Burgarella, Head of the Department of Cardiological Rehabilitation.

A full immersion week, with meetings and lectures held by directors and assistants of the Departments  of Cardiology, Hemodynamics, Cardiac Surgery, Nuclear Medicine and Vascular Surgery of the “Ospedali Riuniti di Bergamo” General Hospital.

The scholarship was attended by eight young African cardiologists, including Dr. Bola Ojo, current Executive Director of the African Heart Network, which includes all the cardiac foundations and associations from Africa.

The practical part, with demonstrative meeting in the gym of the Cardiac Rehabilitation Center, was conducted by doctors and physiotherapists of the Center. The aim of the course was the training of African cardiologists in prevention, treatment and rehabilitation of cardiovascular diseases. These health issues are emerging and increasing dramatically in developing countries, due to the lack of diagnostic equipment and medicines.

The School has also proposed a model for arterial vascular rehabilitation of the lower limbs developed by Dr. Giuliano Brighenti and a model of rehabilitation and prevention of heart disease developed by Dr. Burgarella for African countries and for developing countries. This cardiac rehabilitation model is performed "outside hospital ", requiring only the presence of the cardiologist who already works within the hospital, together with a device for measuring blood pressure and an ECG for an electrocardiogram at rest, nothing else. After the cardiological evaluation performed by the walking test, during which  the physician and the patient walk together for six-minute at medium-fast  pitch in the yard, along the road or in the fields "outside" the hospital, they return in the medical center and repeat the electrocardiogram. If this is similar to the one taken before the walking test and if the patient did not have pain, fatigue, paleness, or shortness of breath, the patient can begin his/her rehabilitation in safety levels.

The training will consist in walking for about half an hour, every day, along a path specifically created in the streets and fields surrounding the hospital. There may be an overseer, chosen among volunteers and patients who already have overcome the disease, so that the patient could talk with him/her about prevention, for example about the heart damage due to  smoking, high blood pressure, the consumption of unhealthy aliments, obesity.

In this way, cells for cardiac rehabilitation and prevention will be constituted at cost close to zero. This model can then be extended to all the hospitals of each country, with benefits not easily imaginable, considering the published data of a meta-analysis which shows that the simple practice of physical training after a heart attack reduces cardiovascular mortality by 25%.

The African cardiologists have accepted the proposal and brought their data to the Pan African Congress of Cardiology that will be held in Kampala, Uganda, in September 2011. Dr. Burgarella will attend the World Congress of Cardiology that will take place next June in Beijing, China; at the stand of Heart Friends Around the World, Dr. Burgarella will present the initiative and video recording of the School, made from the friend Adriano Avogadro.