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From Screening To Triaging, Timely Referral, And Specialist Treatment: Striving For A Paradigm Shift In Cardiac Care For The Last-mile Population In Rajasthan, India

 Dipanjan Sujit Roy, Arvind Rinkoo, Anand Kumar Panjiyar, Dinesh Songara, Kavita Kachroo, Apao D, Ambey Srivastava, Rajesh Ranjan Singh & Rakesh Kumar Srivastava

ATOM (Accurate Tele-Electrocardiogram On Mobile), an innovation by CARDEA Labs, has the potential to revolutionize cardiac screening services for the vulnerable and marginalized population groups in developing countries. In order to provide cardiac screening services to the last-mile population, the Wadhwani Initiative for Sustainable Healthcare (WISH) Foundation, a nongovernment organization, implements ATOM screenings in six primary health centres of the state of Rajasthan in India. This paper traces two cases of acute STelevation myocardial infarction that were successfully screened using ATOM, and attempts to build a case for ATOM-driven cardiac care model for the remotest population of India.