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Heart Attack Care in India

This stepped wedge, cluster randomized trial was the largest cardiovascular randomized trial in India and demonstrated improvements in process measures among 21,374 patients with heart attacks who were recruited from 63 hospitals in Kerala, India, from 2014 to 2016. The trial also reported health-related quality of life and individual- and household-level costs among heart attack survivors and served as a training hub/model for 7 Fogarty-funded Northwestern global health fellows.


National Heart, Lung, and Blood Institute (K99/R00HL107749), with support from the Cardiological Society of India–Kerala Chapter, Centre for Chronic Disease Control, Northwestern University Global Health Initiative, and Northwestern University Clinical and Translational Science Institute (UL1TR001422).

Northwestern Faculty and Staff

PI Mark Huffman, MD, MPH; Abigail Baldridge, MS; Donald M Lloyd-Jones, MD, ScM; Lihui Zhao, PhD


Dorairaj Prabhakaran, Centre for Chronic Disease Control/Public Health Foundation of India; P.P. Mohanan, Westfort Hi-Tech Hospital, Ltd.; Cardiological Society of India – Kerala Chapter

Fogarty-funded fellows

Amisha Patel (pre-hospital acute coronary syndrome system of care), Smitha Sarma (tobacco cessation pharmacoepidemiology), Ehete Bahiru (acute coronary syndrome care in Kenya), Anubha Agarwal (heart failure quality improvement), Sang Gune Kyle Yoo (health management evaluation), Nikhil Venkathesmurthy (hypertension system-level intervention and implementation research), Kavita Singh (secondary prevention implementation research)

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