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The Singapore app for heart attack victims that Hong Kong isn’t ready for: why myResponder would flounder in city lacking CPR knowledge

A lack of training, data and civic-mindedness would have to be overcome for such an app to be effective, says a Hong Kong heart specialist about a city in which fewer than one in 44 heart attack victims survive

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Photo of a Hong Kong Leisure and Cultural Services Department media briefing on the installation of automated external defibrillators (AEDs) at the department’s land-based recreation and sports venues so that persons in need may receive necessary first-aid treatment instantly. Photo: Nora Tam

Heart attack victims’ chances of survival depend on how quickly their heart can be restarted.

Just ask the family of Dickson Yu Tak-shing, whose life, sports officials say, was probably saved by a teammate, a nurse who knew how to use a heart defibrillator, when the former Hong Kong swimmer suffered a heart attack while playing soccer in the city two weeks ago. A defibrillator delivers an electric shock to restart the heart.

“The worst is over,” the mother of the 28-year-old said after Yu regained consciousness two days after collapsing.

If a victim’s heart is not restarted within three to five minutes, a lack of blood flow to the brain condemns them to almost certain death; those who survive will likely suffer irreversible brain damage. To increase survival rates, Singapore launched a mobile phone app in 2015 that alerts citizens with training in resuscitation to help heart attack victims nearby.

Could a similar app increase survival rates in Hong Kong, where more than 97 per cent of people who have heart attacks die if they are not already in hospital?

A lack of training, data and civic-mindedness would first have to be overcome, says Andy Chan Wai-kwong, a heart specialist and honorary secretary of the Hong Kong College of Cardiology to which all heart doctors belong. He spoke in a personal capacity.

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