PTI demands Imran Khan undergo CT angiography at Shifa International Hospital

Pakistan Tehreek-e-Insaf (PTI) on Sunday demanded that jailed former prime minister Imran Khan be immediately shifted to Shifa International Hospital in Islamabad for a recommended CT coronary angiography (CTA), following reports that the cardiac test was not conducted during his recent visit to the Pakistan Institute of Medical Sciences (PIMS). PTI Information Secretary Sheikh Waqas Akram said the authorities had failed to provide the 73-year-old Khan with a medically recommended diagnostic test despite the availability of a functional CT scanner at PIMS.

Khan was taken to PIMS in the early hours of Friday for an eye procedure and other diagnostic examinations. Doctors recommended a CTA of the heart, but hospital officials said the required facility was unavailable. He was subsequently returned to Adiala jail without undergoing the test.

Technical Context: Scanner Available but Test Not Done

Sources explained to Dawn that PIMS' conventional angiography facility is different from CTA. While conventional angiography involves inserting a catheter into a blood vessel, CTA is performed using a CT scanner and does not require puncturing a vein. Doctors pointed out that a 128-slice CT scanner had been operational in PIMS' radiology department since March 2022 and was capable of performing CTA. A senior doctor said the patient should therefore have been referred to the radiology department for the examination.

PTI's Allegations and Demands

Akram said a government medical board had examined Khan on August 10 following complaints of heart palpitations and severe headaches. He noted that a PIMS cardiologist had recommended CT coronary angiography on August 1 due to fluctuating blood pressure, palpitations, headaches, restlessness and the potential risk of cardiac complications, given Khan's age and prolonged isolation.

"Even the government's own doctors considered this diagnostic test necessary," Akram said, questioning why it was not conducted when Khan was taken to PIMS. He alleged that the authorities had bypassed the Supreme Court's directive and instead transferred Khan to a facility where the CT angiography was not performed.

"When the necessary facilities were available at Shifa International, deliberately taking Khan to a hospital unable or unwilling to perform the procedure raises a grave question: was the decision made in advance to prevent the CT Coronary Angiography from being conducted?" Akram asked.

Calling it a recurring issue, Akram said, "This cannot be dismissed as an isolated administrative lapse; it reflects a deeply troubling pattern." He added, "Imran Khan's heart health cannot be subjected to political calculations, administrative excuses or further delay." Akram warned that the government and all relevant authorities will bear full responsibility for any further deterioration in Khan's condition.

The PTI demanded the immediate performance of the recommended CTA at Shifa International Hospital under the supervision of independent specialists and Khan's personal physicians. The party also called for the prompt disclosure of Khan's complete medical records to his family, personal medical team, and legal counsel, and demanded full implementation of the Supreme Court's order. It further called for a transparent and non-partisan inquiry into why Khan was taken to PIMS instead of Shifa International and who ordered that the recommended diagnostic procedure not be performed.

Supreme Court Order and Government Response

The Supreme Court on August 18 had directed that Khan be shifted to Shifa International Hospital within two days for medical examination and treatment. The order was issued while hearing interconnected matters concerning Khan, including his plea relating to medical treatment and access to family members and lawyers. The bench was headed by Justice Shahid Waheed and comprised Justices Naeem Akhtar Afghan and Ishtiaq Ibrahim. The court also directed that Dr Uzma Khan and Dr Faisal Sultan, Khan's personal physician, be present during the medical check-up by a medical board.

However, the government on August 20 briefly transferred Khan to PIMS and later shifted him back to Adiala Jail after his medical examination, citing security concerns. Information Minister Attaullah Tarar blamed "the security situation created by PTI workers on the way to and outside Al Shifa Hospital" for the diversion. He said that in light of the Supreme Court's order, the prisoner was taken to the hospital under appropriate security arrangements during the night between August 20 and 21, and a team of qualified doctors conducted a detailed examination and declared him medically fit.

The PIMS administration said that two specialists from Shifa International Hospital participated in Khan's eye assessment, while other examinations were carried out by the concerned PIMS specialists.

Prime Minister Shehbaz Sharif formed an inquiry committee, headed by the Establishment Division secretary, to establish facts and fix responsibility regarding the reported failure to conduct the CTA.

Legal Proceedings

The government filed a review plea against the Supreme Court's order to shift Khan to Shifa International Hospital, arguing that the directive was discriminatory and issued in violation of prison rules and principles of natural justice. The Supreme Court returned the review plea on Thursday with the objection that the contents of the affidavit and facts, along with the review petition filed under Article 188 of the Constitution, had not been properly drawn up and that one of the paper books was not in order. The government then filed a fresh review petition on Thursday, filed by the Islamabad chief commissioner, saying that his office had a direct, substantial and legally protected interest in the matter and that the August 18 order adversely affected its constitutional authority.

Background

Khan has been in custody since his arrest on August 5, 2023, in a corruption case. He is lodged in Adiala Jail, a detention facility on the outskirts of Rawalpindi. His relatives and supporters have repeatedly alleged human rights violations and accused authorities of restricting his access to adequate medical care, family visits, and legal counsel. Khan has an eye ailment called right central retinal vein occlusion (CRVO), which came to light in late January.