Cardiology

doi: 10.25005/2074-0581-2017-19-1-37-41
HIGH-TECHNOLOGICAL MEDICAL AID IN ACUTE CORONARY SYNDROME IN THE UDMURT REPUBLIC

N.M. Kuzmina1, N.I. Maksimov1

1Izhevsk State Medical Academy, Izhevsk, Russia

Objective: Assess the role of high-technological medical aid in the dynamic of mortality from coronary artery disease (CAD) in Udmurt Republic (UR).

Methods: The article contains analysis of the data from Rosstat, reports of the Ministry of Health of the UR on the health status of the UR population, the number of death cases as a result of CAD and extensive myocardial infraction in various districts and cities of the UR, the number of persons referred from district hospitals to the primary cardio-vascular centers.

Results: From data review of the Rosstat and the Ministry of Health of the UR shows that the mortality rate reduced in districts, where patients were mostly referred to the cardio-vascular centers, and further to the regional cardio-vascular center for percutaneous intervention.

Conclusions: In the context of restructuring the hospital network, creation of primary and regional cardio-vascular centers, surgery and X-ray endovascular units scientific substantiation technologies and result oriented programs of finance become more relevant. It is necessary in further to develop the system of primary and regional cardio-vascular centers for timely rendering first aid and delivery of patients for myocardial revascularization, and especially for reduction of mortality from acute coronary syndrome.

Keywords: Coronary artery disease, acute coronary syndrome, cardio-vascular center, high-technological medical aid.

Download file:


References
  1. Akchurin RS, Burmistrova IV, Vasil’yev VP, Vlasova EYe., Galyautdinov DM, Dzemeshkevich SL, i dr. Aktual’nye voprosy khirurgii serdtsa u vzroslykh. Serdechno-sosudistaya patologiya. Sovremennoye sostoyanie problemy [Actual questions of heart surgery in adults. Cardiovascular pathology. The current state of the problem]. Moscow, RF: Media Medika, 2009. 364 p.
  2. Vishnevsky AG, Andreev EA, Timonin SA. Smertnost’ ot bolezney sistemy krovoobrashcheniya i prodolzhitel’nost’ zhizni v Rossii [Mortality from diseases of the circulatory system and life expectancy in Russia]. Demograficheskoe obozrenie. 2016;3(1):6-34.
  3. Martynchik SA, Filatenkova SV. Mediko-ekonomicheskaya otsenka i obosnovaniye tekhnologiy i programm byudzhetirovaniya statsionarnoy pomoshchi pri ishemicheskoy bolezni serdtsa [Medical and economic assessment and justification of technologies and programs for the budgeting of inpatient care for coronary heart disease]. Elektronnyy nauchnyy zhurnal «Sotsial’nyye aspekty zdorov’ya naseleniya». 2012; 2 (24). Rezhim dostupa: http://vestnik.mednet.ru/content/view/395/30/lang,ru/.
  4. Danilova IA. Problemy kachestva Rossiyskoy statistiki prichin smerti v starcheskom vozraste [Problems of quality of the Russian statistics of the causes of death in old age]. Uspekhi gerontologii. 2014;28(3):409-14.
  5. Torti FM, Shelby DR, Kevin AS. Analytic Considerations in Economic Evaluations of Multinational Cardiovascular Clinical Trials. Value in Health. 2008;9(1):88-96.
  6. Rekomendatsii ESC/EACTS po revaskulyarizatsii miokarda 2014 [ESC/EACTS recommendations on myocardial revascularization in 2014]. Rossiyskiy kardiologicheskiy zhurnal. 2015;2(118):5-81. Available from: http://dx.doi. org/10.15829/1560-4071-2015-02-5-81.
  7. Alekyan BG, Abrosimov AV. Sovremennoye sostoyaniye rentgenendovaskulyarnogo lecheniya ostrogo koronarnogo sindroma i perspektivy ego razvitiya v Rossiyskoy Federatsii [The current state of X-ray endovascular treatment of acute coronary syndrome and the prospects for its development in the Russian Federation]. Kompleksnye problemy serdechno-sosudistykh zabolevaniy. 2013; 1: 5-8.
  8. Ministerstvo zdravookhraneniya Udmurtskoy Respubliki. BUZ UR «Respublikanskiy meditsinskiy informatsionno-analiticheskiy tsentr MZ UR». Osnovnyye pokazateli sostoyaniya zdorov’ya naseleniya Udmurtskoy Respubliki za 2015 god. Chast’ 2 [Ministry of Health of the Republic of Udmurtia «Republican Medical Information and Analytical Center» Main indicators of the health status of the population of the Udmurt Republic in 2015. Part 2]. Izhevsk, RF. 2016.
  9. Barbarash LS, Artamonova GV, Makarov SA. Innovatsionnaya model’ organizatsii spetsializirovannoy pomoshchi pri boleznyakh sistemy krovoobrashcheniya [Innovative model of the organization of specialized care in diseases of the circulatory system]. Kemerovo, RF: Kuzbassvuzizdat; 2008. p. 27-54.
  10. Gosudarstvennyy doklad o realizatsii gosudarstvennoy politiki v sfere okhrany zdorov’ya za 2015 god [State report on the implementation of public health policy for 2015]. Moscow, RF. 2016.
  11. Ministerstvo zdravookhraneniya Udmurtskoy Respubliki. BUZ UR «Respublikanskiy meditsinskiy informatsionno-analiticheskiy tsentr MZ UR». Osnovnyye pokazateli sostoyaniya zdorov’ya naseleniya Udmurtskoy Respubliki za 2016 god. Chast’ 2. [Ministry of Health of the Republic of Udmurtia «Republican Medical Information and Analytical Center» Main indicators of the health status of the population of the Udmurt Republic in 2016. Part 2]. Izhevsk, RF. 2017.
  12. Savchenko AP, Rudenko BA. Klinicheskaya effektivnost’ endovaskulyarnykh tekhnologiy pri lechenii ishemicheskoy bolezni serdtsa [Clinical efficacy of endovascular technologies in the treatment of coronary heart disease]. Kardiologicheskiy vestnik. 2008;1:5-11.

Authors informations:

Kuzmina Natalya Mikhaylovna, Postgraduate student of the Department of Hospital Therapy, Cardiology and Functional Diagnostics at Izhevsk State Medical Academy

Maksimov Nikolay Ivanovich, Doctor of Medical Sciences, Full Professor, Head of the Department of Hospital Therapy, Cardiology and Functional Diagnostics at Izhevsk State Medical Academy

Address for correspondence:

Kuzmina Natalya Mikhaylovna

Postgraduate student of the Department of Hospital Therapy, Cardiology and Functional Diagnostics at Izhevsk State Medical Academy

426034, Russian Federation, Udmurt Republic, Izhevsk, Kommunarov streat, 281

Tel.: (+7) 912 4525643

E-mail: natalyes89@mail.ru

Materials on the topic: