Peculiarities of the Course and Provision of Medical Care to Patients with Acute Coronary Syndrome in the Precarpathian Region
AbstractAbstract. Cardiovascular diseases are the first ones in mortality among other diseases. Particular attention should be paid to patients after acute coronary syndrome, since their quality of life, the possibility of restoration of work capacity. Objective of the research. To evaluate indicators of medical care provision for patients with acute coronary syndrome in the Precarpathian region. Materials and methods. The medical-geographical indicators, data of the local registry (2014-2018) included clinical and objective parameters, peculiarities of the course, rehabilitation and treatment of patients with acute coronary syndrome. Results. The peculiarities of the course of acute coronary syndrome, clinical characteristics of patients depend on the form of IHD and the applied method of ACS treatment. There is an increase of the number of PCI performance and the reduction of TLT, the percentage of admission of patients up to 2 hours remains low. The increase of PCI performed in the districts of the region in the dynamics from 2014 to 2018 has been determined, as well as the geographical peculiarities of the Ivano-Frankivsk region. The percentage of patients’ undergoing rehabilitation after acute coronary syndrome remains low. Conclusions. The Precarpathian region has a number peculiarities that are related to the location of the region. Taking into account the characteristics will contribute to the improvement of the organizational model of medical care provision in the region.
Unified clinical protocol of emergency, primary, secondary, third medical care and medical rehabilitation "Acute coronary syndrome without elevation of segment ST", Order of the Ministry of Health of Ukraine 03.03.2016 № 164.
Aglullina EI. Acute coronary syndrome: from diagnosis to optimization of treatment. Vestnik sovremennoy klinicheskoy meditsiny. 2013; 6 (5): 91-94. DOI: https://doi.org/10.20969/VSKM.2013.6(5).91-94
Terenda NO, Petrashyk YuM. Comparative assessment of the effectiveness of the interventional method of treating patients with myocardial infarction according to the Ternopil region. Hospital Surgery. Journal named after LYa. Kovalchuk 2017; 1: 91-95.
Ferreira J, Monteiro P, Mimoso J. National Registry of Acute Coronary Syndromes: results of the hospital phase in 2002. Rev. Port. Cardiol. 2004; 23 (10):1251-1272.
Pajunen P, Koukkunen H, Ketonen M. et al. The validity of the Finnish Hospital Discharge Register and Causes of Death Register data on coronary heart disease. Eur. J. Cardiovasc. Prev. Rehabil. 2005;12: 132-137. DOI: https://doi.org/10.1097/00149831-200504000-00007
Garganeeva AA, Okrugin CA, Borel KN. The WHO Register of Acute Myocardial Infarction is an opportunity and perspective in the study and forecasting outcomes of socially significant poatologies at the population level. Sibirskiy meditsinskiy zhurnal. 2015; 2: 125-130.
Efros LA, Samorodskaya IV. Survival and efficiency in men after coronary bypass. Clinical medicine. 2013; 5: 27-31.
Azizov VB, Antonyuk IV, Baranenko AV, et al. Registry of Percutaneous Coronary Intervention: Comparative Analysis 2014-2015 Regional reperfusion networks in Ukraine - the dynamics of development. Sertse i sudyny. 2016; 3: 14-34.
Kovalenko VN, Dolzhenko MN, Nesukai EG, Dyachenko Ya. Comparative characteristics of prevention of cardiovascular diseases in Ukraine and Europe according to EUROASPIRE VI: hospital line. Arterial hypertension. 2016; 1 (45): 57-61. DOI: https://doi.org/10.22141/2224-14126.96.36.1996.74138
Chendey TV, Ravtochka YaH, Lohoyda VV. Register of acute coronary syndromes in Transcarpathia: first results. Sertse i sudyny. 2017; 2: 38-44.
Geographical location and natural conditions of the Carpathian region. Ivano-Frankivsk Regional Universal Library named after I. Franko. https://lib.if.ua/exhib/1534076504.html
Yatsuba VG, et al. Administrative-territorial structure of Ukraine. History and the present. KIYV. 2001; 272.
Copyright (c) 2019 Roksolana Nesterak
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).