A Ten Year Overview of Surgical and Interventional Arrhythmology in Russia. Service Peculiar Features in the Far East

Богачевская, С А; Bogachevskiy, A.N.

doi:10.21045/2071-5021-2017-53-1-1

Cited by 9 publications

(7 citation statements)

References 314 publications

(414 reference statements)

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“…По уровню обеспеченности регионов методами интервенционной аритмологии Россия находится на одном из последних мест в Европе [17]. В РФ в 2011 г.…”

Section: Discussionunclassified

“…населения в 2013 г. при числе клиник 0,05 на 100 тыс. населения [17]. По данным 2013 г., самый высокий показатель имплантаций ИКД отмечался в Сибирском федеральном округе (ФО) -3,12 на 100 тыс.…”

Section: Discussionunclassified

“…населения при более низком, чем в среднем по РФ, числе клиник -0,03 на 100 тыс. населения [17]. В Кемеровской области в 2013 г. показатель имплантаций ИКД составил 1,7 на 100 тыс.…”

Section: Discussionunclassified

“…населения, которые по-прежнему не покрывают существующую потребность. Следует отметить, что даже в тех странах, где имплантация ИКД получила наибольшее распространение, обеспечивается не более 60 % от реальной потребности в таковых [17]. Основной причиной ограничения применения ОРИГИНАЛЬНЫЕ СТАТЬИ § ИКД является высокая стоимость устройств, недостаточное количество высокоспециализированных клиник и специалистов, осуществляющих данный вид помощи.…”

Section: Discussionunclassified

“…Согласно данным настоящего регистра имплантация ИКД производится преимущественно мужчинам старше 60 лет с ХСН с низкой ФВ ЛЖ вследствие ИБС с коморбидным фоном, из которых более половины перенесли ИМ и получили коронарную реваскуляризацию. Вместе с тем, по результатам одного из исследований, распространенность СН с низкой ФВ ЛЖ выше среди женщин [17]. Полученные данные отражают особенности отбора и маршрутизации пациентов на имплантацию ИКД.…”

Section: Discussionunclassified

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Clinical and anamnestic characteristics of patients with an implanted cardioverter-defibrillator in real clinical practice (data from the Kuzbass register)

et al. 2021

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Aim To study the consistency of the practice of management, selection and routing of patients at high risk of sudden cardiac death (SCD) selected for cardioverter-defibrillator implantation (CDI) with current clinical guidelines and to evaluate the quality of subsequent outpatient follow-up and treatment based on a retrospective analysis of clinical amnestic data from the Kuzbass Registry of Patients with CDI.Material and methods The study was based on the Registry of Patients with Implanted Cardioverter Defibrillator and included successive data of 28 patients hospitalized to the Kizbass Cardiological Center from 2015 through 2019. Social and clinical amnestic characteristics, indications for CVI, and concomitant drug therapy were analyzed retrospectively. Statistical analyses were performed with the Statistica 10.0 software (Statsoft, USA).Results Median age of patients was 59 (53; 66) years; 239 (83.6 %) men were included; 29 (10.1%) people were employed, CHI was performed in 182 (63.6 %) patients for prevention of SCC, and for secondary prevention in 104 (36.4 %) patients. 208 (72.7 %) patients were diagnosed with ischemic heart disease (IHD), and 145 (67.9 %) of them underwent myocardial revascularization. Noncoronarogenic diseases were found in 78 (27.3 %) patients, and most of them were diagnosed with dilated cardiomyopathy. All patients had chronic heart failure (CHF); half of them had stage IIA CHF. Median left ventricular ejection fraction was 30 (25; 36,5) % according to echocardiography using the Simpson method. Comorbidity was found in 151 (52.8 %) patients. 128 (44.8%) patients received a triple neurohormonal blockade for CHF treatment; titration to target doses was not performed in any of them. Antiarrhythmics were administered to 150 (52.4 %) patients.Conclusion According to the data from the Kuzbass Registry of CVI, the main patient cohort consisted of men of pension age with IHD and CHF. Before CVI, more than a half of them had not received an optimum drug therapy and not all of them had received target lesion revascularization. Creating and analysis of Registries of CHI patients is an effective method for identifying existing problems in patient management before CVI and for optimizing their subsequent follow-up and treatment.

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Section: Discussionunclassified