Important aspects of the development of the children’s cardiological services of the Grodno region. Analysis of sixty years of activity

Abstract

Introduction. The relatively young science of pediatric cardiology has made enormous breakthroughs in recent years: the labor intensity and complexity of modern diagnostic techniques have increased, and interventional methods of treatment are widely used. Modern pediatric cardiology covers a wide range of diseases: from intrauterine pathology, such as congenital heart and vascular defects, fibroelastosis, various arrhythmias, to acquired diseases represented by arterial hyperand hypotension, systemic vasculitis, autonomic dysfunction, juvenile rheumatoid arthritis.Purpose. To demonstrate the important stages of the development of the children’s cardiological service in Grodno region over a sixty-year period, assess its current state and analyze the dynamics of the incidence rate of children’s heart and vascular diseases during 2005–2019 in this region.Material and methods. During the period of 1960–2019 a retrospective research was carried out using the statistics: report of the chief substitute pediatric cardiologist, report of medical treatment for children during 2005–2019, analytical and conjunctral reports, reviews and references of chief doctors and local pediatricians.Results and discussion. The sixty-years of activity of the children’s cardiological service in Grodno region were analyzed. It was found that over the past 15 years there has been an annual increase in the overall incidence of diseases of the circulatory system (classes I00-I99 ICD 10), while the primary incidence decreased from 331.06 to 265.63 per 100,000 of the child population. The overall incidence of congenital heart defects over the past 15 years was characterized by a low decrease from 916.40 to 800.16 cases against the stabilization of the primary incidence rate.Conclusion. The obtained results indicate the well-organized work of the diagnostic, hospital, dispensary and prophylactic stages of medical assistance to children with cardiovascular pathology.