Issues of creating a registry of patients with coronary heart disease undergoing coronary artery bypass surgery at the present stage of cardiological care development

Abstract

Disease registries are becoming more and more widely used in various fields of medicine. Especially active implementation of registers is seen in cardiology. In Russia, the records of acute coronary syndrome, arterial hypertension, coronary heart disease, and chronic heart failure were created and are in use nowadays. However, in our country, there are no national registers of cardiac surgery and, in particular, registers of coronary bypass grafting. Besides establishing risk factors and evaluating outcomes, the creation of databases and registers of cardiac surgery helps to solve several problems ranging from analyzing adherence to modern recommendations in daily clinical practice to improving the quality of cardiac surgery. This paper discusses the scientific and organizational approaches to the creation and functioning of a register of patients with cardiovascular disease who underwent coronary artery bypass grafting as well as the promising opportunities of using medical decision support systems based on big data mining.