Optimization of Organizational Approaches to Management of Patients With Atherosclerosis

Барбараш, Л. С.; Барбараш, О. Л.; Артамонова, Г. В.; Sumin, A.N. Sumin

doi:10.18565/cardio.2014.10.78-85

Cited by 4 publications

(3 citation statements)

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“…Доказана эффективность инновационного проекта диспансеризации больных периферическим атеросклерозом с активным участием врачей-кардиологов [31]. Исследование позволило ввести в клиническую практику на уровне первичного звена здравоохранения персонифицированную программу дистанционного патронажа для оптимизации диспансеризации пациентов с данной патологией.…”

Section: разработка клинико-организационных моделей управления медици...unclassified

Development and Substantiation of Promising Models of Medical Care for Diseases of Circulatory System in Industrial Region. 2010–2023 Results

Artamonova,

Bazdyrev,

Makarov

2024

Kompleks. probl. serdečno-sosud. zabol.

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HighlightsWe have identified regional peculiarities of traditional and non-traditional cardiovascular risk factors.We have defined and characterized clinical and organizational characteristics of the specialized care, prevention, and treatment of diseases of the circulatory system in the Kemerovo region - Kuzbass.Moreover, we have described the principles of innovative organizational models for improving care for patients with diseases of the circulatory system, focused on the needs of outpatient organizations. AbstractThe review presents the main research findings obtained at the Department of Optimization of Medical Care for Cardiovascular Diseases of the Research Institute for Complex Issues of Cardiovascular Diseases over the past 13 years of work. The uniqueness of the obtained data lies in the fact that we have identified regional peculiarities of cardiovascular risk factors in residents of an industrial region (using the Kemerovo region data). Data on monitoring of health and risk factors served as the basis for the development of innovative organizational models for improving care for patients with diseases of the circulatory system from the stage of primary care to tertiary care using a systematic and integrated approach, and situational analysis. Management decisions within models are based on international quality standards that reaffirm that risk-based management, the role of personnel and the work environment are the integral to the improvement of performance and the achievement of the main goals of medical organization. Using the project approach, we have implemented management tools for internal quality control and safety of patients and personnel.

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Section: разработка клинико-организационных моделей управления медици...unclassified

Development and Substantiation of Promising Models of Medical Care for Diseases of Circulatory System in Industrial Region. 2010–2023 Results

Artamonova,

Bazdyrev,

Makarov

2024

Kompleks. probl. serdečno-sosud. zabol.

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“…The expected mortality of patients with CLLI increases from 25% during the first year of the syndrome to 60-70% over the next three-five years. Indications for high, that is, above the level of the knee joint, amputation reaches 52-95% within three years and is accompanied by total mortality of 10-40% to 71% over the next two-three years [18].…”

Section: Mechanisms Of Formation Of Vascular Atherosclerosis and Sign...mentioning

confidence: 99%

Synthesis, Chemical and Biomedical Aspects of the Use of Sulfated Chitosan

et al. 2022

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This work is devoted to the chemical synthesis of sulfated chitosan and its experimental verification in an animal model of early atherosclerosis. The method of chitosan quaternization with sulfate-containing ingredients resulted in a product with a high content of sulfate groups. Implantation of this product into the fascial-muscular sheath of the main limb artery along the leg and thigh in rabbits led to the extraction of cholesterol from the subintimal region. Simplified methods for the chemical synthesis of quaternized sulfated chitosan and the use of these products in a model of experimental atherosclerosis made it possible to perform a comparative morphological analysis of the vascular walls of the experimental and control limbs under conditions of a long-term high-cholesterol diet. The sulfated chitosan samples after implantation were shown to change the morphological pattern of the intimal and middle membranes of the experimental limb artery. The implantation led to the degradation of soft plaques within 30 days after surgical intervention, which significantly increased collateral blood flow. The implantation of sulfated chitosan into the local area of the atherosclerotic lesions in the artery can regulate the cholesterol content in the vascular wall and destroy soft plaques in the subintimal region.

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“…Во-первых, если опираться на симптомы заболевания, известно, что до 20% пациентов имеют микрососудистую форму стенокардии [12,13] и наличие типичной стенокардии будет сочетаться с интактными эпикардиальными КА. При этом проведение КАГ бессимптомным больным при нарушениях ритма сердца, клапанных пороках, периферическом атеросклерозе нередко выявляет существенные поражения КА [14][15][16]. Неудивительно, что накопление таких клинических случаев в личной практике врача приводит к сомнениям в его способностях только по клиническим симптомам уверенно отдифференцировать пациентов с наличием или отсутствием обструктивной ИБС.…”

Section: ключевые словаunclassified

Challenges of Diagnosis of Obstructive Coronary Artery Disease: The Role of Non-Invasive Testing

Корок

Сумин

2019

Kompleks. probl. serdečno-sosud. zabol.

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High mortality from cardiovascular diseases, especially coronary artery disease (CAD), represents a major economic burden on healthcare systems. The number of diagnostic coronary angiographies (CAG) is increasing in the Russian Federation. However, routine invasive CAG is not able to determine obstructive coronary artery disease in a considerable number of patients. The rate of intact coronary arteries reaches 42% in the major registries and accounts for 37.9% in our Research Institute. Despite all improvements in the diagnostic algorithms focused on suspected coronary artery disease, stated in the recent international and national guidelines, and the availability of advanced non-invasive diagnostic methods, they do not improve accurate CAG diagnosis of obstructive coronary artery disease. Moreover, the available guidelines contain many contradictions. Therefore, an optimal diagnostic algorithm of significant coronary artery lesions is a subject of discussion. The proposed review discusses all discrepancies concerning the assessment of the pretest probability as well as the proposed non-invasive testing. In addition, the preferred use of non-invasive tests with anatomical assessment (i.e. multispiral computed tomography coronary imaging) rather than functional tests with visualization is stated. This review ensures better understanding of diagnostic strategies for stable coronary artery disease used both in researches and in clinical practice.

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Optimization of Organizational Approaches to Management of Patients With Atherosclerosis

Cited by 4 publications

References 0 publications

Development and Substantiation of Promising Models of Medical Care for Diseases of Circulatory System in Industrial Region. 2010–2023 Results

Development and Substantiation of Promising Models of Medical Care for Diseases of Circulatory System in Industrial Region. 2010–2023 Results

Synthesis, Chemical and Biomedical Aspects of the Use of Sulfated Chitosan

Challenges of Diagnosis of Obstructive Coronary Artery Disease: The Role of Non-Invasive Testing

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