Medicamental therapy of acute coronary syndrome (ACS) according to the Federal register ACS (on the example of the Regional cardiological dispensary)

Regional cardiological dispensary participates in the Federal register of ACS from September 1,2009. The article presents information on the medicamental therapy of ACS according to the data of the register of Regional cardiology dispensary for the period 2009-2010 and 2011 -2012. The number of patients included in the register, has made in 2009-2010 - 273, in 2011 — 2012-352.Окружной кардиологический диспансер участвует в работе Федерального регистра острого коронарного синдрома (ОКС) с 1 сентября 2009 года. В статье представлена информация о медикаментозной терапии ОКС по данным регистра Окружного кардиологического диспансера за периоды 2009-2010 гг. и 2011 -2012 гг. Количество больных, вошедших в регистр, составило в 2009-2010 гг. - 273, в 2011 -2012 гг. - 352

Satisfaction as an estimation of quality of medical aid

The questioning was maid to estimate the satisfaction of cardiological patients. 4891 patient of the specialized cardiological institution took in this research. The satisfaction degree has made up 89,0%. This fact testifies to the high quality of medical aid.Для оценки удовлетворенности пациентов кардиологической помощью проведено анкетирование. В анкетировании приняли участие 4891 пациент специализированного кардиологического учреждения. Степень удовлетворенности составила 98,0%, что свидетельствует о высоком качестве медицинской помощи

The Registry of acute coronary syndrome: myocardial revascularisation

Since 2008 Russian acute coronary syndromes (ACS) registry is working. One of the participants of Russian ACS registry is Regional Cardiological Clinic Center of Diagnostic and Cardiovascular Surgery, Surgut, Russia. The article presents ACS patient group charecteristic and myocartial revasularization results.C 2008 года начал свою работу российский регистр острых коронарных синдромов. БУ ХМАО-Югры Окружной кардиологический диспансер 'Центр диагностики и сердечно-сосудистой хирургии' является участником Российского регистра ОКС. В данной работе дана характеристика пациентов с острым коронарным синдромом, описаны результаты реперфузионных мероприятий

FACTOR ANALYSIS AND INDIVIDUAL PROGNOSIS FOR THE PATIENTS WITH FIRST REVEALED ARTERIAL HYPERTENSION

Aim. To study the risk factor (RF) prevalence, target organ damage (TOD) and overall cardiovascular risk among patients with the first time revealed AH. Material and methods. Totally 90 patients included (48 women, 42 men) with increased blood pressure (BP) from those who requested medical care for the first time. After investigation the evaluation of cardiovascular risk was done according to National guidelines for Prophylaxy, diagnostics and treatment of AH, scales SCORE and PROCAM.Results. Most patients had 2 or more RF. Absence of additional cardiovascular risk factors among patients with the first time revealed AH existed only for women; 29,2% women and 14,3% men had 1 RF The prevalence of 2 RF was the same for both genders: 42,9% and 43,8%, resp. Three and 4 RF were twice more prevalent in men, than in women.Conclusion. In the population of patients with the first time revealed AH the average and high risk of cardiovascular complications was more common

A FAMILIAL CASE OF BRUGADA SYNDROME

The paper describes a familial case of Brugada syndrome type I (genetic variation Y87C) with autosomal-dominant inheritance

A NORMAL BRADYSYSTOLIC FORM OF ATRIAL FIBRILLATION (FREDERICQ’S SYNDROME): LATE DIAGNOSIS AND TREATMENT

It is presented a case of delayed diagnosis brad systole against permanent atrial fibrillation (syndrome Frederick) which became to syncope patient and to the later implanting of pacemaker.</p

RARE ANOMALY OF THE CORONARY VESSELS: CORONARY AND LEFT VENTRICULAR FISTULAS

Study objective: description of the case of diagnostics of rare anomaly of the coronary vessels: coronary and left ventricular fistulas.Materials and methods. Patient L., 45 y.o. (height 168 cm, weight 55 kg), male, complained of periodical burning pain behind the breastbone without connection with physical activity, often disturbing at night, stopped with intake of nitrates. The following examination of the patient was performed: clinical and biochemical blood tests, electrocardiography (ECG), Holter ECG monitoring, bicycle ergometry, echocardiography, coronary angiography, computerized tomography.Results. The following clinical diagnosis was set on the basis of complaints. data of objective and instrumental examination: congenital heart disease. Abnormal end of the coronary arteries: multiple coronary and left ventricular fistulas, steal syndrome. Hypoplasia of the right coronary artery (Q 24.5 in accordance with the International Classification of Diseases, revision 10). Coronary angiography has become the main diagnostic method that allowed diagnosis verification: left type of coronary blood circulation. The trunk of the left coronary artery, the anterior interventricular branch,  he diagonal branch, the envelope branch, the obtuse marginal branch, the right coronary artery, the posterior interventricular branch have with irregular contours. Direct abnormal connection (dense grid of fistulas) is observed in the medium and lower third of the anterior interventricular branch with the left ventricle cavity. The contrast agent practically completely comes into the left ventricular cavity. The parenchymal phase is very well expressed; the venous phase is not visualized. Conclusion. Congenital heart disease: multiple coronary and left ventricular fistulas. No angiographic evidence of hemodynamically significant stenotic coronary lesions.Conclusion. The practical interest of this observation is due to rarity of disease, analysis of modern possibilities of diagnostics and complexity of the choice of the therapy tactics. Surgical correction of the disorder has appeared impossible due to large area of discharge and too dense grid of fistulas. Medication therapy has been selected that allowed stopping the pain syndrome, which is the major clinical manifestation of the congenital anomaly of coronary vessels: multiple coronary and left ventricular fistulas.</p