Abstract
Aim. To assess the effectiveness of new forms of rendering medical care to patients with acute coronary syndrome (ACS) in 2014-2016. Meterials and methods. Retrospective collection of information on the activity of medical service in Perm and Perm Krai regarding rendering medical care to patients with acute coronary syndrome was carried out. Results. Thanks to introduction of new forms of organization of medical care to patients with acute coronary syndrome in Perm Krai, we managed for the recent five years to reduce mortality from myocardial infarction (MI) from 49,1 to 41,6 per 100000 of the population. In 2016, the number of transcutaneous coronary interventions for MI was 49 %. Hospital lethality caused by MI in hospitals with angiographic units decreased by 26,4 % for the recent 4 years - to 8,1 % in 2016. Conclusions. Creation of ambulatory intermunicipal centers, intensification of organizational, methodical and educational function of cardiologist needs further development. It is necessary to form the registers on acute coronary syndrome, chronic heart failure, atrial fibrillation. The essential objective is to develop a three-stage system of rehabilitation for patients with cardiovascular diseases.
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