120 likes | 260 Views
Forming of reperfusion care for ACS patients with based on primary PCI in Ukraine. The initiative «Stent for Life» in Ukraine. Champion: Maxim Sokolov , MD, Dr.Sc ., local representative of « Stent for Life » in Ukraine.
E N D
Forming of reperfusion care for ACSpatients with based on primary PCI in Ukraine The initiative «Stent for Life» in Ukraine Champion: Maxim Sokolov, MD, Dr.Sc., local representative of «Stent for Life»in Ukraine The data obtained by the Ukrainian Association of Interventional Cardiology
Population Hospitalized AMI Comparative analysis of the primary PCI in EC(EurHeart Journal 2009 №19) and Ukraine (results of the Registry in 2011)
Primary PCI per year Total PCI per year Comparative analysis of the primary PCI in EC(EurHeart Journal 2009 №19) and Ukraine (results of the Registry in 2011)
Primary PCI per year Primary PCI /1.000.000 Comparative analysis of the primary PCI in EC(EurHeart Journal 2009 №19) and Ukraine (results of the Registry in 2011)
Number of PCI and pPCIaccording to «Ukrainian PCI Register» Expected the number of PCI & pPCI in 2012 Dynamics of changes to the 2009-2011 30,8% pPCI Number of patients 22,5% pPCI 20% pPCI 20% pPCI 2012 2009 2010 2011 years
Analysis of reperfusion therapy in 4 countries (Eur Heart Journal 2009 №19) and Ukraine (results of Registry in 2011) • 2009 year • 2009 year • 2009 year • 2009 year • only 24.5% of patients with ACS performed reperfusion therapy in Ukraine • 2011 • year • Primary PCI - 4,4 % Fibrinolysis therapy - 20,1% PCI Cathlabs- 32 • PCI total (2011) - 5250 PCI primary (2011) - 1170
«Ukrainian PCI Register» opened in April 2010 In database 14 238 protocols (≈ 70% of total) for diagnostic and therapeutic interventional procedures in 34 from 38 registered CathLabs(01 September 2012); Active sites (daily on-line connection) -25
«Ukrainian PCI Register» opened in April 2010
The scheme of «Reperfusion centers»in Ukraine - Ukraine is divided into 25 regions; - A total of 32 CathLabs can perform PCI (including 12 who perform pPCI) -
The scheme of «Reperfusion centers»in Ukraine 50км - radius of patients delivery - 50 km - Ukraine is divided into 25 regions; - Total 32 Cathlabs, which can perform PCI ; - 12 Cathlabs, which can perform pPCI;
The scheme of «Reperfusion centers»in Ukraine 50км - radius of patients delivery - 50 km - radius of patients delivery - 100 km 100км
What has been done and what needs to be done «Association of Interventional Cardiology of Ukraine»was established (since September 2011); Established and conducted «Training Courses Interventional Cardiologists»,the duration of 1.5 months , 5 times a year (since December 2007); Created and operates «Ukrainian PCI Register»(since April 2010); Increasing number of primary stenting in AMI; There are initiative doctors with advanced views; The Health Ministry has not «Program for Primary Coronary Interventions»with adequate funding; There are no actually executed regulatory documents for the creation of «Regional Networks» and «Regional Reperfusion Centers»to optimize the delivery system of patients and the requirement for pPCI;