Articles with tag: «acute myocardial infarction»
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2023 № 12 Incidence of acute coronary syndrome in the Russian Federation and in the Republic of Bashkortostan.
Purpose of the study. Based on an analysis of the medical and demographic situation and the incidence of acute coronary syndrome in the Russian Federation, in the federal districts and constituent entities of the Russian Federation, as well as in the pilot territory of the Republic of Bashkortostan, proposals are given for the development of management decisions at the regional and federal levels.
Materials and methods: statistical, analytical. We used statistical materials of the Federal State Statistics Service (2014–2021), statistical materials: M., TsNIIOIZ of the Ministry of Health of the Russian Federation (2023) and the Republic of Bashkortostan MIAC, Ufa (2022).
Results. The leading cause of mortality in the Republic of Belarus, as well as in the Russian Federation as a whole, is diseases of the circulatory system (CVD). In 2022, the mortality rate of the population from CVD in the Republic of Belarus was 459,5 per 100 thousand population, in the Russian Federation the figure was higher – 560,8‰oo. Fluctuations in indicators in the constituent entities of the Russian Federation are 7,6 times. The primary morbidity rate of the adult population in the Republic of Bashkortostan was BSK (2022) 4948,6‰oo.
Acute coronary syndrome (ACS) is a group of clinical symptoms or signs suggestive of acute myocardial infarction (MI) or unstable angina (UA). The primary incidence rate of the adult population of the Republic of Belarus with unstable angina pectoris was (2022) 113,8‰oo, acute myocardial infarction – 97,7‰oo, in the Russian Federation the figures are higher – 106,7 and 140,8‰oo, respectively. The difference in the incidence of myocardial infarction among the adult population in the constituent entities of the Russian Federation is 9,3 times; the difference in unstable angina is huge – 54 times, which to a certain extent indicates the ambiguity of the coding of unstable angina. The study indicates the need for an in-depth analysis of the incidence of acute coronary syndrome in the constituent entities of the Russian Federation.
Conclusions. It is necessary to develop management decisions, including improving the accessibility and quality of cardiac care to the population, including patients with acute coronary syndrome, at the regional and federal levels. -
2019 № 3 The role of air ambulance in reducing mortality in acute myocardial infarction in the Vologda region
The incidence of acute myocardial infarction (AMI) in the Vologda region exceeds the average Russian indicators and the average in the North-West Federal District. The Vologda region has a number of geographical features, which makes it relevant to use air ambulance services to evacuate patients with acute myocardial infarction from remote locations to regional clinics. Purpose. To study the role of air ambulance in reducing the mortality of patients with acute myocardial infarction. Material and methods: statistical data on the frequency of hospitalization of patients with acute myocardial infarction in medical institutions of the Vologda region and data on the use of air ambulance to evacuate patients with the specified diagnosis for the period from 2015 to 2018. Results and its discussion. Mortality rates from acute myocardial infarction of the Vologda region exceed the average Russian level. There are significant differences in certain areas of the region, Vologda and Cherepovets, where regional vascular centers are deployed. However, mortality rates remain high in many remote and inaccessible areas of the region. Analysis of the work of air ambulance showed that with its help, at best, up to 12.5% of patients with acute myocardial infarction from among those who need to be transferred to specialized vascular centers from central regional hospitals are evacuated. Conclusion. Air ambulance is a tool of “point” medical care for people living in hard-to-reach settlements. The real improvement of statistical indicators is possible only with a complex of organizational measures.