Evaluation of survival of patients with acute myocardial infarction at hospital in mukachevo (ukraine) and at the cardiological center in banska bystrica (slovakia) on the data of 6-timescent observation

Abstract

Introduction. Today cardiovascular disease (CVD) is the main cause of mortality in the industrialized countries of the world, including Ukraine. Therefore, the life of patients depends on the correct diagnosis and timely treatment. According to the Association of Interventional Cardiologists of Ukraine, during the year 2017, mortality from acute myocardial infarction (AMI) in 11 regions of Ukraine decreased by 20% compared to 2015. The reason for this is the development of reperfusion centers in the country and the purchase of quality stent systems that are provided to the patient in urgent cases for free. The aim of the study. To study the principles of treatment of patients with acute myocardial infarction in Ukraine and Slovak Republic, compare the mortality rates of this pathology over the past 6 months and to find the best treatment methods that will prolong the life of such patients. Materials and methods. Worked 100 stationary cards of cardiac patients treated in the past six months at Banska Bystrica’s Cardiology Center in Slovak Republic and 100 stationary cards of cardiac patients who received at the same period of time to the Cardiology Department of the Mukachevo Central Hospital, Ukraine. The selection of stationary cards was mechanical, each second cards at the department. The number of population in cities is almost the same: in Banska Bystrica – 77 000 (in 2017), in Mukachevo – 86 000 (in 2016). The examination of patients was carried out in accordance with unified clinical protocols (orders of the Ministry of Health of Ukraine No. 164 dated 02.03.2016 and No. 455 dated 02.07.2014).  Research results and their discussion. The study found that Ukrainian protocols for the provision of medical care to STEMI and NSTEMI patients are international, but stationary and 6-month mortality rates remain higher than in Slovakia. After the introduction of free stenting in our country in emergency cases, mortality rate for AMI patients has decreased by 28%, compared to 5 years ago, but at the same time the 6-month mortality rate of patients remains high. Conclusions. To reduce the mortality rate from acute myocardial infarction it is necessary to improve the staffing of emergency medical teams, to continue to develop cardiology centers in the country and provide them with necessary equipment and free stents, to amend the effective protocol for the provision of medical care to patients with acute myocardial infarction without ST elevation, which will relate to obligatory execution of coronary angiography in the planned order after the treatment.