ГЛАВНАЯ

АРХИВ

#2 (22) 2018

Innovations in cardiology and cardiosurgery

 

 

DYURZHANOV ADIL ADILBEKOVICH Director of Municipal state enterprise on the right of economic management Pavlovsk Regional Cardiology Center, Ph.D., cardiac surgeon of the highest category, chief non-staff cardiosurgeon of the Health Department in Pavlodar region, Master of Business Administration. Graduated from the Semipalatinsk State Medical Academy with honors. He was trained in clinical residency at the Scientific Centerof Cardiovascular Surgerynamed after A.N. Bakulev.

 

 

 

 

 

 

Adil Adilbekovich, please tell us about the activities of the Center.

 

As part of the development of cardiac and cardiosurgical care in the Republic of Kazakhstan since January 8, 2013 under the leadership of Mukashev Oraz Sarsengalievich, the Regional Cardiac Surgery Center in Pavlodar began its activity. The center serves the adult and children's population of Pavlodar and East Kazakhstan Regions. In 2014, it was renamed as Pavlodar Regional Cardiology Center, and by combining the Center with the city hospital No. 2, the first cardiological cluster in the republic was created, the capacity of the hospital increased by 200 beds. In 2016 the cardiological service of Pavlodar is centralized on our health facility. All this allowed to coordinate the cardiovascular service of the region, provide a full cycle of treatment and establish communication with primary health care.

 

 

For five years of work the structure of the whole center was transformed. Today it consists of two clinics:

-Cardiosurgical clinic, which included:

-Laboratory of electrophysiology and endovascular surgery laboratory, equipped with high-tech equipment that allows to perform all types of interventional procedures from coronary angiography up to implantation of sophisticated Arrhythmia devices.

Cardiosurgical departments of coronary heart disease and acquired heart defectsfor open-heart surgery for adults, starting from familiar shunting up to the most complex combined operations, valve corrections.

Department of congenital heart disease provides cardiac, cardiosurgical and rehabilitation care for children. It closely cooperates with the perinatal center and providesultrasound verification of the fetus, and since 2015 the newborns are operated amongthem. Children with a critical body weight of 0.900 grams are operated.

Department of Interventional Cardiology with Intensive Care Unit- where adult patients who had undergone interventions are treated.

Operating unit with three operating rooms classified as “sterile” and “non-sterile” zones. Supply-extract system of laminar air sterilizers create a “microclimate”, constantly maintaining a predetermined temperature.

Department of Anesthesiology, Reanimation and Intensive Care Adults and Children is equipped with modern anesthesia and respiratory equipment manufactured in the USA, Germany, France, which allows nursing the patients after operations of any complexity. The system of laminar-supply ventilation with the function of air disinfection maintains a constant temperature and humidity, which prevents the purulent-septic complications. In addition, the department has its own diagnostic equipment(ultrasound, fiber-optic bronchoscope), hemodialysis machines and a blood laboratory with modern equipment.

The uniqueness of the children's intensive care unit is that it is equipped with respiratory equipment with a neonatal option, which allows nursing children weighing from 500 grams. Couveuses of intensive care for newborns with a system of phototherapy. Mobile couveuses can transport newborns, including premature infants from any region of Kazakhstan. There is a device with nitric oxide for reducing pulmonary hypertension.

Department of perfusion, transfusiology and extracorporeal circulation is equipped with modern apparatus for providing artificial circulation and providing in vitro blood correction and membrane oxygenation. The main activity is the maintenance of artificial blood flow in the body, keeping it alive while exercising cardiosurgical interventions on the heart and great vessels. Moreover, there is blood recovery, processing and transfusion. The artificial blood circulation was applied in our region for the first time.

 

 

Cardiology clinic. To provide round-the-clock cardiological care to the adult population, a Primary Percutaneous Coronary Intervention center was created as the part of clinic’s facilities, a patient movement route and an algorithm for interaction between medical organizations in the provision of emergency care to patients with acute coronary syndrome (interaction algorithm) were developed. 24 hours a day, 7 days a week, patients from all over the region are admitted there. During the day, up to 40 patients are treated through the clinic, approximately 60% are urgently treated. 24 hours a day, through telemedicine, all regional Central District Hospitals can receive advice from a cardiologist and the leading cardiology centers in Kazakhstan at the PCI center. There

There are following departments in the clinic: acute myocardial infarction, restorative treatment and rehabilitation, chronic heart failure, coronary heart disease, general cardiology. In the latter, patients are hospitalized, mainly with heart rhythm disorders, with myocarditis and endocarditis and pulmonary artery thromboembolia. Inpatient-replacement care is provided.