The role of vascular center in implementation of regional program of specialized medical care under acute coronary syndrome

The study was carried out to improve results of treatment of patients with acute coronary pathology. The retrospective analysis was implemented concerning functioning of the regional vascular center «The road clinical hospital on the Chelyabinsk railway station» during 2012-2014. The three years experience of rendering of specialized medical care under myocardium infarction within the framework of regional program numbers 1192 cases that amounts to 51.4% of all patients admitted to hospital with acute coronary syndrome. The re-perfusion interventions were applied to 845 patients (70.9%). The emergency transcutaneous coronary interventions were applied to 776 patients (65.1%). The coefficient of involvement of «The road clinical hospital on the Chelyabinsk railway station» in diagnostic and treatment activities among regional vascular centers made up to 19.6 and 26.2% correspondingly. The three-years lethality (2012-2014) made up to 10.8% (2012 - 10,4%, 2013 - 12,5%, 2014 - 10,3%). The best indicators of lethality among patients with reperfusion therapy made up to 7.5% and the worst indicators made up to 18.5% among patients without re-perfusion therapy. The functioning of «The road clinical hospital on the Chelyabinsk railway station» in the field of rendering of specialized medical care to patients with acute coronary pathology is characterized by significant decreasing of lethality from 16% in 2007-2011 when endovascular technologies were not applied up to 10.8% during analyzed period 2012-2014.