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Wednesday, 15 August 2018

DOI: 10.21045/2071-5021-2018-62-4-1

Kamaliev M.A., Almukhanova A.B.
Asfendiyarov Kazakh national medical university, Almaty, Republic of Kazakhstan

Contacts:áKamaliev Maksut, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Almukhanova Aizhan, ň-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Acknowledgments. The study did not have sponsorship.
Conflict of interests. The authors declare no conflict of interest.


Significance.áDiseases of the circulatory system require systemic solutions and state response measures, the priority direction of which is organization of emergency high-tech cardiac care.

Purpose.áTo analyze state of the art and how effective the emergency high-tech cardiac care is organized in the Republic of Kazakhstan.

Material and methods.áAnalysis of statistical data of the Republic Center of Electronic Healthcare of the Ministry of Health of the Republic of Kazakhstan for 2013-2015.

Results.á The Republic of Kazakhstan has created a multilevel system of cardiac, interventional cardiac and cardiosurgical care delivery to the population. In general, in 2013-2015 the Republic of Kazakhstan performed 27224 percutaneous interventions, recalculated per 100,000 population adding up to 71.5 in 2013, 80.8 in 2014 and 84.8 in 2015, as well as 4068 coronary bypasses (23.6 in 2013, 32.9 in 2014 and 44.5 per 100,000 population in 2015). A number of problems has been identified in the performance of specialized medical facilities, solution of which will result in better outcomes.á

Conclusions.áThe study made it possible to identify the reserves for improving effectiveness of acute coronary syndrome treatment, including reduced time between the symptoms onset and therapy initiation. Timely diagnosis at the outpatient level, effective performance of the emergency service, immediate hospitalization to the specialized cardiac hospital, reduced time between hospitalization and surgery for coronary angiography, emergency surgical interventions in the early hours of acute coronary syndrome, high qualification of specialists at all stages of care delivery, better awareness of atypical manifestations of acute coronary syndrome, decreased complications and lethality can significantly reduce mortality from acute coronary syndrome.

Keywords: diseases of the circulatory system; acute coronary syndrome; high-tech cardiac care.


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