EP in The Republic of Belarus

Transcription

1 EP in The Republic of Belarus Ass. Prof. Alexandr Chasnoits, Head of Belarusian Heart Rhythm Association, The secretary of Belarusian Scientific Sociery of Cardiologists, Republican Scientific and Practical Center Cardiology

2 Belarus Area square kilometers Population 9,5 million, decreasing GDP ~ 55 Billion $ About 5,800 USD per capita Country Debt ~ 33 Billion $, 60% of GDP Inflation ~ 56% 2011

3 CVD dynamics in the structure of mortality in Belarus 56,4% 55,0% 54,8% 55,8% 55,4% 52,9% 52,7% 54,1% 53,8% 51,9% 52,4%

4 Patients with SCD in Belarus, number of death cases 100% 80% % 40% In-hospital Outpatient 20% 0% No registry available

5 BELARUS IPG/ICD/EP Centers Pacemakers only (10 Centers implant) + ICD 5 Centers implanting + ablation -6 Centers

6 Pacemakers implants + 6,8% + 5,5% + 21% + 24% pacemaker implanting centers National wide (4 in capital) pacemakers / 1 million pacemakers / 1 million

7 ICD implants, absolute numbers + 33,6% + 12,2% % implanting centers implanting centers implanting centers ICD/ Million

8 Ablation in Belarus Total Number AF Ablation

9 Follow Up of all implanted devices 7 Pacemakers FU-Labs + 2 needed 3 of them are ready to FU ICDs 1 Fully capable center for programming, FU of ICD/CRT-D (National) Lack of Experience and Lack of Human resources for tacking FU in Regions of Belarus Home Monitoring Expensive & Need time.

10 Reimbursement in EP Reimbursement - Free for the patient, - No additional reimbursement for hospitals - Limited number of Devices by National tender - We hope to increase number, but where to CUT? - Macro economical stability is needed

11 Our Activities 2011 National Standard in Electrophysiology National Guidelines release (and update) 2008 Implantable devices update 2009 Invasive EP study and ablation (first launch) 2011 First international training Seminar in implantable devices 2011 October Second Eurasian Cardiology Congress.

12 Prof. Goran Milasinovich attended official Audience with The President of The Republic of Belarus Alexander Lukashenko October 20-21, Minsk The Second Eurasian Cardiology Congress. Prof. Goran Milasinovich officially represented EHRA

13 With support of The President of Belarus Alexander Lukashenko, Health Minister Vasily Zharko EHRA (EHAR President Prof. Angelo Auricchio, Prof. Goran Milasinovich) Belarusian Scientific Society of Cardiologists (Prof. Alexander Mrochek) 02 November 2012 First Congress of Belarusian Heart Rhythm Association

14 Belarusian Heart Rhythm Association 02 November 2012 the Fist Day First members 30 EP doctors. Up to 300 cardiologists are involved Building strategy of development for Belarus. Head Ass. Prof. Alexander Chasnoits

15 Directions for progress Systematic approach Local trainings 1 day Hands on in others cities of Belarus Road show to 3 Regional Centers FU system development 2 New EP labs in Regions Rethinking of expenditure profile by managers/ officers

16 EHRA President meets the Health Minister of Belarus 12 Feb 2013 EHRA President Prof. Angelo Auricchio and Prof. G. Milasinovich meet Health Minister Vasily Zharko. Discussed Closer Integration Education Program National Wide by EHRA Support Certification and Accreditation Investment in EP in Belarus

17 EHRA Belarus First Results of Cooperation Belarusian Heart Rhythm Association Foundation Tender 2013 increase numbers + 13 % IPG (can achieve > 300 IPG/1 Million) + 42% Ablation Catheter sets ( sets +86% ICD 280 (almost doubled since only 150) All of this by strong Government Support

18 Belarus is best example of the fruitful cooperation with EHRA and Eastern Initiative program. * Thanks a lot to: Prof. P. Vardos Prof. A. Auricchio Prof. G.Milasinovich Prof. Ch. Volpert Prof. Z.Csanadi Many others and EHRA Team * - My personal opinion

19 Welcome to Belarus!!!