The introduction of the term

Oncology
Partner doctor
At the start of health reform in Ukraine talking about the creation of hospital districts. It was planned that the reform will "like clockwork", they are still stalled at the primary level. So the idea of separation "Medical pie" into districts was postponed. Its revival for this lack of money in the state is seen as a means of group survival.
The incompetence of the leaders of the new government - not less terrible threat to the state than the old corrupt. Errors nedopolitykiv basement ideas finally hit the ordinary people and are unlikely to be justified by "good" intentions or "revolutionary expediency."
It is well known that heart disease is particularly dangerous because of sudden acute onset and rapid development of life-threatening complications, often fatal. According to French professor P. Goldstein, saving basement ideas the patient from heart attack - a racing ahead of time, and choose the best strategy basement ideas of reperfusion - a challenge today. It is proved that at the first sign of acute myocardial infarction should immediately begin high-quality treatment as the greatest loss falls on the first hours of the disease. This applies mainly unstable angina and myocardial infarction, which is essentially a consequence of the pathological process, which is now called acute coronary basement ideas syndrome (ACS). On the pre-hospital care necessary steps "PFA" said the head of the Scientific Department of Internal Medicine, State Scientific Institution "Scientific and Practical Center of Preventive and Clinical Medicine" State Administration, MD, Honorary Doctor basement ideas Anatoly Kravchenko.
The introduction of the term "GCS" in clinical practice dictated basement ideas primarily by practical considerations due to the inability fast distinction between states and early initiation of treatment to the final diagnosis. As a working basement ideas diagnosis of ACS is perfect for first contact of the patient and physician in the prehospital phase. When ACS understand the clinical manifestations of acute coronary circulatory insufficiency (CC), which occurs usually due to coronary atherosclerosis. In most cases, the pathological basement ideas basis of this condition is a violation of the integrity of atherosclerotic plaque, accompanied by her thrombosis. According to modern concepts basement ideas ACS has three main states: ST-segment elevation (IMpST), myocardial infarction without ST segment elevation and unstable angina. Features of the pathogenesis and clinical presentation of ACS determine the most important organizational principles and characteristics of therapeutic and diagnostic approaches. Experimentally proved that myocardial infarction is very fleeting process - just two hours from the beginning of pain dies more than 50% of the cells of the heart muscle. This zone causes basement ideas electrical instability of the myocardium and of arrhythmias, which often is the main cause of possible future cardiac arrest. From this pathology half of patients die in the first 2 hours, although the timely conduct highly efficient therapeutic measures basement ideas can be saved. Ideal time intervals
According to a modern European, American, and national guidelines, the purpose of the medical system - provide quick diagnosis and treatment of patients with IMpST to the "door - needle" (at independent patient arrival in the hospital) or "medical contact - needle" for early fibrinolytic therapy did not exceed 30 minutes. You also need to make the "door - bulb" or "medical contact - balloon" in the application of percutaneous coronary intervention (PCI) did not exceed 90-120 minutes. These target values should be understood not as "perfect" time and make the most appropriate time to complete reperfusion therapy basement ideas (PCI or fibrinolysis). Time intervals to provide basement ideas medical care to patients with ACS should not exceed 120 minutes. Keep in mind that the majority of patients with ACS have prodromal symptoms indicating exacerbation of coronary heart disease. Unfortunately, patients often do not give them good value and not go to the doctor. We know that over 50% of all thrombosis basement ideas leading to heart attack, while developing hemodynamically insignificant (those narrow lumen less than 50%) of atherosclerotic plaques. basement ideas Therefore, the formation of a blood clot patient can not feel the pain of angina, and during basement ideas instrumental examination (electrocardiography, electrocardiography with stress, stress echocardiography, myocardial scintigraphy basement ideas and coronary angiography even) objective evidence of myocardial ischemia and attack imminent, may be missing. For these patients, the disease is completely unexpected, often they can not properly assess the situation and sometimes not psychologically prepared to ask for an ambulance.
Another problem that arises from the very first minute occlusion of a coronary artery - a high electrical instability basement ideas of the myocardium - The electrophysiological basis of ventricular arrhythmias, including ventricular fibrillation (VF). Established that VF is the main bezpos