<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1487</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2024-32-3-420-426</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title>The efficiency of X-Ray endovascular care in decreasing of population mortality from acute coronary syndrome and acute disorder of cerebral circulation</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Shprakh</surname><given-names>Vladimir Viktorovich</given-names></name><email>makalister1987@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Velm</surname><given-names>Oksana Vladimirovna</given-names></name><email>velm80@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">The Irkutsk State Medical Academy of Post-Graduate Education, the Branch of The Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 664079, Irkutsk, Russia</aff><aff id="aff-2">The Oblast State Budget Institution “The Shelehov District Hospital”, 666034, Shelehov, Russia</aff><pub-date date-type="epub" iso-8601-date="2024-06-29" publication-format="electronic"><day>29</day><month>06</month><year>2024</year></pub-date><volume>32</volume><issue>3</issue><history><pub-date date-type="received" iso-8601-date="2025-04-22"><day>22</day><month>04</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-04-22"><day>22</day><month>04</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;The article considers results of assessment of dynamics of mortality from cardiovascular diseases and the most important nosologic forms  acute cerebrovascular disorders and coronary heart disease with acute coronary syndrome and development of accessibility of X-Ray endovascular care of patients in the Oblast. The results of analysis of changes in mortality after implementation of new model of care of patients with acute vascular diseases are presented. The relationship between accessibility of X-Ray endovascular interventions and decrease of mortality was analyzed. The reliable significantly strong connection was found for cerebrovascular diseases, and medium negative connection for coronary heart disease with acute coronary syndrome.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>disease</kwd><kwd>circulatory system</kwd><kwd>acute coronary syndrome</kwd><kwd>acute cerebrovascular disorder</kwd><kwd>myocardial infarction</kwd><kwd>X-Ray endovascular care</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>болезни органов кровообращения</kwd><kwd>острый коронарный синдром</kwd><kwd>острое нарушение мозгового кровообращения</kwd><kwd>инфаркт миокарда</kwd><kwd>рентгенэндоваскулярная помощь</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Shal'nova S. A., Deev A. D. Ischemic disease in Russia: prevalence and treatment (according to clinical and epidemiological studies). Terapevticheskij arhiv. 2011;83(1):7–12 (in Russian).</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Vishnevskij A., Andreev E., Timonin S. Mortality from diseases of the circulatory system and life expectancy in Russia. Demograficheskoe obozrenie. 2016;3(1):6–34 (in Russian).</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Ivanov D. O., Orel V. I., Aleksandrovich Ju. S., Pshenisnov K. V., Lomovceva R. H. Diseases of the cardiovascular system as a cause of death in the Russian Federation: ways to solve the problem. Medicina i organizacija zdravoohranenija. 2019;4(2):4–12 (in Russian).</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Stekol'shhikov L. V. Diseases of the circulatory system are one of the main causes of death in the working-age population. Vestnik Chuvashskogo universiteta. 2012;(3):513–7 (in Russian).</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Arabhanjan M. A., Skrjabin O. V. Mortality of working-age residents of the Kurgan region from cardiovascular, cerebrovascular diseases. In: Current issues of scientific knowledge. Materials of an interregional thematic collection with international participation [Aktual'nyye voprosy nauchnogo znaniya. Materialy mezhregional'nogo tematicheskogo sbornika s mezhdunarodnym uchastiem]. Kurgan; 2020. P. 338–47 (in Russian).</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Klochihina O. A., Shprah V. V., Stahovskaja L. V., Polunina O. S., Polunina E. A. Dynamics of stroke incidence and mortality rates over an eight-year period in the territories included in the federal program for the reorganization of care for patients with stroke. Acta Biomedica Scientifica. 2021;6(1):75–80 (in Russian).</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Samorodskaja I. V., Zajrat'janc O. V., Perhov V. I., Andreev E. M., Vajsman D. Sh. Dynamics of population mortality rates from acute cerebrovascular accident in Russia and the USA over a 15-year period. Arhiv patologii. 2018;(2):30–7 (in Russian).</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Bojcov S. A., Jakushin S. S., Nikulina N. N., Furmenko G. I., Akinina S. A. Age aspects of the incidence of acute forms of coronary heart disease and mortality from them in men and women. Racional'naja Farmakoterapija v Kardiologii. 2010;6(5):639–44 (in Russian).</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Garganeeva A. A., Okrugin S. A., Borel' K. N. WHO program “Registry of acute myocardial infarction” opportunities and prospects in the study and prediction of outcomes of socially significant pathologies at the population level. Sibirskij medicinskij zhurnal (Tomsk). 2015;30(2):125–30 (in Russian).</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Gafarov V. V., Gafarova A. V. The program of the World Health Organization “Registry of acute myocardial infarction” as an audit of the assessment of public health. Vestnik NGUJeU. 2015;(4):200–22 (in Russian).</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Samorodskaja I. V., Barbarash O. L., Kashtalap V. V., Starinskaja M. A. Analysis of mortality rates from myocardial infarction in the Russian Federation in 2006 and 2015. Rossijskij kardiologicheskij zhurnal. 2017;22(11):22–6 (in Russian).</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Filatov V. N., Tereshkova A. Ju., Pivovarova G. M. Dynamics of mortality of the entire population of the Russian Federation from myocardial infarction for 2010–2020, taking into account the Federal Districts. In: Current issues of public health and healthcare at the level of a constituent entity of the Russian Federation. Materials of the All-Russian Scientific and Practical Conference (with international participation) [Aktual'nye voprosy obshhestvennogo zdorov'ja i zdravoohranenija na urovne sub#ekta Rossijskoj Federacii. materialy Vserossijskoj nauchno-prakticheskoj konferencii (s mezhdunarodnym uchastiem)]. Irkutsk; 2021. P. 362–7 (in Russian).</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Ruda M. Ja., Averkov O. V., Golicyn S. P., Gracianskij N. A., Komarov A. L., Panchenko E. P., Pevzner D. V., Javelov I. S. Diagnosis and treatment of patients with acute myocardial infarction with ST segment elevations of the electrocardiogram. Kardiologicheskij vestnik. 2014;9(4):3–60 (in Russian).</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Ibanez B., James S., Agewall S. ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting With ST-Segment Elevation: The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting With ST-Segment Elevation of the European Society of Cardiology (ESC). Eur. Heart J. 2018;2(39):119–77.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Levine G. N., Bates E. R., Blankenship J. C. ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2016;133:1135–47.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Sulimov V. A. Thrombolysis or primary percutaneous coronary intervention for ST-segment elevation myocardial infarction? Issledovanie stream (Strategic reperfusion early after myocardial Infarction). Racional'naja Farmakoterapija v Kardiologii. 2013;(6):640–9 (in Russian).</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Siudak Z., Godlewski J., Badacz L. ST-elevation myocardial infarction with local infusion of abciximab using thrombectomy catheter in a patient with very late stent thrombosis. Postep. Kardiol. Inter. 2012;8(30):338–41.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Garganeeva A. A., Okrugin S. A., Borel' K. N., Efimova E. V. Prehospital mortality from acute myocardial infarction and possible ways to reduce it. Kompleksnye problemy serdechno-sosudistyh zabolevanij. 2012;(2):28–32 (in Russian).</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Kuznecov V. A., Jaroslavskaja E. I., Pushkarev G. S., Zyrjanov I. P., Bessonov I. S., Baranova Ju. S., Poljakov A. M., Njamcu A. M. Influence of elective percutaneous coronary interventions on the mortality rates of the population of the Tyumen region. Rossijskij kardiologicheskij zhurnal. 2015;20(6):25–9 (in Russian).</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Tarasov R. S., Ganjukov V. I. Mortality factors in patients with myocardial infarction with ST segment elevation in multivessel coronary disease after endovascular revascularization. Kompleksnye problemy serdechno-sosudistyh zabolevanij. 2015;(1):32–8 (in Russian).</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Armstrong P. W., Gershlick A. H., Goldstein P. Fibrinolysis or Primary PCI in ST-Segment Elevation Myocardial Infarction. New Engl. J. Med. 2013;368: 1379–87.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Armstrong P. W., Gershlick A., Goldstein P. The Strategic Reperfusion Early After Myocardial Infarction (STREAM) study. Am. Heart J. 2010;160(1):30–5.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Fraser A., Fenwick E. S., Cohen D. Six steps to achieve evidence-based care. Health Serv. J. 2012;122:22–4.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Skvorcova V. I., Shetova I. M., Kakorina E. P., Kamkin E. G., Bojko E. L., Alekjan B. G., Ivanova G. E., Shamalov N. A., Dash'jan V. G., Krylov V. V Decrease in mortality from acute disorders of cerebral circulation as a result of the implementation of a set of measures to improve medical care for patients with vascular diseases in the Russian Federation. Profilakticheskaja medicina. 2018;21(1):4–10 (in Russian).</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Pereslegina I. A., Levanov V. M., Bol'shev A. S., Varenova L. E. Development of minimally invasive cardiac surgical technologies as a direction affecting the reduction of mortality from cardiovascular diseases (on the example of the Nizhny Novgorod region). Vestnik Rossijskoj akademii medicinskih nauk. 2021;76(4):377–83 (in Russian).</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Kireev K. A., Moskvicheva M. G., Fokin A. A., Belova S. A., Kireeva T. S. Analysis of the results of the introduction of X-ray endovascular technologies in the treatment of acute coronary pathology in the Chelyabinsk region. Ural'skij medicinskij zhurnal. 2014;6(120):164–7 (in Russian).</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Ivanova A. A., Potapov A. F., Mjarina L. M., Maharova N. V. The role of prehospital thrombolytic therapy in reducing mortality from acute myocardial infarction. Dal'nevostochnyj medicinskij zhurnal. 2011;(4):6–9 (in Russian).</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Smirnov M. V., Karpus' S. M., Mihajlova V. M. Experience in the use of thrombolytic therapy at the prehospital stage in the bu “Nizhnevartovsk city emergency station” in 2015. Zdravoohranenie Jugry: opyt i innovacii. 2016;3(8):9–13 (in Russian).</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment. A Guideline for Healthcare Professionals from the American Heart Association. Am. Stroke Assoc. Stroke. 2015;46(10):3020—35. doi: 10.1161/STR.0000000000000074</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Available at: https://clinicaltrials.gov/ct2/show/NCT01270867</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Ginzburg M. L. Evaluation of immediate and long-term results of treatment of patients with acute myocardial infarction within the register [Otsenka blizhayshikh i otdalennykh rezul'tatov lecheniya bol'nykh ostrym infarktom miokarda v ramkakh registra]. Moscow; 2016 (in Russian).</mixed-citation></ref></ref-list></back></article>
