Implemented models and elements for heart failure care in the regions of the Russian Federation: prospects for transformation into regional cardiovascular risk management systems
E. V. Shlyakhto,
N. E. Zvartau,
S. V. Villevalde,
A. N. Yakovlev,
A. E. Soloveva,
N. G. Avdonina,
E. A. Medvedeva,
G. V. Endubaeva,
V. A. Karlina,
A. E. Solovev,
A. A. Fedorenko,
V. V. Zaitsev,
S. A. Panarina,
A. M. Erastov,
N. G. Vinogradova,
I. V. Fomin,
N. P. Rogozina,
Zh. A. Shlosberg,
O. M. Moiseeva,
M. Yu. Sitnikova https://doi.org/10.15829/1560-4071-2020-4-3792
Abstract
The high and growing incidence and mortality of patients with heart failure (HF) should receive priority attention when developing an action plan to reduce cardiovascular mortality in the Russian Federation. The article provides an analysis of the implemented elements of HF care in 40 Russian regions (Northwestern, North Caucasian, Volga, Southern Federal districts), some of the best practices, as well as prospects for implementation of the cardiovascular risk management system.
About the Authors
E. V. Shlyakhto
Almazov National Medical Research Center
Russian Federation
Russian Federation
Doctor of medical sciences, professor, Academician of the Russian Academy of Science, Honoured Scientist of Russia, President of the Russian Society of Cardiology, chief visiting cardiologist of the Russian Ministry of Health for the Volga, Southern, North Caucasian and Northwestern federal districts, Director General of Federal State Budgetary Institution Scientific Research Center named after V.A. Almazova» Ministry of Health of Russia
Saint Petersburg
N. E. Zvartau
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, Deputy Director for work with regions, head of the division of the Federal projects implementation, associate Professor at the Department of Internal Medicine
Saint Petersburg
S. V. Villevalde
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, doctor of medical sciences, professor, Head of the Analysis and Prospective Planning service division of the Federal projects implementation, Office for the Implementation of Federal Projects, Head of the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education
Saint Petersburg
A. N. Yakovlev
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, Head of the Health Development Service at the division of the Federal projects implementation, Head of acute coronary syndrome research laboratory, Associate Professor at the Department of Anesthesiology and Intensive Care
Saint Petersburg
A. E. Soloveva
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, Associate professor at the Department of Cardiology, senior specialist at the division of the Federal projects implementation
Saint Petersburg
N. G. Avdonina
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, head of information support and telemedicine department
Saint Petersburg
E. A. Medvedeva
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, Associate professor at the Department of Cardiology, specialist at the Department for monitoring and analysis of regional health indicators, cardiologist of the Diagnostic Centre
Saint Petersburg
G. V. Endubaeva
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, specialist at the division of the Federal projects implementation
Saint Petersburg
V. A. Karlina
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, specialist at the division of the Federal projects implementation
Saint Petersburg
A. E. Solovev
Almazov National Medical Research Center
Russian Federation
Russian Federation
Specialist at the Department of analysis of health care regulation and medical services export
Saint Petersburg
A. A. Fedorenko
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, specialist at the division of the Federal projects implementation
Saint Petersburg
V. V. Zaitsev
Almazov National Medical Research Center
Saint Petersburg
Saint Petersburg
S. A. Panarina
Almazov National Medical Research Center
Saint Petersburg
Saint Petersburg
A. M. Erastov
Almazov National Medical Research Center
Saint Petersburg
Saint Petersburg
N. G. Vinogradova
Privolzhsky Research Medical University;
Heart Failure Therapy Center, City Clinical Hospital № 38
Russian Federation
Russian Federation
MD, PhD, Associate professor at the Department of Internal Medicine and Cardiology, Privolzhsky Research Medical University, head of Heart Failure center, City Hospital №38, Nizhny Novgorod
Nizhny Novgorod
I. V. Fomin
Privolzhsky Research Medical University
Russian Federation
Russian Federation
MD, PhD, doctor of medical sciences, head of the Department of Hospital Therapy and General Practice named after V.G. Vogralik, Director of Institute if Internal Medicine
Nizhny Novgorod
N. P. Rogozina
Committee on Healthcare of the Pskov Region
Russian Federation
Russian Federation
Pskov
Zh. A. Shlosberg
Pskov city hospital
Russian Federation
Russian Federation
Pskov
O. M. Moiseeva
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, doctor of medical sciences, professor, Head of Heart Failure Research Department
Saint Petersburg
M. Yu. Sitnikova
Almazov National Medical Research Center
Russian Federation
Russian Federation
MD, PhD, doctor of medical sciences, professor, Head of Heart Failure Research Department
Saint Petersburg
References
1. Beard J, Officer A, Cassels A. World report on ageing and health, World Health Organization, Geneva (2015) http://www.who.int/ageing/publications/world-report-2015/en/(accessed Feb 19, 2020).
2. Yusuf S, Joseph P, Rangarajan S, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and lowincome countries (PURE): a prospective cohort study. Lancet. 2019 Sep 3. pii:S0140- 6736(19)32008-2. doi:10.1016/S0140-6736(19)32008-2.
3. Ziaeian B, Fonarow GC. Epidemiology and aetiology of heart failure. Nat Rev Cardiol. 2016 Jun;13(6):368-78. doi:10.1038/nrcardio.2016.25.
4. Mareev VYu, Fomin IV, Ageev FT, et al.Russian Heart Failure Society, Russian Society of Cardiology. Russian Scientific Medical Society of Internal Medicine Guidelines for Heart failure: chronic (CHF) and acute decompensated (ADHF). Diagnosis, prevention and treatment. Kardiologiia. 2018;58(6S). (In Russ.) doi:10.18087/cardio.2475.
5. Ferreira JP, Kraus S, Mitchell S, et al. World Heart Federation Roadmap for Heart Failure. Glob Heart. 2019 Sep;14(3):197-214. doi:10.1016/j.gheart.2019.07.004.
6. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18(8):891-975. doi:10.1002/ejhf.592.
7. Fudim M, O’Connor CM, Dunning A, et al. Aetiology, timing and clinical predictors of early vs. late readmission following index hospitalization for acute heart failure: insights from ASCEND-HF. Eur J Heart Fail. 2018 Feb;20(2):304-14. doi:10.1002/ejhf.1020.
8. Blum MR, Øien H, Carmichael HL, et al. Cost-effectiveness of transitional care services after hospitalization with heart failure” Ann Intern Med 2020; doi:10.7326/M19-1980.
9. Sitnikova MYu, Lyasnikova EA, Yurchenko AV, et al. Results of 3 years work of the Russian hospital register of chronic heart failure (RUssian hoSpital Heart Failure Registry — RUSHFR): relationship between management and outcomes in patients with chronic heart failure. Kardiologiia. 2018;58(S10):9-19. (In Russ.) doi:10.18087/cardio.2483.
10. Mareev YuV, Zinchenko AO, Myasnikov RP, et al. Telemonitoring in patients with chronic heart failure. Kardiologiia. 2019;59(9S):4-15. (In Russ.)
11. Grebennikova AA, Stoliarov AU, Lopatin YuM. The use of platform for remote monitoring on the base of mobile app for improving self-care in patients with chronic heart failure. Kardiologiia. 2017;57(S4):11-8. (In Russ.) doi:10.18087/cardio.2413.
12. Veenis JF, Brugts JJ. Remote monitoring of chronic heart failure patients: invasive versus non-invasive tools for optimising patient management. Neth Heart J. 2020 Jan;28(1):3-13. doi:10.1007/s12471-019-01342-8.
13. Shlyakhto EV, Zvartau NE, Villevalde SV, et al. Cardiovascular risk management system: prerequisites for developing, organization principles, target groups. Russian Journal of Cardiology. 2019;24(11):69-82. (In Russ.) doi:10.15829/1560- 4071-2019-11-69-82.
14. Vinogradova NG, Zhirkova MM, Polyakov DS, et al. Anticoagulant therapy and prognosis in patients with CHF and AF in the setting of real-life clinical practice. Kardiologiia. 2017;57(4S):4-10. (In Russ.) doi:10.18087/cardio.2430.
15. Vinogradova NG. Effectiveness of specialized medical care in pa tients with chronic heart failure. Russian Heart Failure Journal. 2017;18(2):122-32. (In Russ.)
16. Vinogradova NG. The prognosis of patients with chronic heart failure, depending on adherence to observation in a specialized heart failure treatment center. Kardiologiia. 2019;59(S10):13-21. (In Russ.). doi:10.18087/cardio.n613.
17. Murtazalieva PM, Karelkina EV, Shishkova AA, et al. Pilot project “Improvement of medical care for patients with chronic heart failure”: results of the first stage. Russian Journal of Cardiology. 2018;23(12):44-50. (In Russ.) doi:10.15829/1560-4071-2018-12-44-50.
Review
For citations:
Shlyakhto E.V., Zvartau N.E., Villevalde S.V., Yakovlev A.N., Soloveva A.E., Avdonina N.G., Medvedeva E.A., Endubaeva G.V., Karlina V.A., Solovev A.E., Fedorenko A.A., Zaitsev V.V., Panarina S.A., Erastov A.M., Vinogradova N.G., Fomin I.V., Rogozina N.P., Shlosberg Zh.A., Moiseeva O.M., Sitnikova M.Yu. Implemented models and elements for heart failure care in the regions of the Russian Federation: prospects for transformation into regional cardiovascular risk management systems. Russian Journal of Cardiology. 2020;25(4):3792. https://doi.org/10.15829/1560-4071-2020-4-3792
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