16 decreasing stemi mortality by implementing a ppci network in bulgaria рус

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  • 1. ST Kiril Karamfiloff*, MD; Julia Jorgova, MD, PhD, FESC, FACC , . , (St Ekaterina University Hospital, Sofia, Bulgaria) * : , (Department of Cardiology, St Ekaterina University Hospital, P.Slaveykov 52A boulevard, BG-1431 Sofia, Bulgaria). E-mail: [email protected] : (Bulgaria), - (cardiovascular mortality), (primary percutaneous coronary intervention network), ST (STEMI), Stent for Life (Stent for Life Initiative) . , ST 1990 ., , . . ST, -, , , , , .. , ST, , ST, , SFL, . - . 110879 2, 7037935 . , . , , . - (1). , , . - , , . (Ministry of Health). , , . , . (National Health Insurance Fund). , (2), . , ( ), , . , ST (ST) 1990 . ( ),

2. , . -, . , , , , SFL (2009 .) ST 10,4% (2010 .), - (3). , , . - , ST 1990 ., 2001 . , , ( ). 2008 . - . . , -, , , . , (National Insurance HealthFund) , -. , , , ST, -. , , , (Smolqn Vidin), . . ST 21, (2008 .), 35, , ( 1, 2). 3. 1. - 2008 . 2. - 2012 . 100 . 4. . , 2012 . (Trakia). ST - , . , (Ministry of Health), , ST -, , , ( 3 4). 3. , 2008 . . 4. , 2012 . (Trakia). . () , . , . . , . . ( ), , , . , . , , , . , , (Russe), 5. ST . 2009 . 2008 . 41 , -. , (Ministry of Health), -. , , . , . ( ) , , - . , , . SFL , . 2011 . SFL , (Act now, save a life). , , , -, - http://spasijivot.com/ ( savealife.com), Facebook . . ,, ; , . 2011 . , ST. . (Ministry of Health), (Cardiological Society) , , SFL , . ST, -, , 24 . - . ( ) . , , . 6. -, , , , -, ST, (14% 2008 .,25% 2011 .). - 240 2008 . 600 2011 . ST( 5, 6 7). SFL , , 16,3% 12,7 % , - 5%. 5. 2007 2011 . 7. 6. , 2007 2011 . 8. 7. ST 2007 2011 . , . - , , . . , , , ST. ST ., 10,4% 2010 . 12,77% 2011 . ST . . , , , , , . , SFL (SFL Steering Committee), 9. (Bulgarian societies of Cardiologyand Invasive Cardiology), (National Health InsuranceFund) , . . , . . 1. Mller-Nordhorn J, Binting S, Roll S, Willich SN. An update on regional variation in cardiovascularmortality within Europe. Eur Heart J. 2008;29:1316-26.2. Georgieva L, Salchev P, Dimitrova S, Dimova A, Avdeeva O. Bulgaria: Health system review.Health Systems in Transition. 2007;9:1-156.3. Knot J, Widimsky P, Wijns W, Stenestrand U, Kristensen SD, Van T Hof A, Weidinger F, JanzonM, Nrgaard BL, Soerensen JT, van de Wetering H, Thygesen K, Bergsten PA, Digerfeldt C,Potgieter A, Tomer N, Fajadet J. How to set up an effective national primary angioplasty network:lessons learned from five European countries. EuroIntervention. 2009;5:299:301-309.