Through the efforts of Moscow physicians, the death rate from acute myocardial infarctions (AMI) keeps declining from year to year. The Davydovsky municipal clinical hospital’s atherothrombosis centre has been at the forefront of the battle against heart disease.
The centre saves the lives of patients with infarctions, chronic heart ischemia, and heart rhythm and conduction disorders. Doctors use modern diagnostics and treatment methods, some of which were developed and tested at the centre.
Up-to-date equipment ensures high-technology medical assistance. Doctors perform procedures such as coronary revascularisation with angioplasty, cardiac resynchronisation pacing, implantation pacemakers and cardioverter-defibrillators .
The centre houses a unique laboratory which employs specialists and researchers from Russia, Europe and the United States. They study the pathogenesis and progression of diseases and the diagnostics and treatment methods for atherothrombosis. The specialists also work out new ways to treat acute coronary syndrome. The laboratory’s achievements are put into practical use by the Moscow healthcare system.
The structure of the cardiac intensive care and angiography units of the Davydovsky municipal clinical hospital has become the model for Moscow’s so-called infarction network, which was established just a few years ago and consists of 24 centres throughout the city.
Because of the network, it takes no more than 60 minutes to perform surgery from the moment an ambulance arrives. Patients are delivered to the nearest emergency clinic where they are taken to the operating theatre, avoiding the admission unit. Surgeons perform coronarographies, remove blood clots and put in stents to restore blood flow to the heart muscle.
This is a general picture of how the system works, but there are many nuances. One of them is that ambulance personnel check to see which centres have available operating theatres using the electronic system A-Inpatient Facility and make a reservation, which allows the clinic staff to prepare for the arrival of a patient with an infarction in advance. As it is well known, every minute saved increases the chances of a successful surgery.
The network’s efficiency is obvious. Over the past five years, the number of heart attack deaths has fallen in Moscow 3.3 times.
The infarction network performs well, but it is better to stay healthy and out of hospital. Doctors recommend eating more fruit, fish and vegetables and consuming as little fat as possible. Doing sport and keeping an active lifestyle are also necessary. Thirty minutes of physical exercise a day is enough, which can be divided into two sessions of 15 minutes each. And finally, those wishing to live a long life should give up smoking. These simple recommendations will help reduce the risk of a heart attack by nearly 30 percent.
Besides that, one should try to eliminate the risk factors, which include high cholesterol, glucose levels and arterial blood pressure. Sometimes infarctions are consequences of the flu and other respiratory diseases.
And some history
The Davydovsky municipal clinical hospital is located on Yauzskaya Street. It is a true architectural masterpiece made up of a main building, two outbuildings, a church and household structures. In 1798, a palace was built on the nearly three-hectare land plot of the rich Russian merchant and manufacturer Ivan Batashev. The palace became a model of Russian classical architecture of the 18th-19th centuries.
In 1818, the only heir to the palace, Darya Ivanovna, married Lieutenant General of the Russian Imperial Army Dmitry Shepelev, Hero of the Patriotic War of 1812 (the palace was then named after Shepelev). In 1866, their son, Nikolai, signed an agreement with the board of trustees for public assistance on leasing the palace to a hospital. This is when the history of the Davydovsky municipal clinical hospital began. Having initially served labourers, it has existed for 150 years and is now a modern multi-specialty medical institution.