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perhaps you can be a lonely artist and even reach unprecedented heights in this. there it might be michelangelo but not in interventional rhythmology you can't be alone and do everything alone. my name is dmitry goncharik i am the head of x-ray surgical rhythmology of cardiology.

operations on average are more than 2 hours, this is not work alone, either you are an assistant, or you are the main operator or an electrophysiologist is busy. basically, working with patients is

advisory with colleagues on the floors of the council and we will see the patients they are prioritized by the police who are preparing for the operation adds up to 90 %. the moment you see him on the floor with the patient is probably in the morning before leaving for work. health care about the opening of the department of rhythmology in the department of special rhythological the operating room of the whole department of the clinic began to perform more than a thousand operations from the total volume of personal operations that are performed in our center. now we have a huge

number of patients who need surgical treatment of cardiac arrhythmias , including microsurgical ones, and today technologies have matured to a level where we can help most of them have a normal sinus rhythm and a normal quality of life. there is an awareness in today's world scientific community that the achievement of cardiology allows you to extend life goal for 10 years now against the backdrop of covid streets of a young age, especially women of a slender constitution often develop this cardio different symptoms - this is loss of consciousness. if there is a loss of consciousness, you need to leave everything and seek medical specialized help. we need to look for the causes of loss of consciousness. the second terrible symptom is a rapidly changing heart rate, for example, at rest a little less than 60-70 becomes very quickly two to three times

faster than usual, recovered further came to. after pneumonia in humans the rhythm broke instead of a certain amount of time he takes pharmacological drugs. doesn't mean she'll be broken for the rest of her life. but the erw syndrome, if it breaks at least once, as a rule, the person no longer lets go, is a congenital condition when , in addition to the normal conducting system, which is formed inside exactly in isolation, the patient has additional pathways. it's like breaking isolation. - this is a whole system, inside which there are practically white logical wires that go to the same biological isolation, as in conventional wiring. we stimulate the patient to look

incomprehensibly at the surface of the heart. and that's okay. it would seem that the cardiogram turns into abnormal. we stimulate the heart from different places and try to catch where this impulse passes in the wrong place, where there is a breakdown in the wiring, where it starts to shorten and we must repair it, that is, our work. it's like an electrician at heart. my personal area of ​​interest is first of all, gastric arrhythmia is suddenness, cardiac death is a huge problem all over the world. this is an attempt to save the lives of patients, that is, it is necessary to be calculated into a group of people who are most susceptible to sudden cardiac death and the issue will be resolved either by an implanted deflator device or catheter ablation. eliminate the cause so that such events do not occur at all. the second huge part of the work is, of course, the

patients are checked in front of the heart. this is the most common river instead of living age. this is the largest flow in our operating schedule and the largest number of calls to you thieves departments for advice in everyday life. and we, in addition to the level of blood pressure, should usually control the pulse automatically with devices. it's in the instrumentation. there are even functions for detecting arrhythmias, including shaving, and this is important, especially after the age of 60, when the patient's blood pressure level is increased by more than 140 to 90. let it be more than 80, then, of course, this is a reason to see a doctor self-monitoring at home conditions is quite effective, because it increases the adherence of patients to treatment. sometimes these blackout events

come suddenly and unfortunately for some. this is the first and only and last episode in the life of heart disorders, which can end fatally , there are those that are completely harmless, but cause a lot of suffering to patients, and do not greatly spoil the quality of life for each of these patients. we have our own solution. ivanovich got it. after he developed episodes of sustained ventricular failure. these are chicardias. this is such a life-threatening disruption of the rhythm. we had to put to balance him with a cardiot defilelator apparatus, which, in addition to helping the heart beat at a certain frequency , helps to treat complex life-threatening arrhythmias. such as the ventricle from these roots, the structure of the heart became heterogeneous in it and instead of the normal distribution of the impulse, like a river flows on a flat surface, in an even flow, calm and this impulse began to swirl and form vortexes, in fact, translation, because they appeared very quickly by children more than 240 beats per minute . this led to loss of consciousness. he

so it was a stop with various activities, there were episodes of multiple discharges to the ventricle. these are the pictures that were cut through the consultation and dmitry borisovich took him to the operating room and operated on a rhythm disorder. seven types of ventricular disorders were identified in our patient. types of various ventricular tachycardias through the incision of the subclavian region under the skin there are large vessels, in which it flows into the heart. well, this is a small cut from the outside , you can’t say that a person is doing something at all, that there is a cost device in it kinda expensive car. this is how it looks like this device inside, wires are inserted into it, which then go to the three bodies of the patient, then the check is sewn up really in the same way without anesthesia. all this is being done. he lies on the table, he can even give advice, if you want nobody buys from us. here, simulators are at their own expense and dofiga, too,

the state fully provides for 100% of cases in the center. this is what our state is. perhaps unlike many others to allow patients to have free very high quality care there is an awareness that investments in the health of their own people are given by improvement, if earlier, by the time the device was replaced, 6 years had survived until the replacement of 15-20%. the patient was worried about the device because, well, they didn’t want serious illnesses. these are all difficult patients. here with these heavy devices. yes, now more than half of the patients are experiencing battery life, although the service has increased 7-8 years already. potential events, how will it proceed? it takes more than 200 discharges that a modern deflator can inflict during the life of the device. it's not always nice for patients. still, the discharge

is transferred, like a blow to the chest, but it saves his life. we travel around belarus we discover new sights a miniature egyptian pyramid, but not many people know that in addition to it, the ruins of the estate of the family behind vishy, ​​which is located in pervomaisk, are also preserved. the

project is so delicious. the route was built by maxim bogdanovich his grandfather. i am also born here in such a way that every corner of our morning earth is filled with very interesting historical events. look at tv channel belarus 24.

the heart beats the structure of a mechanism that has been contracting for 80 years, spinning, relaxing, ejecting blood against a pressure of 120, at least even on a pillar, and at the same time has a gigantic ability to restore microscopic damage. having built the atmosphere around you correctly, you prolong your life. by reducing the evenness of stress, we allow us to break through these resources that nature has given us. the top 5 main enemies of the heart, including in relation to rhythm, starts with alcohol. the next two are probably hotels on hypertension, bad, lack of desire to take pills for pressure only when the head already hurts, when 160 to 100, respectively, the third top is problems with the

head, what is called when it does not reach it. you can even say that this is the first, probably, yes, after all. faced with the obvious problem of erections you have as a child, that she will pass the cholesterol itself smoking a sedentary lifestyle. air is essential, including the microparticles that fly and everything else. well, of course, it increases. it was interesting a study conducted in greece on a single mascara was reported to be among the factors that extend lifespan. they considered that when three generations live together side by side in none of the kitchens, but nearby, within reach

on the same street, neighboring houses through the fence, when grandfather, mother, father and children. they live for three generations. it's within walking distance there. this can significantly extend the life expectancy of older people by five years. it is included in a scientific study. we observe how the results of our work show themselves in the long term, which allowed us to change the tactics of attraction in relation to subsequent other patients. today, the working methods of our laboratory are slowly moving from experimental scientific and technical methods, closer to clinical use and the implementation of these methods in practice, therefore the main place of practical use. today we have an operating room, that is, the walls are working, the approaches that we are developing are

implementing, including within the framework of the international cooperation. they are implementing the latest projects of our x-ray operating room, which have received quite wide popularity and publicity all over the world. this is a projection of a personal study and the grove of cska within the framework of this program. we have researched. how important is the use of sudden personality for transformations in various categories of patients. for participation in such international projects for the treatment of skill disorders, our center is our working groups in the first place. we say yes is awarded and literate for the development and approaches and even new devices in the treatment of the public's heart, implanting subcutaneous cardio for the filter. it was a top global project, in which often. i sincerely believe that one hundred percent

of doctors should be engaged in science in such an institution, that is, not only laboratory employees, but also employees of clinical departments, and each patient who is here should be considered as a patient whose results can be used to evaluate certain scientific research. we currently have the construction of a hybrid surgery building is underway. this is a new level in cardiac surgery, which made it possible to combine cardiac surgeons and x-ray endovascular surgeons and rhythmologists in one operating room. this is an absolutely incredible fantastic new level of intervention in the human body, which significantly reduces the time of intervention of anesthesia . this makes it possible to minimize

all possible complications and side effects of such an extensive surgical tactic. realizing, probably, that with this one-time with an effect that can last one and a half to two hours, you turn a person who until then had lived for years in anticipation of another attack. in anxiety, he limited himself. normal life, believe me, when 22 beats per minute beats and the fear in your eyes from the fact that you are about to die is objectively strange, it limits the lives of many people. you can make it so that tomorrow he will have new horizons, and he will not be in a state of waiting for his next life. what is there? it is very good

that we have the opportunity for our citizens do a transplant. which can develop as a result of various reasons . most often, of course, this is coronary heart disease of the age population. this is the main group of patients. thank god, a donor was found very quickly, right here for almost two months, and now i can breathe freely. you know, i didn’t even imagine, i forgot how it is that i can breathe and say breathe, everything is very good. there is

a system for selecting patients for observation before transportation to perform their own transplantation of the main period postoperative. well, then already in further observation, when patients return to us after rehabilitation. this helped save the lives of many people outside of belarus in this regard , transplantation looks very good in relation to most of our neighbors. huge systemic work organized by the center for cardiology is one thing to be proud of and one must understand, these are not some top-class people, i don’t know, millionaires, and then something ordinary people.

what messages from the past are found today in belarusian shrines? there is a remnant of the name, several letters and braids, dashes, next to it, as if someone was counting something for a certain period of time, most likely, someone gave herself a magpie, which begins spiritual education. we tell the kids. about god, i spend quite a lot of time so that children learn exactly what divine love is, how to communicate with each other to children. what is prosphora and how it is prepared in monasteries in the morning, they knead all sides, then we put it up and already in

throughout the day her sticky crossworks. you yourself from this dough will turn out somewhere in five liturgies of large open spaces, especially i can serve and somewhere around 120 small prosphora, which distinguishes and unites the main religions of the world. of course, it is very important for us that we offer a spiritual foundation, every religion does this. e hmm, taking into account their traditions and rules. but in many ways we have a common approach, a look at the family, answers to these and other questions in spiritual and educational projects on belarus 24 tv channel. editors club so this is the most important brand of belarus for all these 30 years. this is the economic world. security is primary, oddly enough secondary, because it is largely determined by the state of the economy in the country, the time of opportunities and

the construction of a new information model of the future. we are gradually moving step by step to ensure that these programs are implemented. the rules are often not observed and often happen. so, what wins is the one who does not follow any rules at all. we must build new ways of communication. we must build a new economy. this is a bet on a new generation. the bet on belarus has been formed. indeed, belarus has an intellectually open dialogue about the most important social and political events in the country and on the international arena. see the club editor on the belarus 24 tv channel in the club project.

for example, with big surgeons, we understand that the person who works on the floor above will do this job better than we do, because he will solve two problems at once, they will be part by part for the patient, the quality of life will be better , and health care resources will less is spent and we work as a team to achieve better results. one such surgical technique that is performed either alone or in combination externally with cauterization and isolation of arrhythmia is ear clipping. this is the most vulnerable area for blood clots in the left press. our experience shows that the use of two technologies summing up their effects can lead to a positive result already in about 90% of cases. there are no people who

appear from nothing and here he is such a stick , a specialist or a group of people appeared who once grown out of nothing, these are pedantic years of work. the strict operating room nurse guarantees the results of the operation she stands to a strangely high standard, indications of care were not always lucky for the people i worked with without a second person. it's just not possible. who sits and measures some miles of a second, which turn out to be the most important in the end. she is not only an anesthetist, an operating nurse, an anesthetist of the foundation, who ensures working capacity - this is equipment. it's still one organization. it works better than swiss watches. take care

of the people you work with. uh, including the superfluous word does not hurt. it's expensive . and it is important that the organizational part works on education, that is, on a periodic basis, sometimes it is 3-4 days. only an educational project that we are conducting for our cardiologists, therapists, functional diagnosticians. or the same trips to the regions by analyzing the work of our regional centers of analysis, when they tell you, well, how lucky you are, how quickly you did some kind of operation, two situations go beyond memory. one of them is related to an american golfer. it was the championship, the last

final stage of the way the sword after the strike turned out to be covered somewhere. wood and the last blow was decisive for him. or is he not a champion? at first it is certainly something difficult, but not gods, the pots burn your daily work. she is used to it becoming a routine for you for the patient - this event, perhaps the main event in his life. good afternoon. how are you feeling? are there any

interruptions, any discomfort doubts whether it was necessary to do everything, perhaps, in the opinion, are completely absent at all. yes, excellent manipulation. we do n't manufacture here. we're treating people here, raise this one, please. kid after ablation, in order to make sure that the effect is stable, we have to look at the monitors, if there are super some other possibilities. at the end of the year, when you sum up, the results

within yourself of what you have done. you understand that the 200-250 people you operated on this year and lived in anticipation of an alarm 24 hours a day. some of them are strong limited his life. and you can do it. and of course, it's an enormous amount of time invested in it. and maybe even the family, of course, was partially deprived of some time with me. yes, but we understand, we treat it. someone just needs to say you're fine. get it out of your head. it's really just a lifestyle to sleep the normal amount of hours where you probably won't pass out from standing up abruptly, right? doesn't have

to be more often. probably still consciousness the fact that over time you are less emotionally responsive to some potential fears associated with alleged problems that may arise during the operation and everything is solved much faster. here is the feeling of a calm heartbeat associated with the fact that the majority is a problem. well, how could team work be solved. it warms the visit of what warms them beats faster. i think it is also important for me that the team spirit is a shoulder when it is difficult for you or you are ready to leave your island.