[000:01:11;00] team spirit is very important. probably you can be a lonely artist and even reach unprecedented heights in this there, then maybe michelangelo but not to cook small interventions you cannot be alone and do everything alone. my name is dmitry goncharik , i'm the head of the x-ray operating room, i went to

the rhythmology of cardiology. which allows you to solve most, if not all, problems that concern patients with all disabilities . on average, more than 2 hours is not a job

alone. either you are an assistant, or you are the main operator, or this electrophysiologist is busy, b mainly working with patients consultative with colleagues on the floors of the council and see the patients previously prepared by the police who are preparing for the operation adds up to 90%, at the moment when you see him on the floor with the patient before leaving for work. wounds about the discovery of rhythmology in the department, a special technological clinic began to perform

more than a thousand operations that are performed in our center. now we have a huge number of patients who need the treatment of cardiac arrhythmias with surgical way, including microsurgical, 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 today in the world scientific community that the achievement of cardiology allows you to extend the life of the goal by 10 years. now, against the backdrop of covid streets of a young age, especially women of a slender constitution often develop this cardio different. uh, the most formidable symptoms are loss of consciousness. if there is a loss consciousness, they need to leave everything and seek specialized medical care , you need to look for causes throughout consciousness. the second formidable symptom is a rapidly changing

heart rate, for example, 670 beats becomes very fast two to three times faster than usual, the clap recovered and went around for a longer time to work normally or through loss of consciousness. he fell, lost consciousness , then regained consciousness. after pneumonia , a person's rhythm has broken for a certain amount of time, he takes pharmacological drugs. doesn't mean that will have to be broken for the rest of your 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 the patient, in addition to the normal conduction system, which is formed inside exactly in isolation , additional paths appear in the conduction paths. it's like breaking isolation. - this is a whole system, inside of which there are practically

white wires that come with the same biological insulation as in ordinary wiring. not the surface of the heart, and that's okay. it seemed would cardiogram and rotate abnormally. 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 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 arrhythmias - this is sudden cardiac death. this is a huge problem in all countries of the world. this is an attempt to save the lives of patients, that is, it is necessary to calculate the group of people who are most susceptible to sudden cardiac death. and to resolve the issue of either an implanted device on a defiblator, or a catarrhal

one, and 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 for atrium, this is the most frequent rhythm of severe 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. uh, we, in addition to the level of blood pressure, should monitor the pulse usually with automatic devices. it's in the instrumentation. even there are functions for detecting arrhythmias. including the cause of people, this is important, especially after the age of 60. when a patient's blood pressure level is higher than 140 to 90, let's say more than 80, then, of course, this is a reason to see a doctor. self-control at home is quite effective, because that it

improves patient adherence to treatment. and sometimes these events associated with loss of consciousness come suddenly and unfortunately, for some. this is the first and only and last episode in the life of a witch violations hearts that can end fatally and 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 solutions. ivanovich got it. after he developed sustained ventricular episodes it is chycardia. this is such a life-threatening disruption of the rhythm. we had to put him in balance with a helicopter cardio machine, which, in addition to helping the heart beat at a certain frequency, helps to treat complex life-threatening disorders rhythm. such as the ventricle of such pictures, 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 of more than two hundred and forty beats in minutes. and this led to loss of consciousness. he means it was a stop with various activities. our patient had episodes of multiple discharges to the ventricle. here such pictures were cut through council and dmitry borisovich took him to the operating room and operated on a rhythm disorder. in our patient, seven types of ventricular arrhythmias were identified, seven types of various ventricular tachycardias. through the incision of the subclavian region under the skin, there are large vessels that flow into the heart. well, this is a small cut from the outside , you can’t say that a person does something at all, that the device costs a price in it, like an expensive car. this is how it looks like this device inside, wires are inserted into it, which go further inside the patient's body, then the man is sutured from behind. in reality , this is all done without anesthesia. he lies on the table and can even give advice if

he wants nobody buys from us. here , simulators at their own expense and dofiga also the state fully provides patients 100% of cases. this is what our state is. perhaps, unlike many others, allowing patients to have free very high quality care is the realization that investing in the health of one's own people is a boon in the long term. if before the place where the device was replaced for 6 years survived at the time of replacement by 15-20%. from the device i was worried in the center, 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 going through batteries, although the service has increased 7-8 years already. potential events, how will it proceed? all this is accepted by more than 200

discharges in a modern differential can inflict during the life of the device. this is not always pleasant for patients, after all, the discharge transfers such a blow to the chest, but it saves his life. the average check has hearts beating. the structure of the mechanism, which for 80 years shrinks , spins, relaxes, ejects blood against a pressure of 120. at least even millimeters of a column , and at the same time has a gigantic ability to restore microstructural damage. having built the atmosphere around you correctly, you

prolong your life. reduce the level of stress, we allow to break through these resources that nature has released to us. the top 5 main enemies of the heart, and including in relation to rhythm begins with alcohol, the following two, probably, this is a hotel for hypertension, badly treated, the 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 doesn’t reach it. you can even say that this is the first, probably, yes, after all. not an adult reaction, when, that is , you are faced with an obvious problem , you have a correction as and a child, that it will pass by itself. next apparently it's high cholesterol smoking sedentary lifestyle

it's still the environment in which we live. air is important, including the microparticles that fly, when the smog goes and everything else it, of course, increases heart attacks. an interesting study was conducted in greece on one of the mascaras, it was reported that among the factors allowing to prolong life expectancy. 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. that's within walking distance accessibility. this can significantly extend the life expectancy of older people by five years. this patient is included in the research study. we observe how

the results of our work manifest themselves in the long term once a patient has allowed us to change the tactics in treatment in relation to subsequent other patients. today , the working methods of our laboratory are slowly moving away from experimental scientific and technical methods, closer to the use and implementation of these methods in practice, so the main place practical use. today we have an operating room, that is, all the developments are the approaches that we develop and implement. including in the framework of international cooperation. they take place the implementation of our operating latest projects, which have received quite wide popularity and publicity all over the world. this is a projection of the personal exploration of toys within this program. we have researched. how important is the usage. to prevent sudden cardiac death in various

categories of patients for participating in such international projects for the treatment of disorders of skill our center and our working group first of all we are talking about pain and disease marked by awards and diplomas for the development and approaches and even new devices in the treatment of heart disorders in the public implantation of subcutaneous cardiothoracic defillers. it was a top global project, in which we often do not believe that 100% of doctors should be engaged in science in such an institution, that is, not only laboratory employees, but also employees of clinical departments. and every patient who located here should be considered as patient examination results that can be used to evaluate

certain research studies. currently , we are building a building for hybrid surgery. this is a new level in cardiac surgery, which made it possible to unite cardiac surgeons and x-ray endovascular surgeons and rhythmologists in one operating room. this is an absolutely incredible fantastically new level of intervention in the human body, which significantly reduces the self time of anesthesia intervention. this makes it possible to minimize all possible complications and side effects of such an extensive surgical tactic. what about this one-time exposure, which can last one and a half to two hours for a person

who had lived for years in anticipation of another attack? in anxiety, he limited himself. believe normal life, when 22 beats beats and fear in the eyes of the fact that you are now going to die is objectively many people. with a simple intervention, you can to make it so that tomorrow he will have new horizons, and he will not be in a state of waiting for the next year of his life. what will be there? it is very good that we have the opportunity in our citizens to do transplantation. those who need heart transplantation are patients with the most severe severe heart failure, which can develop as a result of various reasons. most often, of course, it is coronary heart disease of the age population. this is the main group

of patients very quickly, a donor was found, right here for almost two months is very good. exists? this made it possible to save the lives of many people outside of belarus, but in this regard.

there were transplants that look very good in relation to most of our neighbors in the cis countries somewhere there is a huge systematic work that is organized by the mfc cardiology center . you can be proud of it and you have to understand, these are not some people who are top-class there, i don’t know millionaires, and then something ordinary people. we are talking about talented creative youth, belarus. i believe that she is one of the most promising future ballerinas, gifted and brave, always ready to master a new direction, to conquer the stage and exhibition space easily master the soft

material of glidernaya, so we saw her work. she is excellent at targeting. eh, sepia will share a story about their creative path with all the successes and failures and daily work on themselves there are complex movements that are very difficult for her to give, because thin legs are long, when long levers are very difficult to manage. it works to do it all, and new generation of belarusians. watch the new people project on belarus 24 tv channel. we can be different, if our future is at stake, some will suffer, others will enjoy, but everyone will get results. any medal has two sides, even metal for feats of peaceful valor implies self-sacrifice to

achieve a common goal. such people are unique . there are such valiant people among us . to eliminate it this is a big politics, important, but complex and where everything is never said about everything, igor tur’s public opinion on the main events in the country and on the international arena , watch the propaganda project on belarus 24 tv channel . surgeons, for example, with big ones, we understand,

then the person who works upstairs will do a better job than us. because it will solve two problems at once, and not in parts for the patient, the quality of life will be better, yes jesus will spend less healthcare and we work as a team we achieve the best results. one such surgical technique that is performed either alone or in combination externally with cauterization and isolation of arrhythmic lesions is ear clipping. this is the most vulnerable area for blood clots in the left pursuit. our experience shows that the use of two technologies summing up their effects can lead to a positive result already somehow 90% of premium 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 grew out of nothing, these years of work are pedantic. a strict operating room nurse guaranteeing the results of the operation indications of assistance was 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. it is not only he she is with physiological care, an operating nurse, an anesthetist is a functional nurse who ensures working capacity. this is hardware. it's all like a single organism, it works in a swiss watch. with whom you you work, uh, including

not hurting with an extra word. it is expensive. education, that is, on a periodic basis , sometimes it is 3-4 days only an educational project, which or leaving the same ones to the regions by analyzing the work of our regional centers of analysis. when you are told, well, how lucky you are, how quickly you did some kind of operation, two situations come to mind. one of them is related to the american golfer as it was the championship in the last final stage and somehow

the ball. after the impact, he ended up sitting somewhere. wood and the last blow was on her the decisive champion. or is he not a champion? coy hit. so the sword ended up in the hole, and he became a champion to him and said. so i think the more i train, the more i don’t see. something difficult your daily work becomes for you a routine for a patient. this event is perhaps the main event in his life. good afternoon. how are you feeling? are there any interruptions, unpleasant sensations, any doubts, whether it was necessary to do everything,

perhaps there are absolutely no doubts at all. yes, excellent manipulation. we are here we do not produce. we're treating people here, raise this one, please. the patient after ablation, in order to make sure that the effect is stable , we must conduct a daily monitor and see if there are any other possibilities for hidden heart rhythm disturbances, to which it will be transient. great. on monday, back home, of course, as having stood in the way of correcting the analysis. i look at you good and if anything, on monday. you

realize that the 200-250 people you are this year are waiting for the alarm 24 hours a day one of them? now she's not well. 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. there's some time of communication with me. yes, but we understand, we treat it. not everyone needs an operation to kill, someone just needs to be told. you are fine. get it out of your head. and it's really just a way of life to sleep the normal amount of hours where you probably won't pass out from standing up abruptly, right? or take pills? not must be clean, well, there should be as much as

he needs to have. probably, after all, the realization that over time you are less emotionally responsive to some potential fears, related problems that may arise, the operation will solve everything much faster. here is the feeling of a calm heartbeat so that the majority is a problem, how could it be solved by teamwork. they beat faster. i think it's important for me that the team spirit is a shoulder when it's hard for you

or are you ready to put your own? the president belarus proposed to develop a concept of a collective security strategy for the csto until 2035. alexander lukashenko outlined his vision of the processes taking place in the region and the world at a meeting with the secretaries of the security councils of the countries that are members of the military-political union, the csto has always been aimed at strengthening peace and regional stability, but right now this dialogue on security is relevant, as alexander lukashenko emphasized never before, the entire architecture of international security is collapsing sanctions have become a serious weapon, militarization of the state goes to a new round. ukraine is one of many examples of this. initially, therefore, there was peace and only peace, but the west does not need peace, it clung to ukraine with reinforced concrete in order to crush russia under itself

to wipe its feet from it, but this will not happen. you know the russians. you know, we won't kneel here. therefore, it is necessary to negotiate, while it may get worse in the future, the president noted that the situation is now on its knees, not only in ukraine, everywhere in the caucasus and central asia, it is restless in poland and in the baltic states, belarus this year is chaired by its dcb. it is not alexander lukashenko who said that the country will strive to help armenia and azerbaijan settle disputed issues . the secretaries of the security councils of the holiday countries of the dkb should also submit their proposals. and today a meeting of the committee of secretaries of the security councils from the dkb took place in minsk. the participants discussed the growing tension in the area of ​​responsibility of the organization of the agreed position of the neutralization measure. threats to intelligence agencies and law enforcement agencies of countries will implement a coordinated approach to ensuring security, special attention is paid to hybrid forms of confrontation