yes yes yes a so let's let's go back to er symptoms so when you need to consult a doctor so as not to miss er god forbid something so serious yes i hear you a person has pains in the area of ​​the heart constrictive pains which, so to speak, do not even allow breathing. if patients have arrhythmias , that is, interruptions in the heart region, the heart rattles or freezes . with which you should immediately consult a doctor. of course , it is optimal to do a cardiogram, it is optimal to do an echo of the heart. after that, the

picture will be more or less clear, mr. sergey, are diagnostic examinations currently being carried out at the institute, and did the war make any adjustments to the work of the hospital at the beginning of the war? there was a decrease in the number of patients, and mainly we treated acute cases, now the clinic is overflowing with patients. both planned and emergency, we conduct absolutely all types of research, examinations and operations. of course every day we perform approximately 12-15 heart operations and approximately 20 endovascular interventions, that is, diagnostics, stenting, children's operations, and so on, and please tell me whether the treatment is currently free and what is the general situation with the provision, thanking our state and our

partners for across the border we also received humanitarian aid, we continue to receive humanitarian aid from citizens, we carry out diagnostics now for free, almost half of the operations are provided at the expense of the state of humanitarian e-e, there will be humanitarian e-e devices, and approximately half is about 70-80%. that is, something is really missing, patients really have to look for it, but in each specific case, we find an opportunity to treat the patient. do not leave mr. serhiy without help. and i would like to know exactly the category of people who most often apply for help and whether there are currently many displaced people among them . e well, you asked at random, and they said that there are indeed immigrants who come to us from

different places . we take full state support, there are patients whom we seek out ourselves, for example, when conducting consultations in irpen, to be a support, but here the local administration of local doctors and such patients are taken immediately for treatment to the institute as much as possible, ensuring their treatment from state funds. thank you for today's conversation and for your work for continuing to work even in such difficult times. thank you . glory to ukraine. glory to the heroes. the chief doctor of the national institute was in touch with us. of cardiovascular surgery named after mykola amosov serhiy syromakha and we understood that after all, state institutions are working, state medicine is

ready to receive you at any time and provide assistance. therefore, you only need to apply in time in order not to miss this important moment. but not only public and private medicine in ukraine is also in a state of full readiness to provide assistance to all ukrainians who need it. for example, the leadership of the welfare medical center during the war held negotiations with international and ukrainian charitable foundations and enlisted their support to help our citizens. it is about vital medical services, free operations, inpatient treatment, free reception of patients. buche understood the innkeeper of the worzel of brovary and other towns of kyiv region and whose residents suffered during the occupation, so now we will find out what welfare assistance is provided

patients with cardiovascular diseases and what is needed for this, and a cardiovascular surgeon of the dobrobut medical center is in touch with us olena shapovalova ms. olena i congratulate you good day ms. olena so, in the first part of our program, we already learned about the fact that now cardiovascular diseases, unfortunately, make themselves known more often and even those people who have never had problems with their hearts have started to apply to the doctors and i heard that in such situations the most common ailments among cardiovascular diseases are hypertension and ischemic heart disease. please tell me whether you have an increase in patients with such problems. with such complaints, i would say that the number of people has not increased much, but the structure of the

application has changed, that is, now young people with manifestations of coronary heart disease are applying more often, and, unfortunately, very often patients with advanced forms and chemical diseases that i i mean, when the patient arrives on time, we have the opportunity to examine him, we have the opportunity to treat him, and in fact the person returns to his previous healthy state, can work, can do sports, and so on. when the situation is crushed, that is, when a person has been away from doctors for a long time, unfortunately, we often have a patient whom we can help, but certain symptoms, a certain limitation of working capacity will still remain with him. please tell me, ms. elena

, can a person who has never, for example we are talking now about the person who was healthy before the war, so she had no problems with her heart, and it was during the war that something happened and maybe a nervous breakdown, constant worries and her heart started to hurt. maybe it is or not. of course, such patients now there are quite a lot of them, because the war, like any stress, can intensify the manifestations of symptoms that a person may not have paid attention to before, or even did not have them at all. therefore, there are really many such patients, very often it is possible to well, they write. i have often read about the fact that pain in the heart can somehow be understood, that is, what is happening to a person, sometimes you can hear pain in the heart area, but in fact it

is not the heart that hurts. it independently er to the patient almost impossible if we if we are talking about the classic manifestations of coronary heart disease, then it will be more behind the sternum or in the area of ​​the heart. i usually squeeze it. why is it so oppressive , sometimes burning pains? such and such a classic one, for example, patients with diabetes mellitus, or often in women, these symptoms are more blurred, that is, people simply feel that it has become more difficult to carry out the usual workload or some kind of anxiety unpleasant sensations in the chest e.e. it can also be coronary heart disease and on the other hand

e.e. there is e.e. so-called psychosomatics e.e. when the patient is healthy but he or she has certain symptoms that may resemble coronary heart disease it's a pity to determine this on your own is quite difficult, that's why i recommend not to postpone, and the day after the victory, after all, contact the doctors, if there is such an opportunity to make an appointment, contact the doctors and what examinations need to be done, the volume of examinations is already determined at the appointment by a cardiologist or family doctor ah, as a rule, at least this is a coronary angiogram - this is uh, sorry, at least this is an echo of the heart and a

cardiogram and uh, the breakdown of complaints by the doctor. this is already a procedure that is done in the operating room, it is not scary, it is not painful, but it is very informative, at the same time, we can see on the screen whether the artery of the heart is blocked by cholesterol plaques or not, and already then we can make a decision together with the patient what to do next how to treat this, ms. olena, can you tell me more about this procedure , coronary angiography, and whether it is now performed free of charge, how much does it cost, because i understand that it is a minimally invasive surgery, during which you can perform both an examination and help a person yes yes absolutely true a-a coronary angiography is a diagnostic examination it

is carried out under local anesthesia in the operating room and er allows you to get an exclusively er exact answer er what to do with the patient next if the artery is blocked by a cholesterol plaque, then we can immediately proceed to surgery during this procedure, that is, not only diagnostics, but also immediately put a coronary stand, this is such a spring or a tube, you can say, of a social metal alloy, medical in order for the patency of the artery to be open and now in dubrovitsa, thanks to the direct relief fund, we are able to perform these procedures, both medical and diagnostic, free of charge, that is, the patient only needs a small amount of consumables.

more than 90% is covered by the a fund. tell me who are these patients who can do coronary angiography free of charge . this is anyone who has applied, who has problems with pathology, or just some person, all patients without any ties to their place of residence or any of other symptoms. these are absolutely any patients, but in whom there are indications for this procedure, both coronary angiography and stenting. can this procedure be dangerous, for example, or cause some risks to health and life? well, i usually tell my patients that any procedure invasive, even though it is not very inclusive, it carries certain risks. but uh, in the case of stenting coronary angiography, these risks are less than one-tenth of a percent of any risk of any moments there, that is, in fact, the risk goes to zero

if the procedure is carried out according to the indications, so we believe that uh, the risk of these procedures is practically zero, ms. olena, and i want to talk with you not only about this is so little and about minimally invasive surgery, but i also want to talk about the prevention of cardiovascular diseases. i understand that somehow now to tell our viewers that don't be nervous , don't worry, it's unlikely to help. yes, but still. maybe you can give some advice, how to take care of yourself, how to relieve the state of the attack . she said that, besides, what we ca n’t influence is the level of stress, it’s also important to eat food with non-re recommended fatty foods, it

’s very important to control blood pressure. that is, the better the controlled hypertension, the less the risk of complications of chemical diseases, this is done with the help of pills and smoking cessation, i.e. patients who smoke, i recommend taking steps in the direction of the same, they have given up on this now. very often, people complain about pressure and say that there have never been problems with pressure. now they feel it, maybe you can also advise everyone who has had such a problem at least once to have some device for measuring pressure and how often it should be done in general. i would say that in general people after 40 years old, not even if there are complaints if there are none, then having a tonometer at home is a good

tone. if a person does not have problems with blood pressure, then the pressure is still measured at least once a year. if there are problems with blood pressure, it is necessary to monitor the pressure every day and take pills . on a permanent basis, drugs for this in order to control this pressure, because i repeat eh, besides eh, pressure numbers are eh risks, high pressure, risk of complications of a chemical disease, risk of heart attack or stroke, what is happening with number a, what should you pay attention to, eh? i'm happy on my own too in this case, people who, for example, do not have the opportunity to consult a doctor, take and drink pills, for example, to lower blood pressure or, on the contrary , to increase ah-ah, well, no doctor will ever advise

this . let's say the beginning of the war in kyiv. for example, we provided consultations online in absentia, at least in order to help patients make a decision, because self-prescribing pills is never a good idea. i think so. that's about it are such consultations still held now? can people, for example, from those regions where they do not have the opportunity to see a doctor? yes, i mean offline, go to an appointment and make an appointment. can they get a consultation online? yes, of course, if people apply and cannot, they cannot offline, uh, for such cases, we

usually spend the meaning formed, it is about, for example , kyiv, but it is about those regions where people simply cannot physically get to a doctor. do you often even consult such people who contact from other regions, there are now fewer appeals because the help and local e-e volunteers and doctors have somehow improved, but during the beginning of the war, it was almost every day, and these people , what problems did they mainly address and are addressing now? and what should you advise them if, for example there is no possibility, er, you hit a lot of regions , for example, in which there is not even medicine and people cannot

get them, what can you advise them in such a situation? here you already know that we are helping you by the fact of the appeal . it is certainly not possible to give general advice here, the only general one way or another. if there is no possibility, then it is in absentia. is it somehow to eh? this is probably the only universal advice that can be given because eh offline online consultation, it still has certain limitations and even for each specific single give give general advice it is probably impossible ms. olena, good medicine for patients there were such that on the basis of e-e complaints that are written

on the phone, why the war it was difficult for yourself such imagine but now and if, after all, this is the situation when there is no medicine, there is no doctor nearby and the person needs help, what can you recommend, maybe there are some practical tips . pressure if a person has a rise due to excitement and nervousness well, if there is no medicine, then well, it is quite difficult to give some advice as with my bare hands and without seeing the patient, uh, i probably won't be able to uh, answer such questions that is, it is

impossible to do without medicine and without a doctor. i think that the question is simply too abstract, for sure. if i were to be addressed with the term patient, it would be possible. there was something about this very general question . symptoms, manifestations and diseases here is too broad a question to give advice on the air well, at least some advice on providing first aid when high blood pressure has risen, for example, a person needs to lie down and drink more fluids to be in a cooler room, is there anything like that or at all, it is impossible to give such advice, the only thing is to stop physical activity uh-uh if it was performed uh-uh stop being nervous here she probably

has, well, no, you can’t give such advice if a person has heart pain er, and usually there are such people, er, there is nitroglycerin with them, there are some er, pills that they took. well, then you can take them here, but again, i will say that this is too broad a question for him to answer so comprehensively, ms. there is such a thing as olena i don't know how much the drugs cost on our air. but there are drugs that have been used there for many, many years, and even older people love them there. validol corvalol barboval . the fastest help, well, the drugs you listed, they, uh, rather have such a calming effect, so, again,

we do not prescribe drugs, uh, without knowing the patient. joined our broadcast. thank you. and i want to remind our viewers that a cardiovascular surgeon from the medical center was in touch with us today . the medical guarantee program has all the services for the effective prevention and treatment of cardiovascular diseases, you can consult a family doctor, make an electrocardiogram , take a blood test for cholesterol, make a test for determination of troponin is all free of charge , after diagnosing a cardiovascular disease,

a family doctor can write a prescription, for example , for available drugs, the patient receives the drugs at a pharmacy free of charge or with a small surcharge , an electronic prescription can be obtained without even visiting a doctor, if the doctor does not have access to the internet or an electronic system, he can write you a paper prescription. if the patient does not have contact with his family doctor , any doctor can write a prescription for available drugs. all these changes were introduced during the war to simplify access of ukrainians to medicines and medical services, and during the full-scale invasion, doctors wrote almost 2 million prescriptions for affordable drugs for cardiovascular diseases, of which 1 million 200,000 were repayments, that is, the patients already received these medicines and the national health service i of ukraine paid almost 100 million hryvnias for them, if necessary, the

family doctor prescribes and sends a referral to a cardiologist, as well as for additional research and tests, for example, for ultrasound diagnostics of the heart, these medical services for the patient, the treatment of stroke and heart attack is free of charge, and i also leave it as a priority for the medical guarantee program. for the provision of this assistance, institutions that previously receive payments at an increased rate are up to uah 131,000 for a stroke and 43,000 for a heart attack , and i will tell you that these rates are quite sufficient to not to demand money from a patient in a medical institution, a patient with a heart attack or stroke is provided free of charge with diagnostics, including both ct and mri and various researches, own treatment and analgesia and drugs, all of which are from the national of the list, in the event of a stroke, the patient is given thrombolytic therapy or treatment

with modern endovascular methods free of charge. and in the case of a heart attack, stenting is necessary, which we also talked about today, any ukrainian can receive help not at the place of residence, but where he considers it necessary, therefore there are no restrictions because, for example patients from mariupol received medical care in lviv, to find the right hospital in a new place for you or to find out which medical services you can count on, contact the contact center of the national health service or by phone number 167, the operators will provide you with all the necessary information and it is very important to consult a doctor in time and start prevention or treatment in order to prevent the disease from developing, so i hope that the speech gave you the maximum parade today in order for you to keep your cardiovascular system and it was healthy

with you i was with you iryna koval and take care february 24 the date that changed us the date that changed the world and now what interests us most is our victory when we will defeat the enemy in this way predict the course of the war the saturday political club program returns to the espresso airwaves to help understand the events and predict the consequences that on saturdays vitaly portnikov and maria gurska will discuss the most relevant to draw appropriate conclusions if you want to know how what is happening today will affect our tomorrow watch the saturday political club that on saturdays we are pressed, it is very important in this difficult time to be aware of what is happening, we tell the news

and help to understand the events, but the war can make adjustments if the broadcast signal is lost, watch espresso on the satellite now espresso has become available on two satellites at once viewers who watch our channel on the astra satellite should readjust the tuner to new parameters because the old parameters will soon stop broadcasting espresso ukrainian view thank you for watching this was already the third rotation of border guard ihor dashko to the east, the contract was due to end soon, his wife and daughter were waiting at home, but ukraine was attacked by an aggressor on april 9 during the battle in mariupol seriously wounded ihor dashko blew himself up with a grenade in order not to be captured himself but to prevent the enemy from creating a radio station his last words on the air were glory to ukraine ihor dashko

was posthumously awarded the title of hero of ukraine heroes do not die an army with strong rears soldiers need our support invincible thanks to exceptional training from ivan zdorets created the organization fire of zaporozhye constantly trains zaporozhians in fire training and first aid, you don't need to be a superhero to learn how to save the people of front-line zaporizhzhia are ready to destroy the occupier, we know that victory will be ours and it will not be with gory ukrainians, a nation of heroes, the petition for the return to the digital air of the espresso tv channel has already gained more than 20,100 votes, we have less than a month to bring this figure to 25,000 so that reach out to the government go to the petition site of the cabinet of ministers of ukraine register

and press the sign button help get the necessary number of votes protect freedom of speech in ukraine events most important events events that are happening right now and affect our lives, of course, the news feed reports about them, but there is little to know what is happening, you need to understand antin borkovsky and the invitation experts soberly assess the events, analyze them by modeling our near future that saturdays at 1:00 p.m. with a repeat at 10:00 p.m. studio event with by anton borkovskii, the petition for the return to the digital air of the espresso tv channel has already received more than twenty one thousand votes, we have less than a month to bring this figure to

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