with you and your relatives, it is actually possible to write a statement to the police to just no one. however, katya, this friend has disappeared, the girl does not lose hope, it really touches the depths of her soul. she is alive and well and asks us very much to show this appeal if i really hope that you see this message i am very worried about you because it is already the fourth month without you and i am very worried about you and your family and sashka so please simply, if you can get in touch, i will tell you that you are alive, that you have food, drinking water, clothes, and that you have a roof over your head, that everything is fine with you, please just say that you are alive and i will be the happiest in general since the beginning of the war, we have received thousands of reports about missing children . please go to the website of the children's search service. here

you can view all the information and photos of the children who are currently wanted . i every year in the world , more people die from diseases of the heart and blood vessels than from any other cause, war is not a reason to postpone taking care of one's health until better times, moreover, in many cases, war itself became the cause of exacerbation of chronic diseases, and it is not surprising that constant stress nervous tension emotional swings test the body for strength and this test unfortunately, not everyone passes the test

heat and sudden changes in weather that provoke drops in blood pressure have been added to the harmful factors pressure and deterioration of well-being, so the topic of cardiovascular diseases is attracting attention again. so today we will talk about such alarming trends and symptoms. and also about where heart patients can turn for help during the war, because despite the difficult circumstances, there is a way out in wartime, the state continues to guarantee its patients the necessary medical care and medicines are free of charge and private medicine is not left behind and in some clinics they even operate on patients free of charge and our next story is about exactly that ukrainian doctors are capable of working miracles even in wartime, so don't neglect appeals for help and watch the story of a ukrainian who underwent a unique operation at the institute of the heart, the mechanical

heart was replaced with a donor one, and at the beginning of the war, the life of a patient with a mechanical heart was on the line, because the mechanical organ works thanks to battery power which needs recharging in the conditions of the occupation in the absence of light - this turned out to be a difficult task and every heartbeat risked becoming the last detail of the story with a happy the finale in our story is mykola, the first patient in ukraine who underwent a donor heart transplant after a mechanical one. on may 19, my birthday was 66 years old, and the heart was not put at 22. in short, this is a

gift. needed a new heart, but a suitable donor was not then the only way out to save life was the implantation of a mechanical heart in order to save their lives we are implanting a mechanical heart on what kind of platform and this механическое сердце работает как мост к транспальтации with a mechanical heart, a person can live up to 15 years, but such a heart, like a charger , works thanks to electricity, gas the light is gone, and the machine that works on electricity mykola says that the biggest fear with the coming of war is a power cut from which his life depends on when they were in stoyanka. they came under occupation. the whole village helped the man to survive. solar cells worked like this . i charged my batteries. and so to speak, he died. ukrainian doctors first conducted

such an operation on two patients, and this is a unique event in our medicine and not only in our world, without special knowledge and training , it is forbidden to implant a mechanical heart in order to carry out such an operation, well, to undergo a special internship abroad, to receive a certificate from the company, and what this certificate should be in the entire team, at least 4-5 people are undergoing this internship , a team of ukrainian doctors has undergone the necessary training in order to help ukrainians here and not send them abroad in our team almost all of those in the world are in europe, and that's why we already carry out these operations on our own, and andriy is the second patient who underwent a similar operation

. i feel good now. last life for the second time , according to doctors, you need to take pills and be careful while the body adjusts and gets used to the new organ, this does not prevent a person from returning to his normal everyday life at all life, patients then begin to return to work to study. they live an absolutely full life, and in addition to such unique cases that you just saw in our story , doctors in war conditions continue to treat more common pathologies for them, which cardiovascular diseases are the most troubling ukrainians now and we will find out what corrections the war made in the treatment of these patients, and contact us serhiy syromakha, chief physician

of the mykola national institute of cardiovascular surgery mr. sergey amosova , i congratulate you, i congratulate you. cases because for a certain time people were afraid to contact people, people moved away and hid and some diseases became more complicated and we are already facing such situations when decompensation of blood circulation is already happening and we we have to operate on a patient in a more serious condition. of course, cases of acute conditions such as coronary syndromes, heart attacks have become more frequent, so

to speak, ruptures or aortic stenosis . please, what are the complaints that patients most often come in at the moment? of course, interruptions in the heart area on the field in the heart area at uh-uh well, about 30% of such patients turn out to have there is no organic damage to the heart, but these are functional disorders against the background of chronic stress and against the background of constant trilogies that patients have that people have now today and now our consulting polyclinic works very actively, a lot of patients come to us, our

doctors make regular visits to the kyiv region as well in zaporizhzhia, they also went to other regions of ukraine, if we talk about symptoms, what symptoms should alert a person and lead a person to a cardiologist, because they often say that a person can feel pain in the heart, but it really hurts. it's not the heart. there is even such a saying. first of all, you need to remember that if you really have cardiovascular disease, you will feel it, for sure. we have communication problems, let's try now put it in touch with us serhiy syromakha, chief physician of the mykola amosov national institute of cardiovascular surgery and

if we talk about cardiovascular diseases , then during the second world war, according to statistics, the number of applications also increased, and therefore it is not surprising that now doctors note the same statistics of an increase in visits to doctors for heart and cardiovascular diseases, so you should not postpone a visit to the doctor if you have symptoms of cardiovascular diseases, you should contact us immediately if your health has worsened, you can make an appointment with family doctor. if you have moved to another place, you can go to any primary care center and the doctors even say that a new declaration is not needed for this, mr. sergey . they told me that they have already re-established contact, so we can we continue our conversation, mr. serhiu, can you hear

me? so, let's get back to the er symptoms. so, when you need to see a doctor so as not to miss, god forbid something so serious. yes, i hear you. of course, if a person has pain in in the area of ​​the heart pains of a constricting nature that, so to speak, do not even allow breathing if patients have arrhythmias , i.e. interruptions in the area of ​​the heart, the heart rattles or freezes if patients have suffocation during any physical exertion when moving when you rise to the surface, these are threatening symptoms with which you should immediately consult a doctor. of course , it is optimal to do a cardiogram, it is optimal

to do an efeset, it will be more or less clear after that, mr. serhiyevich, diagnostic examinations are currently being conducted at the institute, and has the war made any adjustments to the work the hospital at the beginning of the war really had a decrease in the number of patients, and mainly we treated acute conditions; now the clinic is full of patients. both scheduled and emergency, we conduct absolutely all types of research, examinations and operations. of course , we perform approximately 12-15 heart surgeries and approximately 20 endovascular interventions, that is, diagnostics, stenting, children's surgeries , etc. to our state and our

partners abroad. we also received humanitarian aid, we continue to receive humanitarian aid, we carry out diagnostics now for free, almost half of the operations are provided at the expense of the humanitarian state. of humanitarian e-e devices and about half is somewhere around 70-80%. that is, something is really missing, patients really have to look for it, but uh, in each specific case, we find an opportunity to treat the patient. they asked at random and said that there really are

immigrants who come to us from different places, there are people who have no belongings and no money at all. without the possibility of treatment, we take such people completely on 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 we take such patients 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 a difficult time. thank you, glory to ukraine , glory to the heroes, and we were contacted by the main the doctor of the national institute of cardiovascular surgery named after mykola amosov, serhiy siromaha, and we understood that after all, state

institutions are working, state medicine is ready to accept you at any time and provide assistance. therefore, you only need to apply in time in order not to miss this important point 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 management of the welfare medical center during of the war held negotiations with international and ukrainian charitable foundations and enlisted their support to help our citizens, we are talking about vital medical services, free operations, inpatient treatment, free reception of patients, accepted buchi gostomelya vorzela brovary and other towns of kyiv region and whose residents suffered during the occupation, so now we will to find out what welfare assistance is provided to

patients with cardiovascular diseases and what is needed for this, and contact us cardiovascular surgeon of the medical center well-being olena shapovalova ms. olena i congratulate you 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, are making themselves known more often and even those people who have never had problems with their hearts began to turn to doctors, and i heard that in such situations, the most common ailments are the heart, among cardiovascular diseases there is hypertension and ischemic heart disease. please tell me whether now you have more patients with such problems. and, er, have there been an increase in people with such complaints

at all ? unfortunately, very often patients with advanced forms and chemicals come to me, what do i mean when the patient comes on time, we have the opportunity to examine him, we have the opportunity to treat him, and in fact the person returns to his previously healthy person can work, can do sports and so on. when the situation is satisfied, that is, when people are doctors, unfortunately , we often have a patient whom we can help, but certain symptoms of a certain limitation of working capacity will still remain with him. please tell me,

ms. elena, can you a person who never, for example , we are now talking about a person who was healthy before the war, so she had no problems with her heart, and here it was during the war, well, something happened, maybe nervous, who broke down, constant worries and began heart ache. maybe it is or not. yes, of course, there are quite a lot of such patients now, because the war, like any stress, can intensify the manifestations of symptoms that a person may not have paid attention to at all before, or even them at all there were not. therefore, there are really many such patients, very often you can mmm well, they write. i very 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 region of the heart, but in fact it hurts not the heart

is this true yes, it happens, but it is impossible to determine it is on its own for the patient. it is almost impossible. 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. usually it is squeezed. such oppressive nature, sometimes burning pains. sometimes they can give a group to the neck, back and related with physical exertion a-a but er-e sometimes the picture will not be so a-a so classic for example patients with diabetes er-e or often in women er-e these symptoms are more blurred, that is, people simply feel that it has become more difficult to perform habitual load or some kind of anxiety , not unpleasant sensations in the chest, it

can also be coronary heart disease, and on the other hand , there is so-called psychosomatics, when the patient is healthy, but there are certain symptoms that can resemble he or she has coronary heart disease and unfortunately it is quite difficult to determine this on your own, that is why i recommend not to delay, but to consult the doctors the day after the victory, if there is such an opportunity, consult the doctors now and what examinations should be done 'em examinations are already determined at the appointment by a cardiologist or a family doctor, as a rule, at least it is coronary, it is, it is, it is, excuse me, it is at least an echo of the heart and a cardiogram, and it is a breakdown of complaints by the doctor. this is the minimum volume if there is a suspicion that it is

coronary heart disease, then you need to do coronary angiography, 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 take the decision together with the patient, what to do next, how to treat this ms. olena, can you tell us more about this procedure , coronary angiography, and whether it is currently being performed free of charge, how expensive is it in general, because i understand that it is a minimally invasive surgery, during which it is possible to perform both an examination and to provide assistance to a person yes yes absolutely correct ah this is a

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

er, more than 90% is covered by the fund. and tell me who are these patients who can have a coronary angiography free of charge. is it anyone who applied, who has pathology problems, or just er, some person, all patients without any ties to the place of residence or to of any other signs. 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 say to my patients that whatever which the procedure is invasive, although it is even slightly invasive, it carries certain risks. but uh, in the case of stenting coronary angiography, these risks are less than one-tenth of one 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 consider that the risk of these procedures is practically zero, mrs. olena, i would like to talk with you not only about minimally invasive surgery, but also 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 ah, besides, what we ca n’t influence is the level of stress, uh, nutrition is also important, it is not recommended to consume

a large amount, it is very important to control blood pressure, that is, the uh, the better the controlled arterial hypertension, the less of the risk of complications of coronary disease, this is done with the help of pills and smoking cessation , that is, patients who smoke, i recommend taking steps in the direction of now pressure, but now they feel it, it is also possible to advise everyone who has had such a problem at least once to have some kind of apparatus for measuring pressure and how often it is necessary to do it in general. i would say that in general people after 40 years old, not even if 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 constant basis. on the basis of drugs for this in order to control this pressure, because i will repeat it, except for pressure numbers, these are risks, high pressure, the risk of complicating the target disease, the risk of heart attack or stroke, what happens because you need to pay attention, or is it advisable to do the test yourself in that case to people who, for example, do not have the opportunity to see a doctor, take and drink pills, for example, to reduce blood pressure or, on the contrary, to increase ah-ah, well,

no doctor will ever advise that let's say the beginning of the war in kyiv, for example, we provided online consultations in absentia, at least somehow, well, in order to help patients to make a decision , because self-prescribing pills is never a good idea, i think so, but what about are there any other such ones being held now? consultations, 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?

the meaning formed is about, for example, kyiv , but it is about those regions where people simply cannot physically get to a doctor, and how often do you consult such people who apply from other regions, well, now there are fewer applications because more or less somehow, the help of local volunteers and doctors got better, but at the beginning of the war, it was almost everyone, and these people mainly addressed what problems they addressed and are addressing now. and what to advise them if, for example , there is no opportunity there are many regions , for example, in which there is not even medicine and people can

not get it, what can you advise them in such a situation, and often there is a way out, after all, there is often a humanitarian opportunity to get medicine, e. it is probably not possible to give general advice here , the only general advice is to apply one way or another if there is no possibility face-to -face, then in absentia. is it somehow possible to er this is probably the only universal advice that can be given because er offline online consultation she still has certain limitations and even for each specific person, and to give general advice, well, it is probably impossible, ms. olena, well, there were medicines for the patients there, based on

the complaints that are written on the phone, what about the war. it was hard to imagine such a thing and if still there is such a situation when there is no medicine, there is no doctor nearby and the person needs to be helped. what can you recommend? is there any practical advice? he got nervous well, if there is no medicine, then well, it's quite difficult to give some advice here, how with bare hands and without seeing the patient, uh, i probably won't be able to uh, answer such questions , that is, without medication