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the heart disease takes the lives of more than seventeen million people across the globe every year thanks to we talked to a prominent cardiac surgeon who tells us what's been achieved in the treatment of heart disease and what remains to be done. hello again though welcome to the spotlight the interview show on r.t. i now you know and today my guest in the studio is i'm here on. the world health

organization says about seventeen million people die every day have caused this and accounts for more than twenty percent. russian cardiologists have dramatically advanced the treatment of heart disease in recent years but what remains to be done today my guest is a prominent cardiac surgeon i recall it was a world famous doctor and medical researcher i mean i'm a. professor reddish really was the head of a group of scientists who developed a brand new medical disease diagnosis their computer program renders a three d. image of the heart highlighting damaged. although it was just one of the many medical breakthroughs in recent times it did little to advance the reputation of medicine and health care and russian foreign experts described as quality is poor and many russians prefer getting treated soberly.

hello thank you for coming to our show let's start with this they say that it isn't car accidents now they're aids nor any diseases that are the leading cause of death worldwide but it's still hard diseases that claim more lives than anything else is that still correct. there and yes that is definitely true and i reach over fifty percent of welfare officer caught by cardiovascular diseases and what is tragic is that a fairly large share of fatal cases is caused by sawed in cardiac arrest over three and a half million people die of sudden cardiac arrest worldwide every year in russia alone it claims two hundred fifty thousand lives a years assuming we health a person can die within an hour without exhibiting any symptoms at the time prior to their death. what can we ask who recently hosted the sixty six international congress of the european society for cardiovascular end of ask who is surgery these

are the people who actually deal with such cases and anyone who congress was held in moscow or does this mean russia still maintains its reputation in this field you can get a bit of that. that is absolutely true russian kordic surgeons are proficiency in all of the existing methods so for surgery they are capable of performing any kind of operations for their work period president of the russian cardiac surgeons association or chaired the congress he sat in his opening lecture on professor the russian cardiac surgery has gone through all stages of development starting out from primitive open chest surgeries in the united fifty's and eventually mastering state of the yard operations such as cardiac arrhythmias surgery even surgery heart transplantation and torso artificial heart implantation. you are one of the most renowned cardiac surgeons not only in russia but also worldwide he was in the papers recently that he knew headed received an award for developing

a new diagnostic method. that the article said it was a group of mathematicians and engineers how did they let it to get involved in what exactly is the method it's a code examination method to rate the activities at their absolute absolutely was that you see having started out as a chord extension of eventually going to perform interventional surgery and seizure free flowing catherine technology in recent years we started to answer training and ideal for diagnostic patients using a new method the so-called heart mapping and in rules setting up two hundred fifty electrodes on the patient's body filler the patient undergoes their c.t. scan and we map out the position of the electrodes on the patient's heart and now it's me and then our mathematicians physicists and programmers if you can just download from now the rhythm to calculate the difference in portentious between body surface and heart illnesses and other words you attach electrodes to the

patient's skin to test those like sensors that's right you think what is the register electric current the electric field generated by heart action absolutely good data from two hundred fifty electric cardiogram leads rather than the twelve that were noted a hundred years ago was we processed stemmons or code three d. model no florida action this is nothing is highly accurate and we hope that in the future we'll be able to treat certain cases of her with me but only without a puncture but without touching the patient at all of their long distance radiation therapy either aps reason or ultrasonics will doesn't go just. so this discovery actually confirm is the theory that arrhythmia is essentially an electric dysfunction within their hearts. that is that correct what was in it when it is function can never be isolated signal their house to be a so-called material substratum even if it is a single cell it will have changed its function for certain reasons the change may

be reversible were irreversible. it can be brought about by to shoot change or the gene factory and so forth on convinced that there is always some material substratum to any of their guns and religion of the heart you are known as a pioneer of ablation theory involves treating arrhythmia in specific spots a searing specific spots of the heart but it's simply you find effects of the area but if you read with electricity and there with me it goes away it case in many cases what is the percentage of successful ablation these days is used to be about thirty percent when he started and has it increased always it was the first cardiac surgery emerged and he had a very high success rate up to ninety five percent but it required extensive surgery with want to fish full blood circulation so a luxury of physiologist decided to use catherine technologies to win if you areas affected by the disease those are small local spots which need to be detected accurately for certain types of various me produce

a similar success rate of ninety five to ninety eight percent not with all types of syria risk mean for instance open heart surgery is more efficient than catherine technologies however electrophysiologist an international surgeons keep refining their methods transformational open heart surgery in their films just. what is the current rate of a successful initial ablation can you give us the figures up with coke but i think you said in terms of stable turkey corny as such as the wolf parkinson ward seems room talking all saudi or extra so stalls it's about ninety five to ninety eight percent pretty high he said with similar area three it's worse with only fifty percent of the patient comes early within a year after the disease has started then treatment efficiency increases to ninety percent let's take a look at some of the most up to date methods russian carry ologist used to save people's lives is this report from spotlight. ah breakthrough in

cardiology treatment in russia the country's first of a successful one to the north if the. so hard last year attracted huge media attention a state of the art todo artificial heart that works for up to sixty s. is a real hope for those waiting for a deal no one and the receiving one in russia is problematic as the result lack of public support for donors until the general attitude changes scientists have to look for alternative solutions like this one an artificial valve made from a pig's heart invented by russian surgeons it helps people with rare and life threatening heart the facts russian scientists are also working on technology that would allow organs to be grown on demand by a printing technology has been developed by the federal scientific research center of transplant and by artificial organs in moscow it is working on pain cells to eventually pruned organs that technology's though ten to twenty years of what's

already at hand is this russian invented anggia scan which helps with the gnosis of the disease over how to do is click on to the and everything and get the data concerning the car device killer system the inventors of the technology say if it's available for domestic use they'll be much less of those in need of surgery as statistics say cardiovascular disease is responsible for fifty five percent of deaths in russia doctors blame it on stress unhealthy eating habits lack of prevention and as long as people are carefree with health with ever sophisticated technology it may turn out help was. we have just looked at the state of the art technology us technologies more according to your explanation and lation therapy is a simple operation as compared to open heart surgery but it requires sophisticated

technologies will these acknowledges ever become available at least you know major cities of russia and when you like to say they will benefit the entire nation but so far the only do it in a couple of clinics. as a matter of fact this record describes something truly unique and as for american ology we have one hundred centers american and russian one hundred already and one hundred and the people in this therapy need to ablation sounds so damn easy ablation therapy in all conflicts start in florida cases and if to them to ablation traces of sewerage me any relation that's about it is that a lot or a little well it's were times less than it should be a little we do have plenty of specialists are functional smith was june and more of these centers like what we call new that asked to look at linux or to be more precise international cardiology clinics because the same goes for international air with knowledge it is desirable that we have at least twenty more clinics so the coniston list in russia but in the next ten years or should just get out it's what

you are a top notch surgeon do you work to promote such clinics or do you rather stick to research and therapy a session and then the health care ministry developed the trend you could with thinking he had it was no i don't nearly stick to research and probably some also president of the earth molecules association which is my social commitment which will see as just a few days ago we had our nation show it worth convention with about a thousand or three spots including the most prominent experts from all over the world and we were discussing the issues related to our profession i cannot because of them will santa require retuning health care minister to discuss things we have very good relations with the ministry for the first time in many years he was a hope for a positive response to our president said recently during a presidential in ward theory many on the medical professionals day he said it or is back in the one nine hundred ninety s. there was no money available. no days we do have the money for you is it true does the government have more money to spend on health care yeah i think so for example this year we received one thousand c.d.'s implantable cardio virtues defamer

leaders because last year we implanted five hundred cities but so now we have thousands more although we still wish we had to turn cows and niceties available and so take a lot of money a lot of money but we definitely need to increase that amount because russia is still lagging behind in terms of preventing sudden cardiac death but that's that says i mean i literally shrilly as prominent cardiac surgeons and medical research spotlight who will be back shortly to take a break stay with us. wealthy british style.

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welcome back to spotlight i'm album love and just a reminder that my guest on the show today is i mean i'm going to surely a prominent cardiac surgeon and medical researcher. and i mean you have just told us about the president the capabilities of russian medicine the water that you kill a cardiac surgery which is your specialization and indeed it is common knowledge both in russia and abroad their russian cardiac surgeons are some of the best in the world then why do so many russians prefer being treated abroad you would invest every city to be treated abroad they're not afraid of being treated in a different country even if they don't know the language is not getting a series abroad is considered three stooges thing it has become a matter of class at lake killing abroad indication you go to france for a holiday and you go to germany for surgery in egypt why is it so she looked at me since i saw the website of your eyelids under to say that russian surgeons

democratic surgeons in particular have accomplished a lot in surgery on a global scale the so-called collar south anastomosis method the very first method for coronary artery bypass graft in a report at the world scale conference will mention professor kolosov psni is under is hard for us information now for humans yet but as a matter of animal testing and it was done by professor democrats those maps are to christian born are indeed the children's arkell also it's what's been going on in the past decade first of all in every truck in our for going abroad on occasion so why not get a surgery in the meantime decides it is a matter of personal choice to say yes and holidays and get medical treatment abroad. certainly a patient we wish to withhold certain details with regard to these are her health issues the reason why is patient confidentiality considered irrelevant in russia but some patients. to keep it secret from people they know that might be part of the reason for getting surgery brought but there is more to it what

a large share of the patients get treatment abroad still come to us to finalize their treatment up on coming back to russia. it's difficult which essentially means that russian doctors are not worse so they aren't. why then you mention several objective reasons that are not related to the quality of russian surgeons as such but if you were to be south pretty cold what do you think russian patients to go abroad so they do their confidence in russian doctors are they afraid or is it simply this so much parochial series had that we have that everything is better in europe put it inside the machine if you have a reason to ari what would the truth well you know we take national health care standards in general those patients are right there are better off their own brought to get medical care if that is not so what you're saying is that health care in moscow and health care throughout russia are not the same unfortunately it's true health care in moscow simply just work and wants to be risk or toms or what different from the rest of the country or the chickens people who come from other regions of russia if they can afford going to germany or france to get

a surgery there's nothing wrong about it such as well as i'd like to say that in terms of technology it's russia's major clinics are capable of performing any of those types of surgery are for one believe that in our field of international everything is and we don't know of any method or surgery that we wouldn't be able to perform when we provide here it proper professional level who is down to russian health care or simply lacking advertising skills people on the scene need every tasing absolutely and we need to advertise you should be able to compare the performance of russian surgeons to that of their foreign country or its power i would agree that all surgery care and hurtled teachin standards are different and broad we still lag behind the west in this area but were never that but i suppose they are better equipped to cope you have mentioned the one hundred clinics that russia already has which you've also said that you were supplied with five hundred cardigan. in place last year a thousand this year but you really need ten thousand that's a minimum requirement which means you're under supplied by almost ninety percent

there's a shortage of high tech equipment and you know those people who travel abroad to get a surgery they pay a lot of money some real times more than what they would pay to a russian hospital even as a private patients and what it is great that they can afford this comfortably supporting western medical institutions with which we still believe that the russian marathon all which is the community may be proud of some of its achievements but i've already mentioned mapping the couple to zero currently only two systems of the kind of worldwide there is one in the united states called party can side and pioneered by dr your maruti and then there is our system called on the card when you're on the road but our system software is much more capable of this we have already established serial production is achieved we are sowing build systems and soon will be market in them and europe with if you provide a state of your diagnostics that's the image we have the most. in the world i read

in the news in the battle of medical center that you work or will launch an affiliated clinic in varane sure as a true yes we are going your is that correct at the top would provide exactly the same scope of services. yes we can but a professor a libertarian myself have already launched an affiliated institution perm which performs over three thousand open heart surgeries annual what with this is tremendous intensity matched by only a select clinics in europe and in may we decided to set up a clinic in moronic should all provide medical services all with police the same scope and all it is a block of center watching the governor there is a question that i've wanted to ask efficient specifically because i have interns coming to russia today. and i'm horrified to find out they're thirty years students of a language institute that is not actually speak english if they study it they don't really know it's a for. with you students we use in history and will get a degree in history may not know the year will do to end it is there

a similar trend with medical students many couples with unfortunately the race so once this new generation comes to replace you we should abandon all hope of getting proper treatment and i don't think so we select our staff a lot of people apply for an internship or residency with our clinic and if you haven't hundred self-insurance but some of the best to get to become residents and i can tell you any generation has its own unique brew and minds and it's your clinic that educates them absolutely right there we do it at medical schools i would say that they also have tons of young people there and they speak good english and they could be nominated for an internship abroad and it definitely should be done because exchange is incredibly helpful i was fortunate to practise at some of the best clinics in the us in the 1980's i spent almost a year at duke university and then several months at the cleveland clinic it was a great opportunity to work and to research and then i returned to russia and stayed here because that is where i grew up i wanted to apply all this technology and training theory set up an identical surgical unit at our hospital with only you

know it didn't work out for the simple reason that the system of education and training there is different star over it is still my dream that we should have not as much as a replica of the us system but the same observation is american cities something that we need to work for what looks good and you say money they should meet people thing that might evasion amongst the money those american doctors i will paid and that's their motivation or is there more to it granted that i would do well were all practical people so let's face it it was money certainly a censure of the united states if you are number one in your field you will definitely have the biggest salary and get the best promotions there is no other way you can't rely on your connections. that's why all those interns and residents in the us work twelve to sixteen shifts for a month misses and it takes them a clean ten years of hard work to become a cardiac surgeon we should have a similar system in our. counts for anything and that's where we should move. on the other hand if ization of your qualification in russia may show up at work two

or three times a week for a couple of hours and at the end of the week they would say oh i'm so tired i don't think to go oh no that's not true it isn't i knew nothing of the carnage or cardiac surgeons console work at six am and they only go home after ten pm also however saturday and sunday are family days it's a sacred rule we talked surgeons we still be at the clinic and we can go with us with a. what is the reason for the current increase in mortality related to certain cardiac arrest and heart disease in general. it would seem that there are increasingly sophisticated pharmaceuticals available. is advancing and more people can afford quality care why do heart disease remains have didley ability first of all we don't actually know all the risk factors were known only thirty percent of all respect hers that lead to sudden death which is stress smoking environment issues right along with previous heart attacks or cardiac nonfunctional such patients randi

thirty percent risk of sudden death within two years and the remaining seventy percent the other seventy percent are supposedly healthy but the also die and we don't know why it's a medicine is still art or of in science still is not right with see what we know those who survive sudden cardiac death is that eighty percent of them have had a previous mark already unfortunate so it's still about atherosclerosis and from boston therefore you need to steer clear of smoking and high fifth senate ward harper tenser disease and diabetes in order to reduce the risk of sudden cardiac death on top of that in russia those are also critically important social factors that play. hard diseases increasingly affecting younger demographics not only in russia but also worldwide which is so intense with hard effects wise that but you more than date children have computer games so. phones surf the internet use skype and so forth so all this information abundance has an enormous impact coupled with

a sedentary lifestyle entertainment the does control of any physical activity and on healthy food. look at what is going on in america were obesity is such a problem of junk food then food is korea that's the problem they're dealing with now just look at how many healthy lifestyle shows they have on t.v. there were hardly any five years ago now every time i go there for a convention or turn on the t.v. that's all it talk about this kind of thing would there used to be a time when russian physicians with proper training and police occasions headed enormous difficulties finding a job abroad question diplomas were not recognised even though curriculum was considered high quality just not good enough is they changing no thank you go to the russian physicians enjoy better ignition internationally these days are a still going to play in the domestic job market what we thought was up with locally was that. in a russian cardiac surgeon that has

a russian diploma but no european certificate and he is not authorized to perform surgery in any european hospital with their only love to do experimental research and so i think i experienced the same problem back in the one nine hundred eighty s. that you have to go through the whole sequence again get into medical school graduate into residency that's through difficult and it's indispensable for getting started you fought it all at the recent erith mala just the mention of we arranged to introduce a new form certificates with the european hearth rhythm association along with uniform examinations that should entitle russian surgeons to get jobs in european hospitals so this issue does exist and if you're a russian cardiac surgeon who wants to work i mean you need to brace yourself for twelve more years of training and it is that which it will years yes that's why i mean my friends who moved to the us including some world class surgeons have to work a sense as you always just and do other things on the field then work insurgents through it thank you you thank. very much for being with us and just to remind you that my years on the show today was i'm not i'm going to be surely a prominent surgeon and medical research and that's it for now from all of us here

if you want to add your sales pardon my point if someone in my view think i should intervene i started to realize back with more of those dumb comments on nothing going on in an outstanding russia it's all them stand r.t. and take a listen. to that. well

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