Information on the participation of the Federal State Budgetary Institution "FTSSSH" of the Ministry of Health of Russia (Astrakhan) in the routing of patients with cardiovascular diseases
(Decree of the Ministry of Health of the Astrakhan Region dated January 31, 2023 No. 55r “On the organization of medical care for patients
with cardiovascular diseases in the Astrakhan region")

Federal State Budgetary Institution "FTSSSH" of the Ministry of Health of Russia (Astrakhan) (hereinafter referred to as the Center) is included in the list of medical organizations providing medical care to patients with cardiovascular diseases, as part of the program of state guarantees of free provision of medical care to citizens in the Astrakhan region in terms of providing primary outpatient health care and specialized, including high-tech medical care in a hospital setting.

Routing of patients with acute coronary syndrome in the Astrakhan region to the Center:

If the specialists of the regional vascular center or the primary vascular department have identified indications for emergency coronary bypass surgery, then within 1 hour from the time of the diagnostic coronary angiography, its results and other necessary information about the patient are sent to the Center via telecommunication technologies.

If the Center makes a decision to perform emergency coronary artery bypass grafting, the patient is immediately medically evacuated to the Center by the ambulance team of the Center for Disaster Medicine and Emergency Medicine JSC.

In the case of diagnosing acute coronary syndrome for the first time in the admission department and at the hospital stage, rerouting of patients to the Center is not required, medical care is provided on the spot.

Routing of patients with non-coronary heart diseases in the Astrakhan region to the Center:

Routing of patients for scheduled diagnostic and therapeutic X-ray endovascular interventions at the Center:

To resolve the issue of conducting planned diagnostic or therapeutic X-ray endovascular interventions, medical organizations of the Astrakhan region that provide primary health care refer patients to the Regional Cardiological Dispensary JSC.

GBUZ JSC "Regional Cardiology Dispensary" decides on the need to refer the patient for X-ray endovascular intervention to the Center.

Routing of patients on the territory of the Astrakhan region to the Center for emergency medical care with acute aortic pathology (abdominal/thoracic aortic aneurysm ruptures, thoracic aortic dissection):

The decision to transfer a patient to the Center for acute type A dissection is made after a telemedicine consultation by the Center's staff with the obligatory application of aortic CT data with contrast. If a decision is made on surgical intervention, the patient is immediately medically evacuated to the Center by the resuscitation team of the Center for Disaster Medicine and Emergency Medicine JSC.

In the case of diagnosing acute aortic syndrome, for the first time in the conditions of the admission department and at the hospital stage, the Center does not require rerouting of patients, medical care is provided on the spot.

The area of responsibility is determined by the City District of Astrakhan, the city district of the closed administrative-territorial formation Znamensk Autonomous District, the municipal districts of the Autonomous District.

Routing of patients with stenotic lesions of the extracranial parts of the brachiocephalic arteries in the Astrakhan region to the Center:

To send a patient with a stenotic lesion of the extracranial parts of the BCA to the Center has the right of the State Budgetary Institution of Health of JSC "Regional Cardiology Dispensary".

In the case of diagnosing clinically significant stenoocclusive lesions of the BCA at the Center, rerouting of patients is not required, consultation is provided on the spot.