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Overview of the current electrophysiology (EP) state of affairs in Russia

  • Amiran Revishvili
  • Alexey BabakEmail author
  • Maxim Didenko
REVIEW

Abstract

Russia is the largest country in the world based on the landmass, covering more than one-eighth of the earth’s inhabited area. Russia faces challenges in electrophysiology (EP) care including insufficient and uneven financing, complicated system for identifying optimal treatment for individual patients, relative paucity of reasonable educational and certification scope for electrophysiologists, suboptimal national statistical data gathering regarding heart rhythm disorders and EP devices in use, and weak networking of medical information. In comparison with the average level of EP utilization in ESC countries, Russia utilizes around 50% in pacemaker; 10% in ICD; 8% in cardiac resynchronization therapy; 55% in ablations; and 45% in AF ablations. As projected, Russia has the biggest unmet demand in EP procedures, so-called developmental potential in the European region. Nearly 37% of implanted single-chamber and 63% dual-chamber devices are manufactured outside of Russia. The price of the Russian devices is slightly (by 10–20%) lower than the one imported and they are readily provided for patients by the Russian Ministry of Health. Based on the analysis of the data available, we suggest some strategies for the improvement of the EP care in Russia. Solutions include the institution of formal EP education and standardization of it, development of international educational, and scientific collaboration; implementation quality-assessment tools for professional knowledge and skills; wide application of national medical databases and collection of heart rhythm disorders’ statistics; growth of financial support of electrophysiology and transparent distribution of financing between state/municipal and private medical centers; enhancement of medical care accessibility countrywide; development of technologies for local EP devices production; and collection of data regarding usage and effectiveness of it.

Keywords

Health care Russia Arrhythmia care High-tech medical care ICD CRT Electrophysiology Devices 

Notes

Acknowledgements

We acknowledge the contribution to copy editing by Fred Kusumoto.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Amiran Revishvili
    • 1
  • Alexey Babak
    • 2
    Email author
  • Maxim Didenko
    • 3
    • 4
  1. 1.Center of Surgical and Interventional Arrhythmology, Ministry of Health of the Russian FederationA.V. Vishnevsky Institute of SurgeryMoscowRussia
  2. 2.Mayo Clinic FloridaJacksonvilleUSA
  3. 3.Cardiovascular Surgery DepartmentMilitary Medical Academy named after S.M. KirovSaint PetersburgRussia
  4. 4.Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM)Maastricht University Medical Center+MaastrichtThe Netherlands

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