On January 19-20, 2018 an educational seminar on stroke ESC Heart & Brain Workshop took place in Prague, Czech Republic. Associate professor of Ternopil State Medical University Department of Emergency Medical Care S.Y. Lypovetska participated in the training.
The event, aimed at cardiologists, neurologists, vascular surgeons, and interventional neurologists, was organized by the European Society of Cardiology. It took place at Charles University and included participants from Europe, the USA, and Israel. Given the importance of the multidisciplinary approach to managing stroke patients, the European Society of Cardiology has initiated creation of the Stroke Council.
Members of the Stroke Council with the European Society of Cardiology (Charles University, the Great Inaugural Hall).
Each year 16 million people worldwide suffer from strokes. The outcome statistics are quite simple: 1/3 of them survives, 1/3 – dies, and 1/3 – remains disabled. Of all strokes, the proportion of ischemic stroke is 85%, often caused by atrial fibrillation. Because of it, teamwork of cardiologists, neurologists and intervention specialists is important for timely diagnosis, treatment and prevention of this disease.
As is true for any emergency, time is the most important factor determining the success of treatment of patients with stroke. If the blocked cerebral artery is unblocked the first two hours, the recovery rate reaches 90%, but after 6 hours – only 20-30%. The introduction of new and simple pre-hospital stroke scales using risk-stratifying approach (RACE> 4, NIHSS> 10) and later Brain Radiological Data (ASPECTS scale) is important for choosing timely tactics to manage stroke patients. As the medical reform in Ukraine, particularly on the primary level of care, is currently underway, these approaches are extremely promising and essential for implementation. Results of successful work using, the new “time management” approach were demonstrated during the workshop. There methods are being used by the teams of paramedics, intervention neurologists, cardiologists and anesthetists in Europe.
New “time management” approach after stroke used by Barcelona doctors.
During the plenary sessions, European and North American perspectives on the acute stroke were discussed, and the need for global consensus and joint recommendations for management of such patients were considered. One of the most pressing issues on the agenda is creating cardiovascular and neurological centers which would use qualitative interventional therapy for disorders such as acute coronary syndrome and ischemic stroke as well as ongoing comprehensive secondary prevention. Today, similar institutions successfully work in the US and Western Europe. In particular, Professor L.Nelson Hopkins has presented a center in Buffalo. It is a huge medical, educational and research institution, with the mission is to introduce an innovative multidisciplinary approach for the treatment of patients with vascular pathology. Synthesis of quality medical care, together with the latest engineering technologists and continuous educational process are the key to its success (photo 3, 4, 5).
Vascular Center in Buffalo (USA).
Simulation center for intervention technologies.
3-d print arteries of the brain.