Provision of emergency and urgent medical care.

(Decree of the Ministry of Health of the Astrakhan Region dated August 28, 2022 No. 171r On the organization of medical care for the adult population with cardiovascular diseases in the Astrakhan Region)


!!! A prerequisite is the coordination at the prehospital stage:


Routing of patients with heart rhythm and conduction disorders in the Astrakhan region:

Profile Area of responsibility <1> Name of medical organization <2>

Heart rhythm disturbances:

  • implanted pacemaker in case of malfunction;
  • conduction disorders (episodes of the Morgagni-Adams-Stokes syndrome against the background of high-grade and complete atrioventricular block, sinoatrial (sinoauricular) block, double-bundle heart block, atrial block, paroxysmal or persistent atrial fibrillation, bradyforma)
Astrakhan region, Astrakhan FGBU "Federal Center for Cardiovascular Surgery" of the Ministry of Health of Russia (Astrakhan)

In the case of diagnosing an acute coronary syndrome for the first time in the conditions of the admission department and at the pre-hospital stage, assistance is provided on the spot (in the Center). Medical evacuation from medical organizations of the Astrakhan region to the Center is carried out by the Center for Disaster Medicine and Emergency Medical Services.

If indications for emergency coronary artery bypass grafting are determined by specialists of the regional vascular center or the primary vascular Center within 1 hour from the time of coronary angiography, its results and other necessary documents are sent to the Center via telecommunication technologies.

Decision-making on indications/contraindications for emergency coronary artery bypass grafting with the provision of a response through telecommunication technologies by the specialists of the Center should be carried out within a period of no more than 30 minutes from the moment of receipt of the request.

If a decision is made to perform emergency coronary artery bypass surgery, medical evacuation is immediately carried out to the Emergency Medical Center and the Center for Disaster Medicine.

Mandatory medical accompanying documents:


Routing of patients with cardiovascular diseases in the Astrakhan region.