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Estonia Working Group on Acute Coronary Syndroms

Testimonial from Dr Toomas Marandi (President)

Acute Coronary Syndromes (ACS)


There are 24 members in our Working Group, most of them working in dept. of cardiology or CCUs or angio labs in different hospitals responsible for treatment of patients with acute cardiac diseases.

What are your main project/achievements?:

We are responsible for  recommendations for management of acute coronary syndromes in our country. Several audits of AMI management in estonian hospitals have been performed - for years 2001, 2007, 2011, followed by specific educational activities; several pocket guidelines incl local recommendations have been implemented into routine clinical practice. From year 2012 we have national registry of myocardial infarction including all cases of AMI from our country. Latest achievement is translation and development of local recommendations for 3rd universal definition of myocardial infarction in close collaboration with Society of Laboratory Medicine .

What are the main issue encountered in your country in the way of acute cardiovascular care disease are managed?:

During several years we worked hardly developing network of hospitals for treatment of STEMI, now we continue to develop national network for treatment of acute coronary syndromes, incl STEMI and NSTE-ACS patients describing different roles of different hospitals. However, very important topic is to find political support to describe responsibilities of all participants in this network, incl ambulance, PCI- and non PCI hospitals, CCUs, departments of cardiology etc.

what are the main gaps identified and how could that be solved?:

Availability of recommended treatment methods improved significantly during last years in Estonia. However, continuous education programs and clear quality standards for all hospitals should be developed and applied in next coming years. Patient education is one of our priorities, too.

What do you expect from your collaboration with ACCA/ESC?:

Harmonizing of quality of acute cardiac care in Europe, including possibility to participate in multicenter trials / collaborating with MI registries of ACCA member states.