Formula of healthy heart

He, unlike many, is not afraid to fly by planes. It is known that from 100 people 76 die of a heart attack or a stroke, and not of accidents and accidents at all. He does not trust statistics, only scientifically to facts in evidence. To him not to know whether these figures are truthful! Behind his shoulders – work in "Ambulance", two decades in cardioresuscitation. Get acquainted: Victor CHEREVKO, cardiologist of the highest category, leader "сердцевед" Clinics of the Moscow institute of cybernetic medicine.

– Victor Gerasimovich to speak about life and death is dry, in figures – whether it is not notorious cynicism of doctors? Work in cardioresuscitation accustomed you to belong to death cynically?

– About death in figures is when in office of cardioresuscitation, small, on only 6 beds, within a year 100 people die? It is more than in "hot spots", the real meat grinder …

To know the price what you call cynicism of physicians should most be the physician. When there is a lot of around you death, otherwise you treat it. We cannot die with each patient. Cardioresuscitation is both from moral, and from the physical point of view work heavy, explosive. Massage of heart – you represent, what is it? Sometimes it should be done 20 minutes, and it is very hard physical work. After 10 minutes of such work the shirt can be squeezed out. Plus still adrenaline emission. When you are engaged in resuscitation, it approximately … as you run! There is no time to think. At first I have a splash in adrenaline, then I import adrenaline to the patient, and then … Not all have it "then" …

We in cardiological office of city hospital had a constant rigid fight against lethality. All of us time looked for something new to reduce mortality. Tried new methods, medicines, at first I put pacemakers outwardly, then began to sew them, to do operations – to us for the help went from three areas. Then it was very difficult to go, learn somewhere, books were not, the equipment, drugs. I mastered cardiostimulation almost on the run, using all available information.

– It was not terrible?

– Dies! You do everything that you can and that you cannot. Edges at massage break? If you do not break – will die. You put to the patient a pacemaker. Nobody at you is necessary behind the back and insures. It will not turn out – will die, it will turn out – will survive. Professor will not come from department to put a pacemaker? Between me and the patient except God – anybody.

The most terrible is a conversation with relatives … And here to you figures more: we reduced mortality – from 27 to 15%.

– Such indicators stand hard work!

– Yes, resuscitation – a two-edged sword: on the one hand death, with another – revival. It is big passion. You will not compare to cards or a roulette – the rate is too high. And the victory inspires stronger.

– Now, in Clinic of cybernetic medicine, work is quieter?

– It has other character. Patients come to resuscitation when already everything occurred: vessels are corked, a heart attack. Here it would come to me 10 years ago – with cholesterol, with pressure, with anything – it would be possible to prevent all this. If in 5–10 years before the person has a heart attack to influence risk factors, the heart attack will be removed for many years. Now I have an opportunity to be engaged in prevention, to find diseases when the person sometimes does not know about them yet.

I divide problems into problems of quality and quantity of life. The patient comes with a problem of quality of life – something disturbs him, for example the joint hurts or the knee swelled. And there are still problems potential which I see: high pressure, high cholesterol – and many do not think of them. It is necessary to convince him, in about 10 years he will be brought already with a heart attack. The knee to it will not truncate life … People of it often do not understand. I try to solve the maximum quantity of problems including qualities of life during treatment course.

– It is so more interesting to you?

– You do not understand – I actually changed a job. If 21 years I were engaged in cardioresuscitation, then here I am engaged in cardiology, and even not only it. Everything should be mastered: both therapy, and gastroenterology, and pulmonology – too sciences, them it is necessary to know. We have a complex treatment, and heart – the most integrated body. To help the patient, I have to solve effectively all other problems with health. For example, the patient with arrhythmia who has in addition a noise in ears will come, will ask that I moved away him …

– It came to the cardiologist?

– Of course! But it came also to the attending physician to Clinic of cybernetic medicine, and cybernetic medicine – science about interrelation between bodies and systems, the science to see the person entirely. Therefore, eliminating hyperactivity of adrenal glands (the main reason for noise in ears), I help to solve also this a problem, painful for it.

Very often I can, having checked analyses, to find causes of illness which disturbs him now, that how many and that was undertreated years back. That to embrace all this, it is necessary to know not only cardiology, but also other medical disciplines. As the cardiologist I tried everything. I was even beyond usual cardiology as I was engaged in both urgent cardiology, and resuscitation, and cardioresuscitation brought me into a heart surgery. I got also there, expanding the opportunities, aspiring as the expert to capture everything.

And here I understood that many cardiological problems are in another: in infections, which in kidneys, in vessels, in other bodies and systems; in violations of oxygen exchange, oxygen is a "reverse" energy of our organism. Sources of cardiological sores – even more deeply and further.

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