After the Ministry of Health's inspection, the heads of the NCCIT and the NIIHSITO voluntarily resigned from their positions.
Recently, the Ministry of Health held a meeting chaired by Kanybek Dosmambetov to discuss the results of an on-site inspection conducted at the M. Mirrahimov National Center for Cardiology and Therapy (NCCCT) and the Scientific Research Institute of Heart Surgery and Organ Transplantation (SRIHOT).
During the inspection at NCCCT, serious deficiencies were found in the organization of emergency care for patients with cardiovascular diseases. Among the identified problems were the idle state of angiographic equipment, delays in performing coronary angiographies, and lack of access to echocardiography in the intensive care unit 24/7. There was also noted a lack of timely routing and interdisciplinary consultations, which negatively affects the treatment outcomes for patients with acute coronary syndrome, despite the availability of technical capabilities for primary PCI.
The issue of thrombolysis application in the presence of angiographers was also discussed. Participants agreed that according to international standards, in centers with angiographers and round-the-clock teams, thrombolysis is not used, as PCI is considered the "gold standard." In this regard, the minister expressed doubts about the feasibility of NCCCT's request for the purchase of thrombolysis drugs worth 28 million soms.
Additionally, the minister pointed out possible corruption practices in the procurement of medicines and medical equipment, as well as raised questions regarding the frequent foreign trips of NCCCT director Talantbek Sooronbaev (45 trips in two years) and his assets worth about 2 million dollars.
At SRIHOT, deficiencies were found in the handling of medical equipment and consumables. The equipment for cardiac surgery was not stored properly, in particular, it was covered with construction dust after a recent fire, raising doubts about its operability. Furthermore, despite allocated funds, the order from the President of the Kyrgyz Republic S.N. Japarov to equip the intensive care unit with ultrasound and echo machines remains unfulfilled.
The minister also noted the increasing number of cases where patients operated on by the director of the Institute, Samidin Shabyraliyev, returned to private cardiac surgery clinics with complications.
The meeting discussed the systemic problem of insufficient interaction between the two institutions. Patients with acute coronary syndrome receive assistance with delays, while angiographers remain idle. A direct connection between the institutions could improve routing. The minister pointed out the economic impracticality of duplicating cardiac surgery at NCCCT, considering the profile of SRIHOT and the opportunities for process optimization.
He emphasized that the absence of clinical protocols in cardiac surgery, idle equipment, and untimely diagnostics directly affect mortality rates. The minister expressed dissatisfaction with the work of the leaders of both institutions, stating: "When equipment is idle, processes are not organized, and mortality rises - this is not a matter of technology, but of attitude towards the work. And this is on your conscience."
As a result of the meeting, a decision was made on the urgent need to equip SRIHOT with the necessary medical equipment. NCCCT must ensure 24/7 availability of echocardiography in intensive care units and organize the use of angiographers in strict accordance with clinical protocols.
As a result of the discussions, the leaders of both institutions decided to resign voluntarily, acknowledging the identified violations and their unsuitability for their positions. The minister noted that young specialists with international experience will be considered as future leaders.
The Ministry will continue its work aimed at reducing mortality from cardiovascular diseases and the effective use of state resources in this area.
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