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ondo qobulia<br />

saqarTvelos kardiologTa sazogadoeba<br />

(daarsebidan 20 weli)<br />

evropis kardiologTa sazogadoeba<br />

(mokle istoria)<br />

Tbilisi<br />

2012<br />

1


GEORGIAN SOCIETY OF CARDIOLOGY<br />

(20 th Anniversary)<br />

After announcement <strong>of</strong> Georgia independency (1989) in 1991 in<br />

city <strong>of</strong> Tbilisi it was established <strong>Georgian</strong> <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>,<br />

which first President was elected Pr<strong>of</strong>essor B. Kobulia.<br />

In 1993 <strong>Georgian</strong> <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> joined European <strong>Society</strong><br />

<strong>of</strong> <strong>Cardiology</strong> as its full member, which took place at the General Assembly<br />

<strong>of</strong> European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> XV Congress (Chairman<br />

Pr<strong>of</strong>essor M. Bertrand (France), General Secretary Pr<strong>of</strong>essor B. Breihardt<br />

(Germany) held in Nice (France). The same year <strong>Georgian</strong> <strong>Society</strong><br />

<strong>of</strong> <strong>Cardiology</strong> became a member <strong>of</strong> the World Heart Federation.<br />

For 20 years <strong>Georgian</strong> <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> has been closely cooperating<br />

with European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> and completely shares<br />

fundamental principles <strong>of</strong> its activities. Nowadays the <strong>Society</strong> has<br />

been developing state program <strong>of</strong> cardiology development together<br />

with Ministry <strong>of</strong> Public Health <strong>of</strong> Georgia; medical doctors’ accreditation<br />

system has been transforming and is close to the continuous<br />

medical education standards maintained by European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>.<br />

It’s extremely important to translate European Clinical Practice<br />

Guidelines into <strong>Georgian</strong> and introduce them in the medical<br />

practice. In 1998 in Tbilisi was established coronary arteries invasive<br />

diagnostics (coronography) and therapy specialized emergency cardiologic<br />

centre (Pr<strong>of</strong>essor G. Chapidze). At present in Georgia function<br />

14 catlabs. In 2002 Pr<strong>of</strong>essor V. Chumburidze was elected as a<br />

President <strong>of</strong> <strong>Georgian</strong> <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>.<br />

<strong>Georgian</strong> cardiologists actively participate in congresses held by<br />

European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> as well as in other medical forums.<br />

3


14 <strong>Georgian</strong> cardiologists have been elected Fellows <strong>of</strong> European<br />

<strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>. Many young <strong>Georgian</strong> cardiologists have<br />

completed traineeship in cardiologic clinics <strong>of</strong> European countries.<br />

<strong>Georgian</strong> leading cardiologic clinics have been participating in Euro<br />

Heart Survey Program as well as in numerous international multi-central<br />

drugs clinical researches. At present <strong>Georgian</strong> <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong><br />

has been keeping up integration in various structures <strong>of</strong><br />

European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>.<br />

This brochure also represents brief history <strong>of</strong> European <strong>Society</strong> <strong>of</strong><br />

<strong>Cardiology</strong>.<br />

Pr<strong>of</strong>essor B. Kobulia, F. E. S. C., F. A. C. C.<br />

4


winasityvaoba<br />

cnobilia, rom kardiologiuri samsaxuris ganviTarebas<br />

Cvens qveyanaSi didi tradiciebi da<br />

garkveuli warmatebebi hqonda. miuxedavad amisa 90iani<br />

wlebis dasawyisSi saqarTvelos damoukideblobis<br />

gamocxadebis Semdeg igi saTanadod ver<br />

pasuxobda Tanamedrove kardiologiis moTxovnebs da<br />

Zireul gardaqmnebs saWiroebda. kardiologiuri samsaxuris<br />

efeqturoba Cvens qveyanaSi gulsisxlZarRvTa<br />

daavadebebiT gamowveuli avadobis,<br />

sikvdilianobis da mosaxleobis invalidizaciis Semcirebis<br />

TvalsazrisiT sakmaod SezRuduli iyo<br />

maSin, roca mosaxleobis dainvalidebis da sikvdilianobis<br />

mizezTa Soris gulsisxlZarRvTa daavadebebs<br />

pirveli adgili ekava. mosaxleobis saerTo<br />

sikvdilianobis maCveneblis mixedviT 50-55% swored<br />

am daavadebebze modis, xolo mosaxleobis 25% am<br />

daavadebebiT aris Sepyrobili. gansakuTrebiT maRa -<br />

lia uecari sikvdili gamowveuli gulis iSemiuri<br />

daavadebiT 40-65 wlis asakSi, sadac uecari sikvdili<br />

90% SemTxvevaSi miokardiumis mwvave infarqtiT aris<br />

ganpirobebuli.<br />

gamomdinare zemoT aRniSnulidan gulsisZarRvTa<br />

daavadebaTa pr<strong>of</strong>ilaqtika, diagnostika, mkurnalobis<br />

problema erTerTi yelaze aqtualuri xdeba Cvens<br />

qveyanaSi, romlis gaumjobeseba uSualod da kav -<br />

Sirebuli iyo im periodSi qveynis jandacvis sistemis<br />

reorganizaciasTan da modernizaciasTan. am<br />

TvalsazrisiT im dros jandacvis saministoSi mimdinareobda<br />

intensiuri muSaoba dargis gardaqmnis<br />

perspeqtivebze da muSavdeboda axali koncefcia, rac<br />

ZiriTadaT gulisxmobda arsebuli sistemis Secvlas<br />

sadazRveo principiT, sameurneo angariSiani samedi-<br />

5


cino dawesebulebebis SeqmniT anu jandacvis sistemis<br />

iseTi modeliT romelic im dros yvela ganviTarebul<br />

civilizebul qveyanaSi moqmedebda.<br />

jandacvis sistemis gardaqmnasTan paralelurad<br />

unda Seqmniliyo kardiologiuri samsaxuris ganviTarebis<br />

axali koncepcia, rac ZiraTadad gulisxmobda<br />

kardiologiis dargSi erovnuli programebis<br />

Seqmnas, romelic uzrunvely<strong>of</strong>da mosaxleobis gulsisxlZarRvTa<br />

daavadebebiT gamowveuli mosaxleobis<br />

avadobisa da sikvdilianobis Semcirebas.<br />

analogiurad rigi sazRvargareTis qveynebisa<br />

saqarTveloSi iyo mcdeloba jandacvis saministros<br />

Sesabamisi struqturebis da saqarTvelos kardiologiuri<br />

asociaciis mier SemuSavebuli y<strong>of</strong>iliyo<br />

gulsisxlZarRvTa daavadebebis pr<strong>of</strong>ilaqtikuri<br />

programebi, romelic daeyrdnoboda risk-faqtorebis<br />

koncefciebs rogoric aris: “antilipiduri prog -<br />

rama”, “koronaruli daavadebis antianginaluri<br />

mravalfaqtoriani programa”, “arteriuli hipertenziis<br />

winaaRmdeg brZolis programa”, “Tambaqos wevis<br />

winaaRmdeg brZolis programa” da sxva. rogorc cnobilia,<br />

am programebis praqtikuli ganxorcieleba<br />

metad efeqturi aRmoCnda rig evropul qveynebSi,<br />

mxolod aSS pirveli eqvsi wlis ganmavlobaSi<br />

mosaxleobis gulsisxlZarRvTa daavadebiT gamo -<br />

wveuli saerTo sikvdilianoba Semcirda 20-25%,<br />

gulis iSemiuri daavadebiT da tvinis insultiT<br />

sikvdilianloba Semcirda 37-70%. miuxedavad aseTi<br />

STambeWdavi monacemebisa, im periodSi Cvens qveyanaSi<br />

aRniSnuli pr<strong>of</strong>ilaqtikuri programebis Sesruleba<br />

da danergva gaZnelebuli iyo, ramdenadac garda programebisa<br />

saWiro iyo rigi organizaciuli da sxva<br />

struqturuli cvlilebebi qveynis jandacvis sfe -<br />

6


oSi, rom araferi vTqvaT im mniSvnelovan finansiur<br />

xarjebze romelTa uzrunvely<strong>of</strong>a qveynis masStabiT<br />

praqtikulad SeuZlebeli iyo.AMamasTan erTad im periodSi<br />

ganxoircielebuli iyo lokalurad,<br />

mosaxleobis garkveul jgufebze rigi pr<strong>of</strong>ilaqtikuri<br />

programebisa, romlebic grantirebuli<br />

iyo saerTaSoriso organizaciebis da zog<br />

SemTxvevaSi adgilobrivi biujetidan. aRniSnulma<br />

programebma garkveuli roli Seasrula mosaxlebaSi<br />

cxovrebis jansaRi wesis danergvaSi.<br />

miuxedavad imisa rom 90-ian wlebSi ganviTarebul<br />

sazRvargareTis qveynebSi wamyvan kardiologiur<br />

klinikebSi didi xnis danergili iyo gulsisxlZarRvTa<br />

daavadebebis maRalinformatiuli diagnostikuri<br />

da efeqturi mkurnalobis meTodebi<br />

rogoric aris koronarografia, transluminaluri<br />

koronaruli angioplastika, aortokoronaruli Suntireba,<br />

Cvens qveyanaSi mxolod 1998 wels Seiqmna<br />

pirvelad koronaruli arteriebis invaziuri diagnostikis<br />

(koronarografia) da mkurnalobis speci -<br />

alizirebuli gadaudebeli kardiologiuri centri<br />

pr<strong>of</strong>. g. CafiZes xelmZRvanelobiT. im droisaTvis es<br />

iyo epoqaluri movlena gulis iSemiuri daavadebis<br />

diagnostikisa da mkurnalobis mowinave teqnologiebis<br />

gamoyenebiT. dReisaTvis saqarTveloSi 12<br />

gulis kaTeTerizaciis laboratoria funqcionirebs<br />

sxvadasxva kardiologiur klinikebSi.<br />

im periodSi, qveynis damoukideblobis gamocxadebis<br />

Semdeg, erTerTi wingadadgmuli nabiji iyo saqarTvelos<br />

kardiologTa asociaciis (sazogadoebis) Seqmna<br />

da misi gawevrianeba metad prestiJul saerTaSoriso<br />

organizaciebSi rogoric aris evropis qveynebis kardiologTa<br />

sazogadoeba (European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>) da<br />

7


gulis ms<strong>of</strong>lio federacia (World Heart Federation).<br />

swored am mniSvnelovan movlenas eZRvneba es naSromi<br />

sadac mokled aris ganxiluli saqarTvelos kardiologTa<br />

asociaciis /sazogadoebis/ daarsebisa da<br />

muSaobis mokle istoria.<br />

8<br />

pr<strong>of</strong>. bondo qobulia


qalaq TbilisSi 09.07.1991wels akad m. winam ZRvri -<br />

Svili sax. kardiologiis s/k institutis did auditoriaSi<br />

Sedga saqarTvelos kardiologTa<br />

aso ciaciis (Semdeg “sazogadoeba”) damfuZnebeli I<br />

konferencia, romelsac eswrebodnen respublikis kardiologiuri<br />

qselis eqimebi, raionebis mTavari kardiologebi,<br />

saswrafo daxmarebis sadguris<br />

kardiologiuri brigadebis eqimebi, wamyvani kardiologiuri<br />

pr<strong>of</strong>ilis daweswbulebebis xelmZRvanelebi:<br />

akad. n. yifSiZe, pr<strong>of</strong>. v. qavTaraZe, pr<strong>of</strong>.<br />

g. cincaZe, pr<strong>of</strong>. i. WumburiZe, pr<strong>of</strong>. T. didebuliZe,<br />

pr<strong>of</strong>. g. mWedliSvili da sxv. sul konferencias<br />

eswreboda 196 delegati. konferencias Tavmjdomareobda<br />

akad. m. winamZRvriSvilis sax. kardiologiis s/k<br />

institutis direqtori pr<strong>of</strong> b. qobulia, mdivani org.<br />

meTodologiuri gany<strong>of</strong>ilebis gamge m.m.k. m. lomo -<br />

uri. konferenciis dRis wesrigi:<br />

1. informacia saqarTvelos kardiologTa asociaciis<br />

damfuZnebeli sainiciativo jgufis<br />

mier Catarebuli muSaobis Sesaxeb, momxsenebeli<br />

– pr<strong>of</strong>. b. qobulia.<br />

2. saqarTvelos kardiologTa asociaciis wesdebis<br />

ZiriTadi debulebebi, momxsenebeli – m.m.k.<br />

m. lomouri.<br />

3. saqarTvelos kardiologTa asociaciis wesdebis<br />

ganxilva da damtkiceba.<br />

4. saqarTvelos kardiologTa asociaciis gamgeobis<br />

wevrebis arCevnebi.<br />

5. saqarTvelos kardiologTa asociaciis prezidentis<br />

arCevnebi.<br />

9


6. sarevizio komisiis arCevnebi.<br />

7. kardiologTa asociaciis Semdgomi konfe -<br />

renciis vadebis dadgena.<br />

pirveli sakiTxis Sesaxeb konferencias moaxsena<br />

pr<strong>of</strong>. b. qobuliam, romelmac aRniSna, rom saqar -<br />

TveloSi kardiologiis ganviTarebas didi istoria<br />

aqvs. misi fuZemdebeli gaxldaT gamoCenili qar -<br />

Tveli kardiologi, kardiologiis s/k institutis<br />

damaarsebeli (1946 w.) akad. m. winamZRvriSvili.<br />

saqarTveloSi kardiologiuri samsaxuris ganviTarebaSi<br />

didi wvlili miuZRviT agreTve gamoCenil<br />

qarTvel eqim – kardiologebs: akad. n. yifSiZes,<br />

pr<strong>of</strong>. v. qavTaraZes, pr<strong>of</strong>. g. cincaZes, pr<strong>of</strong>. d. tvildians,<br />

pr<strong>of</strong>. i. WumburiZes, pr<strong>of</strong>. T. didebuliZes, da<br />

sxv. bolo wlebSi saqarTvelos kardiologTa sazogadoebas<br />

xelmZRvanelobda pr<strong>of</strong>. v. qavTaraZe, romelmac<br />

qveynis maStabiT yovelmxriv nay<strong>of</strong>ieri da<br />

mniSvnelovani muSaoba gaswia kardiologiis dargSi.<br />

saqarTvelos damoukideblobis gamocxadebis<br />

Semdeg (1989 w.) kardiologTa asociaciis Seqmnis idea<br />

Tavdapirvelad atarebda axalgazrda eqim kardiologTa<br />

sainciativo xasiaTs. sainiciativo jgufSi<br />

kardiologiis institutis TanamSromlebTan erTad<br />

(T.gafrindaSvili, z.faRava, T.areSiZe, b.winam -<br />

ZRvriSvili, T.kvantaliani, a.maWavariani) aqtiur mo -<br />

nawileobas Rebulobdnen sxva samedicino<br />

dawesebulebebis axalgazrda TanamSromlebi: T. Tev -<br />

zaZe (Terapiis s/k instituti), g. qavTaraZe (Tbilisis<br />

sax. samedicino institutis subordinaciis kaTedra),<br />

g. RvalaZe (marneulis raionis centraluri<br />

saavadfmy<strong>of</strong>os kardiologiuri gany<strong>of</strong>ilebis<br />

gamge), a. gviCia (eqimTa daxelovnebis instituti)<br />

10


a. ala daSvili (Tbilisis sax. samedicino institutis<br />

safakulteto Terapiis kaTedra), g. laWyepiani (saqar -<br />

Tvelos eqimTa asociaciis prezidenti) da sxv. aRniSnulma<br />

sainiciativo jgufma Tavisi fun qcionirebis<br />

Sesaxeb acnoba “eqimTa asociaciis gazeTs” da gazeT<br />

“karabadins”, moiwvia samuSaod dainteresebuli<br />

pirebi. muSaobis procesSi Seiqmna saqarTvelos kardiologTa<br />

asociaciis wesdebis proeqti, momzadebuli<br />

iyo debuleba akad. m. winamZRvriSvilis<br />

saxelobis premiis misaniWeblad warCinebuli<br />

SromisaTvis kardiologiis dargSi. Seiqmna komisia<br />

Semdegi SemadgenlobiT: pr<strong>of</strong>. T. didebuliZe, pr<strong>of</strong>.<br />

m. maisuraZe, m.m.k. d. xviTaria, m.m.k. f. burduli, m.m.k.<br />

g. imnaZe.<br />

saqarTvelos kardiologTa asociaciis wesdebis<br />

ZiriTadi muxlebi da debulebebi konferencias<br />

gaacno m.m.k. m. lomourma. wesdebaSi ganxiluli iyo:<br />

1. asciaciis saqmianobis mizani da amocanebi.<br />

2. asociaciaSi gawevrianebis wesi.<br />

3. asociaciis wevrTa uflebebi da movaleobebi.<br />

4. asociaciis struqtura.<br />

5. asociaciis gamgeobis saqmianoba.<br />

6. asciaciis qoneba da fuladi saxsrebi.<br />

7. asociaciis saqmianobis Sewyvetis wesi.<br />

asociaciis wesdebis garSemo kamaTSi monawileoba<br />

miiRes akad. n. yifSiZem, pr<strong>of</strong>. b. qobuliam, pr<strong>of</strong>.<br />

g. cincaZem, T. didebuliZem, pr<strong>of</strong>. g. rcxilaZem, pr<strong>of</strong>.<br />

v. qavTaraZem, doc. a. nadaraim, doc. g. laWyepianma da<br />

11


sxv. kamaTSi gamosulebma dadebiTad Seafases<br />

saqarTvelos kardiologTa asociaciis Seqmnis idea.<br />

konferenciis delegatebma kenWi uyares wesdebis<br />

proeqts. kenWisyris Sedegad asociaciis wesdeba<br />

erTxmad iqna miRebuli. arCeuli iyo kardiologTa<br />

asociaciis gamgeoba 33 wevris SemadgenlobiT.<br />

konferenciam saqarTvelos kardiologTa asociaciis<br />

prezidentobis kandidatad daasaxela akad.<br />

m. winamZRvriSvilis sax. kardiologiis s/k institutis<br />

direqtori pr<strong>of</strong>. b. qobulia, romelic erTxmad iqna<br />

arCeuli saqarTvelos kardiolodTa asociaciis<br />

pirvel prezidentad. asociaciis mdivnad arCeuli iqna<br />

m.m.k. p.maWavariani. sarevizio komisia damtkicebul iqna<br />

5 wevris SemadgenlobiT. gadawyda morigi konferencia<br />

Catarebuliyo 1991 wlis oqtomberSi. amiT saqarTvelos<br />

kardiolodTa asociaciis pirvelma damfuZnebelma<br />

konferenciam muSaoba daamTavra.<br />

saqarTvelos kardiolodTa asociaciis wesdeba<br />

<strong>of</strong>icialurad registrirebuli iyo saqarTvelos respublikis<br />

iusticiis saministros kolegiis 1991<br />

wlis seqtembris 19/15 dadgenilebiT da saqarTvelos<br />

iuridiuli piris uflebiT, romlis Tanaxmad<br />

saqarTvelos kardiolodTa asociacia saerTo interesebis<br />

mqone kardiologTa aramomgebiani sazogadoebrivi<br />

gaerTianebaa. asociacia iqmneba da<br />

moqmedebs maT wevrTa Tanasworuflebianobis, TviT -<br />

mmarTvelobis, kanonierebis, sajarobis safuZvelze.<br />

asociacia Tavis saqmianobaSi xelmZRvanelobs<br />

saqarTvelos respublikis kanonmdeblobiT da saku-<br />

Tari wesdebiT.<br />

asociaciis saqmianobis prioritetul mizans warmoadgens<br />

saqarTveloSi kardiologiuri samsaxuris<br />

12


ganviTarebis xelSewyoba, mosaxleobis gulsisxlZarRvTa<br />

daavadebebiT gamowveuli sikvdi -<br />

lianobis da avadobis Semcireba, mecnierul<br />

ga mokv levebis stimulireba, monawileoba jandacvis<br />

kardiologiuri pr<strong>of</strong>ilis saxelmwifo programebis<br />

SemuSavebaSi, warCinebul samecniero samuSaoTa premireba<br />

da sapatio wodebis miniWeba. im periodSi<br />

saqarTvelos asociaciis erT-erT mizans warmoadgenda<br />

misi gawevrianeba evropis kardiologTa sazogadoebaSi<br />

da sxva saerTaSoriso samedicino<br />

organizaciebSi.<br />

mogvyavs saqarTvelos kardiologTa asociaciis<br />

gamgeobis morigi sxdomis oqmidan amonaridi:<br />

Tbilisi 28.05.1992w. saqarTvelos kardiologTa<br />

asociaciis gamgeobis sxdoma Catarda saqarTvelos<br />

jandacvis saministros kolegiis darbazSi. sxdomas<br />

eswreboda jandacvis ministri b-ni i. megrelaZe, gamgeobis<br />

wevrebi: v. qavTaraZe, g. cincaZe, T. didebuliZe,<br />

g. mWedliSvili, b. winamZRvriSvili, T. gafrindaSvili,<br />

z. faRava, m. lomouri, T. simoniSvili, d. ciskariSvili<br />

da sxv. sxdomis Tavmjdomare – asociaciis prezidenti<br />

pr<strong>of</strong>. b. qobulia.<br />

dRis wesrigi:<br />

1. saqarTvelos kardiologTa asociaciis muSaobis<br />

gasuli periodis angariSi – pr<strong>of</strong>. b. qobulia.<br />

2. asociaciaSi Semosuli werilebisa da winadadebebis<br />

ganxilva – m.mk. z. faRava.<br />

3. asociaciasTan Seqmnili dargobrivi komisiebis<br />

Tavmjdomareebis arCeva.<br />

13


pr<strong>of</strong> b. qobuliam warmoadgina asociaciis mier<br />

gaweuli muSaobis angariSi. m.mk. z. faRavam gamgeobis<br />

wevrebs gaacno ruseTidan Semosuli werilebi,<br />

sadac ruseTis kardiologiuri sazogadoeba Cvens<br />

asociacias momarTavs winadadebiT, raTa is gaxdes<br />

wevri ruseTis kardiologTa sazogadoebis. gamgeobis<br />

wevrebis azriT saqarTvelos kardiologTa asociaciia<br />

iTanamSromlebs nebismier kardiologTa<br />

sazogadoebasTan an kavSirTan, magram konkretuli<br />

gadawyvetileba ama Tu im organizaciaSi gawevrianebis<br />

Sesaxeb miRebuli unda iqnes konferenciaze<br />

asociaciis wesdebaSi cvlilebebis Setanis Semdeg.<br />

gamgeobis sxdomaze sityviT gamovida saqarTvelos<br />

jandacvis ministri b-ni i. megrelaZe. man gamoTqva<br />

rwmena, rom saqarTvelos kardiologTa asociacia<br />

iqneba qmediTi da Zlieri organizacia da mxari<br />

dauWira kardioqirurgebis gaerTianebas am asociaciaSi<br />

rogorc erTian organizaciaSi.<br />

pr<strong>of</strong>. b. qobuliam damswreT warudgina dargobrivi<br />

komisiis Tavmjdomareebi:<br />

1. mecnierebis komisia – akad. n. yifSiZe.<br />

2. ganaTlebis komisia – pr<strong>of</strong>. g. cincaZe.<br />

3. presisa da informaciis komisia –m.m.k. n. burkaZe.<br />

4. saorganizacio saqamianobis komisia –pr<strong>of</strong>.<br />

v. WumburiZe.<br />

5. akad. m. winamZRvriSvilis sax. fondis komisia –<br />

m.m.k. b.winamZRvriSvili.<br />

gadawyda, rom Semdegi sxdomisaTvis komisiis<br />

14


Tavmjdomareebma warmoadginon TavianT saqmianobas-<br />

Tan dakavSirebuli proeqtebi da winadadebebi. pr<strong>of</strong>.<br />

b. qobuliam gamgeobis winaSe daayena sakiTxi ori<br />

vice-prezidentis da direqtor ganmkarguleblis<br />

arCevis Sesaxeb. vice-prezidentebad arCeul iqnen m.mk.<br />

d. ciskariSvili da m.mk. z. faRava; direqtor ganmkarguleblad<br />

- m.mk. T. gafrindaSvili.<br />

saqarTvelos kardiologTa asociaciis gamgeobis<br />

morigi sxdoma gaimarTa Terapiis s/k institutSi 3<br />

ivliss 1992 w. gTavazobT amonarids sxdomis oqmidan:<br />

sxdomas eswrebodnen kard.asociaciis prezidenti<br />

pr<strong>of</strong>. b. qobulia, akad. n. yifSiZe (mecnierebis komi -<br />

siis Tavmjdomare), m.mk. d. ciskariSvili (vice prezidenti),<br />

m.mk. z. faRava (vice prezidenti), pr<strong>of</strong>. g. cin caZe<br />

(ganaTlebis komisiis Tavmjdomare), m.mk. n. burkaZe<br />

(presisa da informaciis komisiis Tavmjdomare), m.mk.<br />

b. winamZRvriSvili (akad. m. winam ZRvri Svilis sax.<br />

fondis komisiis Tavmjdomare), m.mk. T. gafrindaSvili<br />

(direqtor ganmkargulebli). jandacvis saministrodan<br />

mowveuli iyo saminitros mTavari Terapevti qalbatoni<br />

T. simoniSvili.<br />

dRis wesrigi:<br />

1. ruseTis kardiolodTa sazogadoebidan mosuli<br />

werilebis ganxilva – m.mk. z. faRava.<br />

2. saqarTvelos kardiologTa asociaciis evropis<br />

kardiologTaA sazogadoebaSi gawevrianebis<br />

Sesaxeb - pr<strong>of</strong>. b. qobulia.<br />

3. dargobrivi komisiebis Tavmjdomareebis samomavlo<br />

gegmebis mosmena.<br />

15


4. kardiologTa asociaciaSi sapatio wevrebis<br />

miReba - m.mk. z. faRava.<br />

5. akad m. winamZRvriSvilis dabadebidan 110 wlis<br />

iubiles Catarebis Sesaxeb – pr<strong>of</strong> b. qobulia.<br />

6. mimdinare sakiTxebi.<br />

pirveli sakiTxis Sesaxeb moismines z. faRavas<br />

informacia, romelmac aRniSna rom ruseTis kardiologTa<br />

sazogadoebidan Semosulia ramodenime werili<br />

winadadebiT raTa Cveni asociacia gaerTiandes<br />

damoukidebel saxelmwifoTa Tanamegobrobis (dsT)<br />

kardiologTa sazogadoebasTan. aris mcdeloba am<br />

gaerTianebas sxvadasxva saxeli moeZebnos (“Tanamegobrobis<br />

qveynebis kardiologTa asociacia”, “evroaziuri<br />

qveynebis kardiologTa asociacia”, “da mo ukidebeli<br />

qveynebis kardiologTa asociacia” da sxv.). kamaTSi<br />

gamovidnen akad. n. yifSiZe, pr<strong>of</strong>. g. cincaZe, vice<br />

prezidenti m.mk. d. ciskariSvili, m.m.k.z.faRava romlebmac<br />

aRniSnes rom am gaerTianebaSi Cveni Sesvla<br />

mizanSewonili ar iqneba, radgan es morigi cdaa mogvaqcion<br />

TavianTi gavlenis sferoSi. umjobesia<br />

vecadoT damoukideblad gaverTiandeT saerTaSoriso<br />

samedicino organizaciebSi. am sakiTxTan dakav -<br />

SirebiT pr<strong>of</strong> b. qobuliam aRniSna, rom dawyebulia<br />

mniSvnelovani samuSaoebi raTa saqarTvelos kardiologTa<br />

asociacia gawevriandes evropis kardiologTa<br />

sazogadoebaSi (European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong>) da<br />

gulis ms<strong>of</strong>lio federaciaSi (World Heart Federation).<br />

eTxova kardiologiis institutis mTavar eqims<br />

m.mk. g. maTeSvils raTa mas gaevrcelebina informacia<br />

Cveni survilis Sesaxeb evropis kardiologTa sazogadoebis<br />

kongresze y<strong>of</strong>nis dros barselonaSi, espaneTi,<br />

1992 w.<br />

16


mesame sakiTxTan dakavSirebiT moismines dargobrivi<br />

komisiebis Tavmjdomareebis informacia samomavlo<br />

gegmebis Sesaxeb. gamovidnen: akad. n. yifSiZe,<br />

pr<strong>of</strong>. g. cincaZe, m.mk. b. winamZRvriSvili.<br />

gadawyda, dargobrivi komisiis Tavmjdomareebma<br />

werilobiT warmoadginon TavianTi mosazrebebi<br />

gaweuli muSaobis Sesaxeb. gamocxaddes konkursi<br />

akad. m. winamZRvriSvilis premiis mosapoveblad da<br />

pirveli premiis miniWeba moxdes 1993 wlis 22 maiss<br />

m. winamZRvriSvilis dabadebis dRes.<br />

meoTxe sakiTxTan dakavSirebiT moismines m.mk.<br />

z. faRavas informacia imis Sesaxeb, rom arsebobs<br />

ramodenime organizacia romlebmac gamoxates<br />

survili qvelmoqmedebis saxiT asociaciis angariSze<br />

gadmoricxon garkveuli Tanxa (“saqtransgazi” da<br />

sxv.) misi Semdgomi muSaobis xelSewyobisaTvis.<br />

moismines pr<strong>of</strong> b. qobulias informacia maszed,<br />

rom akad m. winamZRvriSvils wels Seusrulda 110<br />

weli dabadebidan da Semovida winadadebiT rom am<br />

faqtis aRsaniSnavad Catardes saiubileo saRamo Semodgomaze.<br />

moismines m.mk. z. faRavas winadadeba imis Sesaxeb,<br />

rom saqarTvelos kardiologTa asociacia gaxdes<br />

Savi zRvis qveynebis kardiologTa asociaciis dafuZnebis<br />

iniciatori. aRniSnuli winadadeba mowone -<br />

buli iqna da z. faRava rekomendirebuli iqna Savis<br />

zRvis qveynebis kardiologTa asociaciis dafuZnebis<br />

proeqtis koordinatorad.<br />

moismines akad. n. yifSiZis moxseneba aSS mogzaurobis<br />

Sesaxeb. misi TqmiT, aSS dargobrivi organizacia<br />

mzad aris gamouyos garkveuli Tanxebi Cvens<br />

17


kardiologTa asociacias im SemTxvevaSi Tu Cven Sev-<br />

ZlebT saerTaSoriso standartebis doneze gavataroT<br />

RonisZiebebi mosaxleobaSi arteriul<br />

hipertenziasTan brZolasTan dakavSirebiT. pr<strong>of</strong>.<br />

b. qobuliam aRniSna rom amis garda, saWiroa<br />

saqarTveloSi arteriul hipertenziasTan brZolis<br />

saxelmwifo programis SemuSaveba. kargi iqneboda Seqmniliyo<br />

kardiologTa asociaciasTan arteriul<br />

hipertenziis samuSao jgufi. b. winamZRvriSvilma aRniSna,<br />

rom misdami rwmunebuli gany<strong>of</strong>ileba ukve<br />

mravali welia dakavebulia am problemiT, gaaCnia<br />

garkveuli gamocdileba romelic waadgeba am saqmes,<br />

aqvT gegmaSi Seqmnan arteriuli hipertenziis kvlevis<br />

centri, romlis muSaoba organulad Seerwymeba asociaciis<br />

arteriul hipertenziasTan brZolis samuSao<br />

jgufis miznebsa da amocanebs.<br />

gamgeobam daakmay<strong>of</strong>ila m.mk. z. faRavas moTxovna<br />

sapatio mizezis gamo kardiologTa vice-prezidentis<br />

Tanamdebobidan gadadgomis Sesaxeb. gamgeobam meore<br />

vice-prezidentad airCia m.mk. T. areSiZe.<br />

kardiologTa asociaciis zemod moyvanili gamgeobis<br />

sxdomaTa oqmebis citireba miznad isaxavs zogadad<br />

gaacnos kardiologTa sazogadoebis<br />

axal gazrda wevrebs is sakiTxebi romlebic im dros<br />

garkveulad kardiologTa interesis sferos warmoadgenda<br />

da im siZneleebis Sesaxeb, romelic Tan<br />

axlda saqarTvelos kardiologTa asociaciis Camoyalibebas<br />

qveynisaTvis im mZime periodSi.<br />

90-iani wlebis dasawyisSi Cvens qveyanaSi arsebuli<br />

mZime socialur-ekonomiuri mdgomareobis miuxedavad,<br />

saqarTvelos kardiologTa asociacia anxorcielebs<br />

qmediT RonisZiebebs raTa moxdes am organizaciis in-<br />

18


tegracia sxvadasxva samedicino saerTaSoriso organizaciebSi,<br />

rac warmoudgeneli iyo saqarTvelos<br />

damoukideblobis gamocxadebamde. amasTan erTad amis<br />

ganxorcieleba mniSvnelovani finansiuri da sxva<br />

saxis siZneleebis gamo damoukideblad asociacias<br />

ar ZaluZs, ris gamoc daxmarebisaTvis igi mimarTavs<br />

adgilobriv saqvelmoqmedo an sxva saxis organizaciebs<br />

daxmarebisaTvis. amis sailustraciod mogvyavs<br />

asociaciis mier “fond demokratia da aRorZinebis”<br />

vice prezidentis b-n s. xabeiSvilis saxelze gagzav -<br />

nili werili – “Rrmad pativcemulo batono soliko,<br />

mogaxsenebT, rom saqarTvelos kardiologTa asoci -<br />

aciis a.w. 3 ivlisis sxdomaze mowonebul iqna<br />

winadadeba Savi zRvis auzis qveynebis kardiologTa<br />

asociaciis dafuZnebis Sesaxeb. vfiqrobT, rom aRniSnuli<br />

asociaciis dafuZneba mniSvnelovan wvlils<br />

Seitans rogorc Cvens qveyanaSi arsebuli zogierTi<br />

samedicino problemis gadawyvetaSi, aseve garkveul<br />

rols iTamaSebs Cveni qveynis ekonomiuri gajansaRebis<br />

saqmeSi. amaze metyvelebs asociaciis mier momavalSi<br />

gadasawyveti amocanebis arasruli sia:<br />

gulis iSemiuri daavadebiT avadmy<strong>of</strong>Ta, gansa -<br />

kuTrebiT ki stenokardiiT, miokardiumis infarqtiT,<br />

gulis refraqteruli ukmarisobiT diagnostikisa da<br />

mkurnalobis Tanamedrove kordinirebuli sistemis<br />

Seqmna, teqnologiuri, kurortuli da sxva resursebis<br />

racionaluri gamoyenebis gziT; aTerosklerozTan<br />

da arteriul hipertenziasTan brZolis erToblivi<br />

samecniero proeqtebis dagegmva da realizacia; er-<br />

Toblivi samedicino kardiologiuri Jurnalis dafuZneba;<br />

kardiologiis ganviTarebis saerTaSoriso<br />

fondis daarseba; kardiologiaSi specializaciisa<br />

da atestaciis erToblivi sistemis SemuSaveba; kongresebis,<br />

gam<strong>of</strong>enebis erToblivi organizacia; kardi-<br />

19


ologiaSi “nou-haus bankis” Seqmna, misi eqspertiza,<br />

marketingi da realizacia; teqnikuri da Sesabamisad<br />

praqtikuli daxmarebis gaweva calkeul qveynebSi<br />

kardiologiuri samedicino samsaxuris ukeT organizaciis<br />

mizniT; sportisa da turizmis sargeblianoba<br />

da agitacia; sakomunikacio transportisa da infrastruqturis<br />

Seqmna; farmakologiuri industriis ganviTarebis<br />

xelSewyoba da sxv.<br />

miuxedavad imisa, rom saqarTvelos kardiologTa<br />

asociaciis wevrebs gaaCniaT garkveuli kontaqtebi<br />

ms<strong>of</strong>lios sxvadsxva kuTxeSi, migvaCnia rom amgvari<br />

mniSvnelobisa da masStabis organizaciebis Sesa -<br />

qmnelad savaldebuloa iseTi maRalavtoritetuli<br />

organizaciis Tanadgoma, rogoric Tqvendami rwmu -<br />

nebuli fondia. imedi gvaqvs rom zemoT moyvanili<br />

iniciativa ar iqneba TqvenTvis uintereso da gamo -<br />

naxavT erToblivi TanamSromlobis formebs.<br />

pativiscemiT, saqarTvelos kardiologTa asociaciis<br />

prezidenti, jandacvisa da socuzrunvel -<br />

y<strong>of</strong>is saministros kardiologiis s/k institutis<br />

direqtori, pr<strong>of</strong>. b. qobulia.“<br />

aRniSnuli werilis Semdeg “demokratiisa da<br />

aRorZinebis fondma” werilobiT mimarTa TurqeTis<br />

kardiologTa sazogadoebas, agreTve saqarTvelos<br />

respublikis sagareo saqmeTa saministros SuamdgomlobisaTvis.<br />

mogvyavs am werilidan amonaridi:<br />

1992 w. 21 seqtemberi, Tbilisi. saqarTvelos respublikis<br />

sagareo saqmeTa saministros b-n v. CikvaiZes,<br />

“pativcemulo batono viqtor,<br />

CvenTvis cnobilia Tqveni Tanadgoma gaweuli Savi<br />

20


zRvis qveynebis kardiologTa asociaciis dafuZnebasTan<br />

dakavSirebiT.siamovnebiT SevityveT is<br />

faqti, rom aRniSnuli RonisZieba Tqveni dawesebulebis<br />

gegmaSi figurirebs.<br />

amasTanave gatyobinebT, rom aRniSnuli asociaciis<br />

dafuZnebis iniciatorebma “fondma demokratia da<br />

aRorZineba”, saqarTvelos kardiologiis ganviTarebis<br />

akad. m. winamZRvriSvilis sax. fondma “iberkomma,”<br />

da “saqarTvelos kardiologTa asociaciam” Camoayalibes<br />

firma “kordiali”, romlis ZiriTad mizans<br />

asociaciis dafuZnebasTan dakavSirebuli saqmianobis<br />

warmarTvaa.<br />

firmis generalur direqtorad daniSnuli iyo<br />

saqarTvelos mxridan Savi zRvis auzis qveynebis kardiologTa<br />

asociaciis dafuZnebis proeqtis koordinatori,<br />

kardiologiis institutis reabilitaciis<br />

gany<strong>of</strong>ilebis xelmZRvaneli m.mk. z. faRava, romelic<br />

iuridiuli piria da amdenad uflebamosilia xeli<br />

moaweros am sakiTxebTan dakavSirebul <strong>of</strong>icialur<br />

dokumentebs, awarmoos molaparakebebi da sxv.<br />

gTxovT gaiTvaliswinoT es garemoeba Tqveni saqmianobisas<br />

am mimarTulebiT.<br />

pativiscemiT,<br />

fondis vice prezidentiM s. xabeiSvili<br />

saqarTvelos kardiologiis ganviTarebis<br />

akad. m. winamZRvriSvilis sax. fondi<br />

“iberkoris” prezidenti, med.mec.kand. b. winamZRvriSvili “<br />

21


arsebobs zemoT aRniSnuli werilis inglisuri<br />

versia, romelic Semdgom gaigzavna TurqeTis kardiologTa<br />

sazogadoebaSi da miRebuli iqna Tanxmoba<br />

raTa Seqmniliyo aseTi sazogadoeba.<br />

Savi zRvis auzis kardiologTa sazogadoebis<br />

Seqmnis organizaciuli sakiTxebis gadasawyvetad<br />

pr<strong>of</strong>. b. qobulia da m.mk. z. faRava mivlinebuli iyvnen<br />

TurqeTis kardiologTa IX kongresze monawileobis<br />

misaRebad 23-30 seqtemberi, 1993 w., sadac es sakiTxi<br />

ganxilul iqna saqarTvelos kardiologTa asociaciisiis<br />

warmomadgenlebsa da TurqeTis kardiologTa<br />

sazogadoebis gamgeobis erTobliv sxdomaze. miRebuli<br />

iqna dadebiTi gadawyvetileba sadac TurqeTis<br />

mxaris mier dayenebuli iyo winadadeba, raTa aRniSnul<br />

sazogadoebaSi agreTve gawevrianebuli<br />

y<strong>of</strong>iliyo azerbaijanis respublikis kardiologTa<br />

sazogadoeba.<br />

pr<strong>of</strong>. z. faRava aRniSnavs, rom TurqeTSi gamgzavrebis<br />

safuZvels warmoadgenda am qveynis kardiologTa<br />

asociaciis prezidentis pr<strong>of</strong>. r. ozganis<br />

da generaluri mdivnis pr<strong>of</strong>. a. onatis <strong>of</strong>icialuri<br />

mowveva raTa Cven (b. qobulia da z. faRava) mona -<br />

wileoba migveRo Turq kardilogTa IX kongresis<br />

muSaobaSi. maTi informaciiT kongresis gaxsnis<br />

pirvel dRes unda momxdariyo Cveni inciativis gan -<br />

xilva Savi zRvis auzis qveynebis kardiologTa asociaciis<br />

dafuZnebis Sesaxeb.<br />

mogzaurobasTan dakavSirebuli Tanxebis umetesi<br />

nawili TurqeTis mxarem gaiRo, xolo nawili<br />

saqarTvelos kardiolgTa asociaciis sapatio wevrma<br />

gaerTianeba “saqgazma”, romelmac institutis angariSze<br />

gadmoricxa 2 500 000 kuponi. aRniSnuli<br />

22


Tanxa gamotanili iyo institutis salarodan da<br />

movaxdineT misi konvertacia gadamcvlel punqtSi<br />

kursiT 13 000 kuponi 1 amerikul dolarSi da<br />

am gvarad miRebuli Tanxa 192 aSS dolaris odenobiT<br />

gadaxdil iqna aviokompania “orbis” salaroSi aerobileTis<br />

nawilis safasurad Tbilisi-stambuli-<br />

Tbilisi reisze (bileTis fasi 228 aSS dolari da<br />

8000 maneTi)<br />

stambulSi CavediT 23 seqtembers, xolo 27-Si ukve<br />

vimy<strong>of</strong>ebodiT qalaq bursaSi, romelic maspinZlobda<br />

kongress. stambulSi y<strong>of</strong>nisas Catarebuli iyo<br />

mosamzadebeli samuSao momavali TaTbirisTvis. miRebul<br />

iqna winaswari SeTanxmeba stambulis mowinave<br />

klinikebSi Cveni respublikis zogierT avadmy<strong>of</strong>Ta<br />

samkurnalod gagzavnis Sesaxeb. aqve ar SeiZleba ar<br />

avRniSno, q.bursaSi Cven gavicaniT Cveni Tanamemamule<br />

cnobili Turqi kardiologi, warmoSobiT qarTveli,<br />

pr<strong>of</strong>esori ismed miqelaZe, romelmac aRniSna, rom<br />

pirvelad Sexvda saqarTvelos moqalaqeebs, romleb-<br />

Tanac igi qarTulad saubrobda (amJamad igi<br />

saqarTvelos sapatio moqalaqea da didi Rvawli miuZRvis<br />

saqarTveloSi invaziuri kardiologiis Camo -<br />

yalibebaSi da bevri qarTveli pacienti misi<br />

madlieria uangaro da maRalpr<strong>of</strong>esionaluri daxmarebisaTvis).<br />

rogorc zemoT iyo aRniSnuli, 28 seqtembers<br />

TurqeTis kardiologTa kongresis gaxsnis dRes<br />

Catarda TaTbiri, romelic mieZRvna Savi zRvis auzis<br />

kardilogTa asociaciis dafuZnebasTan dakavSirebuli<br />

sakiTxebis ganxilvas. TaTbirs eswrebodnen<br />

TurqeTis kardiologTa asociaciis prezidenti<br />

pr<strong>of</strong>. r. ozgani, generaluri mdivni pr<strong>of</strong>. a. onati,<br />

23


kardiologiuri departamentis ufrosi pr<strong>of</strong>.<br />

o. ozaruxani, pr<strong>of</strong>. m. ozTurqi, centraluri aziis<br />

kardiologTa asociaciis prezidenti pr<strong>of</strong>. T. mira -<br />

ximovi da Cveni delegacia (pr<strong>of</strong>. b. qobulia, z. faRa -<br />

va, Tarjimani – g. qobulia). TaTbirs xel mZRva nelobda<br />

pr<strong>of</strong>. a. onati. Sekrebis yvela monawilis mier<br />

mowonebul iqna winadadeba amgvari asociaciis Seq -<br />

mnis Sesaxeb. gamoiTqva azri am asociaciis SemadgenlobaSi<br />

centraluri aziis qveynebisa da azer bai janis<br />

kardiologTa sazogadoebis Seyvanis Sesaxeb. <strong>of</strong>icialur<br />

enad gamocxadda inglisuri ena da im qveynis<br />

ena sadac Catardeboda rigiTi kongresi. Seiqmna<br />

samuSao jgufi, romelSic ZiriTadad am Sekrebis mo -<br />

nawileni Sevidnen. miRebuli iqna gadawyvetileba, rom<br />

samuSao jgufis pirveli Sekreba Catarebuliyo antaliaSi<br />

(TurqeTi) an alma-ataSi (yazaxeTi). daveswariT<br />

kongresis plenarul sxdomebs. leqciebidan<br />

aRsaniSnavi iyo meios klinikis (aSS) pr<strong>of</strong>esor Pp.zaqxarias<br />

leqcia, romelic arteriuli hipertenziis<br />

problemebs Seexeboda. unda aRiniSnos rom yvela<br />

Sexvedras Tan gazdevda keTilganwyoba da pativiscema<br />

saqarTvelos delegaciis mimarT. q. bursaSi<br />

y<strong>of</strong>nis dros ar SeiZleba ar avRniSnoT is<br />

gulistkivili da uary<strong>of</strong>iTi emociuri datvirTva,<br />

romelic ganicada Cvenma delegaciis wevrebma 29 seq -<br />

tembers gamowveuli informaciiT soxumis dacemis<br />

Sesaxeb. 30 seqtembers Cveni delegacia dabrunda<br />

TbilisSi.<br />

miuxedavad Cveni mniSvnelovani Zalisxmevisa<br />

samwuxarod es proeqti (Savi zRvis auzis<br />

kardilogTa sazogadoeba) im periodSi ver ganxorcielda<br />

bolomde ise, rogorc iyo Cafiqrebuli<br />

garkveuli obieqtiuri, organizaciuli da im dros<br />

24


arsebuli sxva xasiaTis siZneleebis gamo. miuxedavad<br />

amisa Cvenma iniciativam SeiZleba iTqvas Cauyara safuZveli<br />

saqarTvelos, kardiologTa asociaciis da<br />

TurqeTis kardiologTa sazogadoebis mWidro<br />

urTierTobasa da TanamSromlobas, romelic amJamad<br />

warmatebiT viTardeba.<br />

im dros miuxedavad qveyanaSi mZime ekonomiuri da<br />

rTuli polotikuri mdgomareobisa (mimdinareobda<br />

samoqalaqo omi) Cveni mniSvnelovani Zalisxmeva mimarTuli<br />

iyo raTa saqarTvelos kardiologTa<br />

sazogadoeba gawevrianebuli y<strong>of</strong>iliyo evropis<br />

qveynebis kardiologTa sazogadoebaSi, romlis<br />

muSaobis Sesaxeb Cven mwiri informacia gagvaCnda da<br />

romlis gareSec Cveni kardiologiuri sazogadoebis<br />

momavali aRmSenebloba SeuZleblad migvaCnda da am<br />

mimarTulebiT didi moculobis organizaciuli da<br />

sxva saxis samuSaoebi iqna ganxorcielebuli<br />

romelic SeiZleba iTqvas warmatebiT dagvirgvinda.<br />

1993 wels seqtemberSi, nicaSi (safrangeTi) Catarda<br />

evropis kardiologTa sazogadoebis XV kongresi,<br />

romlis muSaobaSic monawileoba miiRo saqarTvelos<br />

kardiologTa delegaciam: akad m. winamZRvriSvilis<br />

sax. s/k kardiologiis institutis direqtori,<br />

saqarTvelos kardiologTa asociaciis prezidenti<br />

pr<strong>of</strong>. b. qobulia, Terapiis s/k institutis direqtoris<br />

akad. n. yifSiZe, pr<strong>of</strong>. v. WumburuZe, ufrosi<br />

mec. TanamSromlebi: g.maTeSvili, n.Jvania, l.ivaniSvili.<br />

winaswari ganacxadis safuZvelze evropis kardiologTa<br />

XV kongresis (1993) generalur assambleaze<br />

(Tavmjdomare – pr<strong>of</strong>. m. bertrani (safrangeTi), ge -<br />

neraluri mdivani pr<strong>of</strong>. m. breixardti (germania),<br />

dayenebul iqna sakiTxi saqarTvelos kardiologTa<br />

25


asociaciis am saerTSoriso organizaciaSi gawevrianebis<br />

Sesaxeb. faruli kenWisyris Sedegad, romelSic<br />

monawileoba miiRo evropis 33 qveynis warmomadgenelma<br />

saqarTvelos kardiologTa sazogadoeba<br />

miRebul iqna evropis kardiologTa sazogadoebis<br />

sruluflebian wevrad. aRniSnuli metad mniSvnelovan<br />

movlenas warmoadgenda Cveni qveynis imdroindel<br />

samedicino cxovrebaSi. ramdenadac aseT prestiJul<br />

saerTaSoriso organizaciaSi gawevrianebis gareSe<br />

Cveni qveynis kardiologiuri dargis Semdgomi ganviTareba<br />

naklebad perspeqtiuli iyo.<br />

saqarTvelos kardiologTa sazogadoebis delegacia<br />

evropis kardiologTa sazogadoebis XV kongresze<br />

s<strong>of</strong>ia antipolisSi, safrangeTi 1993 w. (marcxnidan marjvniv)<br />

pr<strong>of</strong>. v.WumburiZe, med.mec.doqt. n.Jvania, akad.<br />

n.yifSiZe, pr<strong>of</strong>. b.qobulia, med.mec.doqt. g.maTeSvili.<br />

aRsaniSnavia, rom amave generalur assambleaze<br />

kenWs iyrida ruseTis kardiologTa sazogadoeba da<br />

im dros Seqmnili “dsT” qveynebis kardiologTa sazogadoeba.<br />

ruseTis kardiologTa sazogadoeba miRebul<br />

26


iqna evropis kardiologTa sazogadoebis wevrad,<br />

xolo “dsT” qveynebis kardiologTa asociaciis ga -<br />

wevrianebas generalurma assambleam mxari ar<br />

dauWira, ramdenadac ruseTis kardiologTa sazogadoeba<br />

kenWs iyrida calke da agreTve rogorc “dsT”-<br />

Si Semavali qveyana, rac debulebis uxeS darRvevad<br />

CaiTvala. amgvarad, Cveni adrindeli gadawyvetileba<br />

(ix. zemoT) rom ar SevsuliyaviT “dsT” qveynebis kardiologTa<br />

sazogadoebaSi swori aRmoCnda.<br />

evropis kardiologTa sazogadoeba Seiqmna 1952 w.<br />

da pirveli kongresi Catarda LlondonSi, seqtemberSi.<br />

misi pirveli prezidenti iyo cnobili ingliseli<br />

mecnieri jon parkinsoni. mas Semdeg<br />

kongresebi tardeboda 4 weliwadSi erTxel 1988<br />

wlamde. am wlidan generalurma assambleam miiRo<br />

gadawyvetileba, rom kongresi yovel weliwads<br />

Catardeboda evropis im qalaqebSi romlebsac hqondaT<br />

saTanado pirobebi aseTi forumebis organizaciis.<br />

1993 wels samxreT safrangeTSi kanTan, s<strong>of</strong>ia<br />

antipolisSi gaixsnsa brwyinvale Senoba romelSidac<br />

ganTavsebul iqna evropis “gulis saxli”,<br />

romelic amJamad evropis kardilogTa sazogadoebis<br />

Stab-binas warmoadgens (dawvrilebiT am organizaciis<br />

Sesaxeb ixileT Semdgom).<br />

saqarTvelos kardiologTa asociacia miRebul<br />

iqna agreTve metad mniSvnelovan saerTaSoriso organizaciaSi”kardiologTa<br />

saerTaSoriso sazogadoeba<br />

da federacia” (”Internacional <strong>Society</strong> and Federation<br />

<strong>of</strong> <strong>Cardiology</strong>”), amJamad “gulis msi<strong>of</strong>lio federacia<br />

(“ World Heart Federation”) Stab-bina, JenevaSi). am saerTa-<br />

Soriso kardiologTa organizaciaSi Sedis agreTve<br />

calke kontinentaluri sazogadoebebi: azia-wynari<br />

okeanis qveynebis kardiologTa sazogadoeba, evropis<br />

27


kardiologTa sazogadoeba, interamerikis qveynebis<br />

kardiologTa sazogadoeba. saqarTvelos “gulis<br />

fondi” am organizaciis wevria 1989 wlidan /prezidenti<br />

pr<strong>of</strong>. m. mamacaSvili/.<br />

im periodSi Cvens qveyanaSi kardiologiuri samsa xu -<br />

ris gaumjobesebisaTvis Zalian bevri rTuli sakiTxi<br />

iyo gadasawyveti. Zveli struqturebis rRvevam,<br />

tradiciuli samedicino kavSirebis SezRudvam,<br />

qveyanaSi rTulma finansiurma mdgomareobam, samedicino<br />

kadrebis SerCevis Zvelma sistemam metad did<br />

siZneleebs uqmnida dargis ganviTarebas, romelic<br />

kardinalurad unda y<strong>of</strong>iliyo gadasinjuli da adaptirebuli<br />

axal realiebTan, yvelasaTvis misaRebi,<br />

Tanamedrove saerTaSoriso aprobirebuli sistemebis<br />

gaTvaliswinebiT. am dargis ganviTareba axlo momavalSi<br />

marto Cveni ZalisxmeviT SeuZlebeli iqneboda.<br />

Cven ar gagvaCnda Tanamedrove infrastruqtura,<br />

rTuli sadiagnostiko aparatura, axali medikamentebi<br />

da sxv. magaliTisTvis isic kmara, rom qveyanaSi ar<br />

iyo arc erTi kardiologiuri klinika invaziuri da<br />

koronaroqirurgiuli gany<strong>of</strong>ilebiT, sadac SeiZleba<br />

ganxorcielebuliyo koronarografia, koronaruli<br />

angioplastika da aorto-koronaruli Suntireba. am<br />

sakiTxis mniSvnelobaze miuTiTebs marto is faqti,<br />

rom saqarTveloSi yovelwliurad koronarebze invaziuri<br />

Careva daaxloebiT 3 000-mde avadmy<strong>of</strong>s<br />

sWirdeba. xolo Tu mxedvelobaSi miviRebT im faqts,<br />

rom gulsisxlZarRvTa daavadebebiT gamowveuli<br />

sikvdilianobis 60-70 % gulis iSemiur daavadebebze<br />

modis, naTeli xdeboda am sakiTxis radikalurad<br />

gadawyvetis mniSvneloba. am mxriv kardiologiis<br />

institutis da saqarTvelos kardilogTa asociaciis<br />

mier gadagmuli iyo pirveli nabijebi, romelsac am-<br />

28


Jamad garkveuli istoriuli mniSvneloba SeiZ leba<br />

hqondes. dadebuli iyo xelSekruleba ita liur<br />

firma “medsistemTan”, romlis mier Tanamedrove<br />

ms<strong>of</strong>lios standartebis gaTvaliswinebiT daproeqtebul<br />

iqna kardiologiuri klinika, sadac ganTavsTdeboda<br />

invaziuri koronaruli sadiagnostiko da<br />

koronaroqirurgiuli gany<strong>of</strong>ileba. proeqtiT aRniSnuli<br />

korpusis aSeneba gaTvaliswinebuli iyo<br />

kardiologiis institutis teritoriaze, romelic<br />

struqturulad da funqciurad Serwymuli iqneboda<br />

kardiologiis institutis ZiriTad SenobasTan. aRniSnuli<br />

kardiologiuri centris saproeqto Rirebuleba<br />

Tavisi Tanamedrove aRWurvilobiT TiTqmis<br />

22 milion aSS dollars Seadgenda. marto saproeqto<br />

samuSaoebis Rirebulebam Seadgina TiTqmis 40 aTasi<br />

aSS dolari, romelic dafinansebuli iyo firma “kaqtusis”<br />

(prezidenti – aw gardacvlili b-ni d. sturua).<br />

amave firmis mier garemontda kardiologiuri<br />

institutis erTi sarTuli. am sakiTxTan dakav -<br />

SirebiT milanSi, italia, mivlinebul iqnen institutis<br />

direqtori pr<strong>of</strong> b. qobulia da direqtoris<br />

moadgile samkurnalo dargSi pr<strong>of</strong>. g. maTeSvili.<br />

Cvenda samwuxarod im dros aRniSniSnuli proeqti<br />

ver iqna ganxorcielebuli sxvadasxva obieqtiuri<br />

mizezebis gamo. rac mTavaria im periodSi ganviTarebuli,<br />

mZime safinanso (inflaciuri) da mniSvnelovani<br />

sabanko krizis gamo.<br />

es saqarTvelos istoriis is periodia, romelmac<br />

daRi daasva ara marto calkeuli dargebisa da organizaciebis<br />

muSaobas, aramed mTlianad Cveni qveynis<br />

socialur da ekonomiur mdgomareobas. es is periodia,<br />

rodesac saqarTvelo CaTreuli iyo saomar mdgo -<br />

mareobaSi afxazeTTan da oseTTan da amave dros<br />

29


aRmoCnda samoqalaqo omis mijnaze. mZime ekonomiurma<br />

da politikurma situaciam, tradiciuli kontaqtebis<br />

darRvevam, dawyebulma reformebma, mZime inflaciam<br />

SeiZleba iTqvas CixSi moaqcia da dezorganizacia<br />

moaxdina mTeli rigi dargebisa da gansakuTrebiT<br />

qveynis samedicino samsaxuris, ramac Tavis mxriv<br />

ganapiroba kardiologiuri asociaciis naklebad<br />

efeq turi muSaoba. im periodSi Cven verc erTxel ver<br />

SevZeliT sawevro gadasaxadis Segrovebac ki. is<br />

mcire Semowirulobani, romelic dasawyisSi asociacias<br />

hqonda fulis reformam da inflaciam STanTqa.<br />

amas imitom mogaxsenebT, rom verc erTi sazogadoeb -<br />

rivi organizacia efeqturad ver imuSavebs Tu mas sa-<br />

Tanado saxsrebi ar gaaCnia. meore mxriv gasagebia<br />

eqim-kardiologs, romelsac 4-6 milioni kuponi<br />

hqonda <strong>of</strong>icialuri xelfasi, raime sawevro gadasa -<br />

xadze laparakic ki uxerxuli iyo. albaT amiT iyo<br />

ganpirobebuli is, rom Cveni didi Zalisxmevis Sedegad<br />

mxolod 70 kardiologi gavawevrianeT evropis<br />

kardiologTa sazogadoebaSi. es is eqimebia, romlebmac<br />

Seitanes aucilebeli sawevro gadasaxadi am organizaciaSi<br />

15 000 maneTi – 3 aSS dolari.<br />

evropois kardiologTa sazogadoebaSi gawevrianebis<br />

Semdeg gansakuTrebul siZneleebs gviqmnida Cveni<br />

safosto-satelefono kavSirebis savalalo mdgomareoba,<br />

miuxedavad amisa mainc vaxerxebdiT dagvemyarebina<br />

garkveuli kavSiri evropis kardiologTa sazogadoebis<br />

Stab-binasTan, migveRo saTanado dokumentacia, gve-<br />

Targmna maTi wesdebebi da gavcnobodiT maT kanonebs,<br />

xolo Cveni mxridan migvewodebina Cveni asociaciis<br />

wesdebis Targmani, Sesabamisi iuridiuli sertifikatebi,<br />

asociaciis struqtura, asociaciis wevrebis<br />

30


sia da sxva dokumentacia, romelic aucilebeli iyo am<br />

sazogadoebaSi rogorc gawevrianebisaTvis, aseve Semdgomi<br />

urTierT TanamSromlobisaTvis.<br />

yovelwliurad Catarebuli evropis kardiologTa<br />

kongresebi iTvleba udides mniSvnelovan forumebad,<br />

sadac evropisa da ms<strong>of</strong>lio kardiologiis ganviTarebisa<br />

da miRwevebis aqtualuri sakiTxebi gani -<br />

xileba. saqarTvelos kardiologTa asociacias<br />

ufleba aqvs evropis kardiologTa kongresze<br />

waradginos 3 delegati xmis uflebiT (damokidebulia<br />

asociaciaSi my<strong>of</strong> wevrTa raodenobaze). rac Seexeba<br />

sxva delegatTa raodenobas igi SezRuduli ar aris<br />

da visac aqvs finansuri saSualeba saTanado sare -<br />

gistracio dokumentebis wardgenis Semdeg daswreba<br />

araviTar problemas ar warmoadgens. rogorc ganviTarebad<br />

qveyanas Cvens asociaciaze vrceldeba<br />

garkveuli SeRavaTi, romelic Seexeba kongresze<br />

saregistracio gadasaxads, romelic 5 wevrze Semcirebuli<br />

aris 50%-mde, xolo 3 wevri mTlianad Tavisufl -<br />

deba saregistracio gadasaxadisagan. agreTve, Tu<br />

kongresze gagzavnili samecniero moxsenebis Tezisi<br />

miRebul iqna kongresis orgkomitetis mier, pirveli<br />

avtori Tavisufldeba saregistracio gadasaxadi -<br />

sagan. danarCen samogzauro Tanxas TviTon delegati<br />

ixdis. aqve gvinda avRniSnoT, rom garkveuli<br />

siZneleebi Segveqmna yovelwliur sawevro SesatanTan<br />

dakavSirebiT Cveni asociaciis “gulis ms<strong>of</strong>lio fede -<br />

raciaSi” gawevrianebis Semdeg, ramdenadac Cvens asociacias<br />

dauweses yovelwliuri sawevro gadasaxadi<br />

1225 Sveicariuli frankis odenobiT, romelic naangariSebi<br />

iqna gaerTianebuli erebis organizaciaSi<br />

Cveni respublikis sabWouri periodis ekonomiuri potencialidan<br />

gamomdinare. Cven gavaprotesteT es<br />

31


gadawyvetileba da moviTxoveT yovelwliuri sawevro<br />

gadasaxadis qvota gansazRvruliyo CvenTvis rogorc<br />

ganviTarebadi saxelmwifosaTvis rac iqna dakma -<br />

y<strong>of</strong>ilebuli da Seadgina 570 Sveicariuli franki (450<br />

aSS dolari). aqve unda avRvniSnoT, rom saerTa-<br />

Soriso organizaciebis mkacri kanonebis mixedviT, Tu<br />

erovnuli asociacia an sazogadoeba gadasaxads<br />

droulad ar ixdis avtomaturad kargaven am organizaciis<br />

wevrobis uflebas.<br />

“evropis kardiologTa sazogadoebaSi” da “gulis<br />

ms<strong>of</strong>lio federaciaSi” gawevrianebis Semdeg marto<br />

pirveli ori wlis ganmavlobaSi Cven miviReT am organizaciebidan<br />

500-mde sxvadasxva saxis dokumenti da<br />

sainformacio xasiaTis werili. miRebuli informacia<br />

SeiZleba 3 ZiriTad jgufad daiyos:<br />

evropis kardiologTa sazogadoebis da ms<strong>of</strong>lios<br />

gulis federaciis sabWos muSaobis oqmebi, yovelwliuri<br />

angariSebi, sxvadasxva finansuri angariSebi,<br />

rekomendaciebi da sxv.<br />

samuSao jgufebis angariSebi, maTi yovelwliuri<br />

Sexvedrebis gegmebi da rekomendaciebi, Catarebuli<br />

muSaobis angariSebi.<br />

sxvadsxva saxis sainformacio xasiaTis werilebi,<br />

piradi mimowera da sxv.<br />

aseTi didi masalis damuSaveba, misi analizi, pasuxebis<br />

gacema did muSaobas da xarjebs saWiroeben.<br />

wesiT gamgeobis wevrebi am informacias permanentulad<br />

unda ecnobodnen, magram maTi gamravleba da<br />

gagzavna praqtikulad mniSvnelovnad gaZnelebuli<br />

iyo im dros.<br />

32


pr<strong>of</strong>. n.tatiSvili, pr<strong>of</strong>. a.aladaSvili, pr<strong>of</strong>. b.qobulia<br />

evropis kardiologTa delegatTa Soris (“evropis gulis<br />

saxli” s<strong>of</strong>ia antipolisi, 2000 w.).<br />

ZiriTadad evropis kardiologTa sazogadoebis<br />

muSaoba xorcieldeba samuSao jgufebis urTi -<br />

erTkavSiris doneze. samuSao jgufebi evropis<br />

masStabiT awarmoeben samecniero praqtikuli muSaobis<br />

koordinacias kardiologiaSi arsebuli yvela<br />

aqtualur sakiTxebSi, iZlevian saTanado rekomendaciebs<br />

am dargSi arsebuli aqtualuri sakiTxebis<br />

gadawyvetis TvalsazrisiT da sxv. am jgufebs<br />

xelmZRvaneloben evropaSi da ms<strong>of</strong>lioSi wamyvani am<br />

dargis specialistebi, maT aqvT TavianTi sabWo da sa-<br />

Tanado marTvis struqturebi. sul aseTi 26 samuSao<br />

jgufia. saqarTvelos kardiologTa asociaciis<br />

muSaobis principi unda eyrdnobodes aRniSnul<br />

samuSao jgufebTan kontaqtis damyarebas da es funqciebi<br />

ZiriTadad gadanawilebuli unda iyos Cveni<br />

33


qveynis kardiologiuri samsaxuris wamyvan sxva -<br />

dasxvba specialistebze. amasTan dakavSirebiT Cven-<br />

Tanac Seiqmna analogiuri samuSao jgufebi<br />

kardiologiis sxvasaxva sakiTxebze momuSave specialistebiT<br />

dakompleqtebuli, romlebmac daamyares<br />

saTanado kontaqtebi evropis kardiologTa sazogadoebis<br />

saTanado samuSao jgufebTan. samuSao jgufis<br />

xelmZRvaneli valdebulia yovelwliurad Caabaros<br />

angariSi kardiologTa asociaciis sabWos.<br />

gansakuTrebiT unda aRiniSnos rom kardiologiis<br />

asociaciis egidiT SesaZlebeli iyo sxvadasxva saer-<br />

TaSorisi samecniero, aseve praqtikuyli xasiaTis<br />

programebSi monawileoba, rac gamoricxuli iyo komunisturi<br />

mmarTvelobis dros. miuxedavad imisa, rom<br />

saqarTvelo ar iyo evrokavSiris wevri qveyana,<br />

briuselSi (belgia) evrokavSirTan Seqmnili iyo specialuri<br />

komiteti, romelic koordinacias uwevda aRmosavleT<br />

evropis qveynebis samecniero programebis<br />

integracias dasavleT qveynebis samecniero programebTan.<br />

Cven gavagzavneT ramdenime programaSi mo -<br />

nawileobis ganacxadi, aqedan 2 SemTxvevaSi miviReT<br />

dadebiTi pasuxi. aqve unda avRvniSnoT specialistTa<br />

momzadebis ms<strong>of</strong>lio praqtika, rodesac sxvadasxva<br />

qveynis samecniero sazogadoebebi, institutebi, samecniero<br />

centrebi aweseben specialur grantebs,<br />

stipendiebs sakonkurso pirobebiT da es informacia<br />

mogexsenebaT sakmaod vrclad Semodis Cvens qveyanaSi<br />

da Cveni Zalisxmeva mimarTuli unda iyos raTa<br />

axal gazrda specialistebis orientacia movaxdinoT<br />

am mimarTulebiT. magaliTad, evropis kardiologTa<br />

asociacia weliwadSi erTxel iZleva grants Teoriul<br />

da praqtikul kardiologiaSi specialistebis<br />

mosamzadeblad. konkursSi gamarjvebuli erTi wlis<br />

34


an eqvsi Tvis vadiT evropis kardiologTa asociaciis<br />

grantiT miemgzavreba im qveynis samecniero<br />

centrSi, romelsac TviTon SearCevs da daamyarebs sa-<br />

Tanado kontaqtebs.<br />

evropis gulis saxli, romelic ganlagebulia q.kan-<br />

Tan, s<strong>of</strong>io-antipolisSi yovelwliurad tardeba<br />

erTkviriani saswavlo seminarebi kardiologiis aqtualur<br />

sakiTxebSi, evropaSi cnobili kardiologebis<br />

xelmZRvanelobiT. es swavleba fasiania, magram<br />

aRmosavleT evropis qveynebisaTvis gakeTda SeRavaTi<br />

swavlebis safasurTan dakavSirebiT, rac mgzavrobis<br />

xarjebze ar gavrcelda.<br />

Cven mivmarTeT TxovniT evropis kardiologTa asociaciis<br />

gamgeobas raTa gaewiaT CvenTvis SeRavaTi<br />

ufasod moewodebinaT perioduli gamocemebi kardiologiaSi,<br />

Jurnalebi da saswavlo audio-video<br />

kasetebi da sxv., rac nawilobriv daymay<strong>of</strong>ilebuli<br />

iyo. aqve unda iTqvas, rom aseTi Txovnebi<br />

gansakuTrebiT finansebTan dakavSirebiT negatiur<br />

reaqcias iZleva maTi mxridan, ramdenadac aseT tipis<br />

sazogadoebas naklebad akisria saqvelmoqmedo funqciebi.<br />

saerTod unda iTqvas, rom Cveni kardiologTa asociaciis<br />

aqtivoba mniSvnelovnad damokidebuli iyo<br />

da aris mis finansiur mdgomareobaze. rogorc maSin,<br />

amJamadac asocioacias ar gaaCnia sakuTari saxsrebi,<br />

raTa Tavisi muSaoba ufro qmediTi gaxados. is<br />

mcire, yovelwliuri sawevro gadasaxadi mTlianad<br />

xmardeba evropis kardiologTa sazogadoebis mier<br />

dadgenil yoveli wevris savaldebulo gadasaxads.<br />

1997 wels maisSi daarsda “saqarTvelos gulis<br />

35


fondi” romlis prezidentia dRemde pr<strong>of</strong>. m. mamacaSvili.<br />

saqarTvelos gulis fondi aris “ gulis<br />

ms<strong>of</strong>lio federaciis” (The World Heart Federation) wevri.<br />

fondis muSaobis ZiriTad mizans warmoadgens<br />

saqarTveloSi gul-sisxlZarRvTa daavadebebis epidemiologiuri<br />

programebis ganxorcieleba, gulis<br />

iSemiuri daavadebebis gamovlena mosaxleobaSi da<br />

prevenciuli programebis ganxorcieleba, kardiologiis<br />

ganxriT maRalkvlificiuri kadrebis<br />

momzadeba.<br />

saqarTvelos gulis fondis TaosnobiT Seiqmna<br />

mozardebisa da axalgazrdobis moZraoba saxelwodebiT<br />

GADAT (Georgia Against Drugs and Tobacco) –<br />

saqarTvelo narkotikebisa da Tambaqos winaamRdeg.<br />

fondis iniciativiT tyupi centrebis programis<br />

(Tween Center Program) farglebSi, ramodenime axalgazrda<br />

kardiologma warmatebiT gaiara staJireba<br />

avstriis, germaniis, Sveicariis da AaSS wamyvan<br />

klinikebSi. 2000 wlidan saqarTvelos gulis fondi<br />

organizebas uwevs gulis ms<strong>of</strong>lio dRis Catarebas<br />

saqarTveloSi, romelic yovelwliurad tardeba<br />

seqtembris bolo kviradRes.<br />

1996 wels q. TbilisSi Catarda samedicini praq -<br />

tikuli konferencia romelic miZRvnili iyo<br />

m. winamZRvriSvilis saxelobis klinikuri da eqsperimentaluri<br />

kardiologiis daarsebis 50 wlis-<br />

Tavisadmi.<br />

1999 w. 28-30 oqtombers q. TbilisSi Seraton metex<br />

palasSi evropis kardiologTa sazogadoebis egidiT<br />

saqarTveloSi pirvelad Catarda gasvliTi kursi<br />

saswavlo da treiningis programis farglebSi saTauriT<br />

“axali horizontebi ultrabgeriTi teqnikis<br />

36


klinikur kardiologiaSi”, romelSic monawileoba<br />

miiRes evropis qveynebis da saqarTvelos eqokardiografiis<br />

specialistebma. kursis direqtorebi: a. distante,<br />

a. frazeri da b. qobulia (A.Distante F.E.S.C. (Pisa,<br />

IT), A.Frazer F.E.S.C. (Cardiff, GB), B.Kobuli F.E.S.C. (Tbilisi, GE).<br />

1999w. saqarTvelos kardiologTa asociaciam gaiara<br />

ganmeorebiTi registracia da Sesabamisi<br />

kanomdeblobis Tanaxmad naZaladevis raionuli<br />

sasamarTlos mier daregistrirda rogorc “saqarTvelos<br />

kardiologTa kavSiri”(sazogadoeba).<br />

2000 wlis seqtemberSi q. TbilisSi Catarda saer-<br />

TaSoriso samedicino praqtikuli konferencia “arteriuli<br />

hipertoniis problemebi”, romelic mieZRvna<br />

Cvens Tanamemamules, gamoCenil kardiologs pr<strong>of</strong>esor<br />

guram arabiZis xsovnas, romelic didi xnis ganmavlobaSi<br />

1946-dan moRvaweobda q.moskovSi sakavSiro<br />

kardiologiur centrSi (direqtori akad. e. Cazovi)<br />

da gardacvalebis Semdeg misi anderZis Tanaxmad<br />

dasaflavebul iqna TbilisSi.<br />

saqarvelos kardiologTa sazogadoebis, evropis<br />

kardiologTa sazogadoebasTan kavSirma, maTi wesdebis,<br />

kanonebis, struqturebisa da muSaobis gacnobam<br />

garkveuli gamocdileba SeZina da dRis wesrigSi<br />

dadga misi muSaobis mniSvnelovani gardaqmna, raTa<br />

momavalSi igi miaxloveboda saerTaSoriso standartebiT<br />

momuSave organizaciebs. am mxriv bevri iyo<br />

jer kidev gasakeTebeli. 2000 wlis daswyisSi dRis<br />

wesrigSi dadga asociaciis axali wesdebis miReba,<br />

anda arsebul wesdebaSi Sesworebebis da damatebebis<br />

Setana da misi garkveulad adaptireba evropiul<br />

sazogadoebis wesdebasTan. unda Seqmniliyo Cveni<br />

kardiologTa asociaciis axali struqtura, raTa<br />

37


misi muSaoba ufro qmediTi gamxdariyo, vinaidan im<br />

periodSi Cven gadavdiodiT Zveli formaciebidan,<br />

axal saerTaSoriso urTierTTanamSromlobis gzaze<br />

da vswavlobdiT erTmaneTTan gasageb enaze saubars.<br />

2002 wlis 3 ivlis Sedga saqarTvelos kardiologTa<br />

sazogadoebis riggareSe konferencia.<br />

mogvyavs am konferenciis sxdomis oqmidan mokle<br />

amonaridi:<br />

q. Tbilisi 03.07. 2002 w.<br />

sxdomas eswreboda saqarTvelos qardiologTa<br />

sazogadoebis 70 wevri. sxdomis TavmJdomared<br />

arCeul iqna pr<strong>of</strong>. zurab faRava, sxdomis mdivani –<br />

doc. r. abaSiZe. saqarTvelos kardiologTa sazogadoebis<br />

prezidenti pr<strong>of</strong>. b. qobulia miesalma konferenciis<br />

monawileebs da gaacno sxdomis dRis<br />

wesrigi:<br />

1. saqarTvelos kardiologTa sazogadoebis pre -<br />

zidentis pr<strong>of</strong>. b. qobulias muSaobis angariSi.<br />

2. saqarTvelos qardiologTa sazogadoebasTan<br />

ar sebuli samuSao jgufebis muSaobis angariSi.<br />

3. sarevizio komisiis angariSi.<br />

4. saqarTvelos kardiologTa sazogadoebis axa -<br />

li prezidentis, vice-prezidentis, mdivanis da<br />

axali gamgeobis arCevnebi.<br />

pirveli sakiTxis garSemo moxseneba gaakeTa mis<br />

mier gaweuli muSaobis Sesaxeb pr<strong>of</strong>. b. qobuliam.<br />

azri gamoTqves pr<strong>of</strong>esorebma: g. cincaZem, g.CafiZe<br />

n. emxvarma, b. winamZRvriSvilma n. baqraZem da sxv.<br />

38


pr<strong>of</strong>. g. cincaZe: “unda Seicvalos kardiologTa<br />

sazogadoebis wesdeba da debuleba, vinaidan arsebuli<br />

ar asaxavs dRevandeli dRis moTxovnebs”.<br />

pr<strong>of</strong>. n. emxvari: “sazogadoebis aqtiuroba qveynis<br />

SigniT metad arasakmarisi iyo. ratom unda sWirdebodes<br />

q. TbilisSi arsebul infarqtis centrebs<br />

brZola federalur programaSi moxvedrisaTvis. Cemdami<br />

daqvemdebarebuli klinika, magaliTad ver moxvda<br />

am siaSi, xolo kardiologTa sazogadoeba xmas ar<br />

iRebs. mTeli am xnis ganmavlobaSi ar y<strong>of</strong>ila<br />

msjeloba daavadebaTa klasifikaciebze da sxv. miuxedavad<br />

msjelobisa jerac ar daarsebula Jurnali<br />

“kardiologia”. miuxedavad kardiologTa sazogadoebis<br />

muSaobaSi arsebuli seriozuli xarvezebisa unda<br />

aRiniSnos pr<strong>of</strong>. b. qobulias roli saqarTvelos kardiologTa<br />

sazogadoebis evropul struqturebSi integraciis<br />

da agreTve wamalTa saerTaSoriso<br />

multicentruli klevebis organizaciis saqmeSi”.<br />

pr<strong>of</strong>. z. faRava: “baton nodars albaT axsovs, rom<br />

warsulSi metad aqtiurebi iyvnen regionaluri kardiologiuri<br />

sazogadoebebi. axlac metad aqtiuria<br />

imereTis regionaluri sazogadoeba. iqneb Seiqmnas<br />

qalaq Tbilisis kardiologiuri sazogadoeba”.<br />

med. mec. doqt. T. areSiZe: ”unda aRiniSnos, rom am<br />

periodSi daarsda aWaris kardiologTa sazogadoeba”.<br />

pr<strong>of</strong>. b. winamZRvriSvili: “saqarTvelos kardiologTa<br />

sazogadoebam xma unda aRimaRlos jandacvis<br />

saministros mier dagegmili rigi dargebis<br />

monopolizaciis Sesaxeb”.<br />

39


pr<strong>of</strong>. n. baqraZe: “unda aRdges tradicia sadisertacio<br />

naSromebis dacvis wina aprobaciis Sesaxeb sazogadoebis<br />

sxdomebze”.<br />

pr<strong>of</strong>esorebi g. cincaZe da i. megrelaZe aRniSnul<br />

winadadebas mxari dauWires.<br />

pr<strong>of</strong>. g. CafiZem aseve aRniSna pr<strong>of</strong>. b. qobulias<br />

Zalisxmeva saqarTvelos kardiologTa sazogadoebis<br />

evropis kardiologTa sazogadoebaSi integraciis<br />

saqmeSi.<br />

konferenciam damakmay<strong>of</strong>ileblad Seafasa saqar -<br />

Tvelos kardiologTa sazogadoebis da misi prezidentis<br />

pr<strong>of</strong>. b. qobulias muSaoba.<br />

meore sakiTxTan dakavSirebiT moismines saqarTvelos<br />

kardiologTa sazogadoebasTan arsebuli<br />

samuSao jgufebis Tavmjdomareebis angariSi.<br />

gamovidnen pr<strong>of</strong>esorebi: b. winamZRvriSvili, g. tabiZe,<br />

n. burkaZe, z. faRava, g. abulaZe, l. metreveli da sxv.<br />

pr<strong>of</strong>. z. faRava: “vfiqrob rom Cveni sazogadoebis<br />

saqmianoba qveynis SigniT swored samuao jgufebis<br />

aqtiurobis mixedviT unda Sefasdes, romelic friad<br />

damakmay<strong>of</strong>ileblad gamoiyureba”.<br />

mesame sakiTxTan dakavSirebiT sarevizio komisiis<br />

Tavmjdomaris med. mec. doqtoris p. xajididis angariSi<br />

cnobad iqna miRebuli.<br />

pr<strong>of</strong>. z. faRavam madloba gadauxada pr<strong>of</strong>. g. qobu -<br />

lias gaweuli muSaobisaTvis.<br />

meoTxe sakiTxTan – arCevnebTan dakavSirebiT<br />

arCeul iqna xmis damTvleli komisia. pr<strong>of</strong>. z. faRava<br />

40


mimarTavs sxdomas: “gTxovT daasaxeloT saqarTvelos<br />

kardiologTa sazogadoebis prezidentisa da<br />

vice prezidentis kandidatura”.<br />

pr<strong>of</strong>. b. qobulia: “prezidentad vasaxeleb pr<strong>of</strong>.<br />

vaxtang WumburiZes da vice prezidentad pr<strong>of</strong>. aleqsandre<br />

aladaSvils”.<br />

konferenciam Ria kenWisyriT erTxmad airCia<br />

saqarTvelos kardiologTa sazogadoebis prezidentad<br />

pr<strong>of</strong>. vaxtang WumburiZe da vice prezidentad<br />

pr<strong>of</strong>. aleqsandre aladaSvili, sazogadoebis gene -<br />

ralur mdivnad med.mec.doqtori i.jaSi. konferenciaze<br />

arCeul iqna saqarTvelos kardiologTa<br />

sazogadoebis gamgeoba 17 wevris SemadgenlobiT.<br />

amiT saqarTvelos kardiologTa sazogadoebis riggareSe<br />

konferenciam Tavisi muSaoba daamTavra.<br />

pr<strong>of</strong>. v. WumburiZis xelmZRvanelobiT 2004 wels<br />

Catarda saqarTvelos kardiologTa sazogadoebis<br />

pirveli kongresi, romelic mieZRvna saqarTveloSi<br />

kardiologiuri dargis fuZemdeblis akad. m. wi -<br />

namZRvriSvilis dabadebidan 120 wlisTavs. es kavSiri<br />

SemTxveviTi ar aris ramdenadac kardiologiis rogorc<br />

damoukidebeli dargis arseboba saqarTveloSi<br />

akad. m. winamZRvriSvilis saxels ukavSirdeba da igi<br />

miekuTvneba saqarTveloSi samedicino mecnierebis<br />

Camoyalibebisa da ganviTarebis fuZemdebelTa<br />

ricxvs.<br />

kongresi Catarda 2004 wlis 22 – 23 maiss sastumro<br />

“Seraton palasSi”. kongresis prezidenti<br />

pr<strong>of</strong>. v. WumburiZe, generaluri mdivani med. mec. doqtori<br />

i. jaSi. saorganizacio komiteti: a. ala -<br />

daSvili, n. emxvari, m. mamacaSvili, i. megrelaZe,<br />

41


n. tatiSvili, d. tvildiani, b. qobulia, n. yifSiZe,<br />

g. CafiZe, b. winamZRvriSvili, g. wereTeli, v. WipaSvili,<br />

v. WumburiZe. kongresze warmodgenili iyo zepiri da<br />

sastendo moxsenebebi, romelic mieZRvna Tanamedrove<br />

kardiologiis aqtualur sakiTxebs: gulis iSemiuri<br />

daavadeba, guli ukmarisoba da kardiomiopaTiebi, arteriuli<br />

hipertenzia, aTerosklerozi (epidemiologia,<br />

prevencia, mkurnaloba), diagnostikis da<br />

mkurnalobis axali meTodebi kardiologiaSi, kardioqirurgia.<br />

22 maiss saRamos gaimarTa sazeimo<br />

sxdoma z. faliaSvilis saxelobis operisa da<br />

baletis saxelmwifo TeatrSi.<br />

2006 wlis 1 – 2 oqtombers q. TbilisSi Catarda<br />

saqarTvelos kardiologTa sazogadoebisa da gulis<br />

fondis (prezidenti pr<strong>of</strong>. m. mamacaSvili) gaerTiane -<br />

buli kongresi. unda aRiniSnos rom orive es sazogadoeba<br />

mWidroT aris integrirebuli erTis mxriv<br />

evropis kardiologTa sazogadoebaSi da meore mxriv<br />

”ms<strong>of</strong>lios gulis federaciaSi”.<br />

bolo dros saqarTvelos kardiologTa sagadoebis<br />

kongresebis muSaobaSi arerTxel miiRes mona -<br />

wileoba evropis sxvadasxva qveynis kardiologiuri<br />

sazogadoebis prezidentebma: pr<strong>of</strong>. roberto ferari<br />

(italia), pr<strong>of</strong>. miSel komajda (safrangeTi), pr<strong>of</strong>.<br />

panos vardasi (saberZneTi) da sxv.<br />

am periodSi saqarTvelos kardiologTa sazogadoebis<br />

mier Catarebulia erToblivi konferenciebi<br />

TurqeTis, germaniis, avstriis, ukrainis, latviis kardiologiuri<br />

sazogadoebis warmomadgenlebTan<br />

erTad. xolo 2010 wlis aprilSi Catarda saqarTvelos<br />

da evropis kardilogiuri sazogadoebebis gamgeobebis<br />

erToblivi sxdoma.<br />

42


amdenadac saqarTvelos kardiologTa sagadoeba<br />

1993 wlidan gaerTianebulia evropis kardiologTa<br />

sazogadoebasTan, misi wevrebi monawileoben evropis<br />

kardiologTa sazogadoebis kongresebSi romlebic<br />

yovelwliurad imarTeba evropis qveynebis sxvadasxva<br />

qalaqebSi agvistos bolos da seqtembris dasawyisSi.<br />

rogorc cnobilia evropis kardiologTa sazogadeoba<br />

weliwadSi erTxel acxadebs konkurss da<br />

gascems grants Teoriul da praqtikul kardiologiaSi<br />

specialistebis mosamzadeblad. aRniSnul<br />

konkursSi gamarjveba metad prestiJulad iTvleba.<br />

gamarjvebuli erTi wlis an eqvsi Tvis vadiT<br />

miemgzavreba evropis mowinave samecniero centrSi. am<br />

konkursebSi saqarTvelos axalgazrda kardiologebi<br />

xSirad monawileoben, xolo 3 axalgazrda kardiologma<br />

gaimarjva konkursSi, moipoves fuladi<br />

granti da mivlinebul iqnen evropis sxvadasxva qveynis<br />

kardiologiur klinikebSi. (q. mindaZe, l. aleq -<br />

siadi).<br />

1995 wlidan 2010 wlamde Cveni sazogadoebis 12<br />

wevri gaxda evropis kardiologTa sazogadoebis sapatio<br />

wevri (Fellow European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong> – F.E.S.C).<br />

evropis kardiologTa sazogadoebis sapatio wevrad<br />

gaxdoma metad prestiJulad iTvleba. saqarTvelodan<br />

am sazogadoebis sapatio wevrebi arian: b.qobulia<br />

(1995), g.maTeSvili (1998), m.mamacaSvili (1999), i.jaSi<br />

(2000),Pp. maWavariani (2000), v. WumburiZe(2003) z. yifiani<br />

(2003 ) d.maisuraZe (2003 ) a.CuxrukiZe(2008), T. vaxtangaZe<br />

(2009), xolo 2005 wlidan amerikis kardiologiuri<br />

kolejis(F.A.C.C.) sapatio wevrebi arian<br />

pr<strong>of</strong>. b. qobulia da pr<strong>of</strong>. v. WumburiZe.<br />

43


olo periodSi CvenTan gamocemul iqna sxvadasxva<br />

avtorebis mier mravali saxelmZRvanelo, monografia,<br />

romelic Seexeboda Tanamedrove kardiologiis sxva -<br />

dasxva aqtualur sakiTxebs. maT Soris aRsaniSnavia<br />

pr<strong>of</strong>. T. SaburiSvilis da Tanaavt. mier gamocemuli<br />

saxelmZRvanelo samedicino universitetis studentebisaTvis<br />

da rezidentebisaTvis “koronaruli intervenciuli<br />

kardiologia”. Tbilisi, 2010 w. 383 gv.<br />

saqarTvelos kardiologTa sazogadoebis <strong>of</strong>icialur<br />

Jurnalad daregistrirebulia evropis kardiologTa<br />

sazogadoebis veb gverdze “kardiologia<br />

da Sinagani medicina” (“<strong>Cardiology</strong> and Internal Medicine”),<br />

mT. redaqtori, m. rogava.<br />

saqarTvelos kardiologTa sazogadoebis integraciam<br />

evropis kardiologTa sazogadoebaSi da sxva<br />

evropiul samedicino strukturebSi dasabami misca<br />

wamalTa klinikuri multicentruli saerTaSoriso<br />

kvlevebis rigi proeqtebis ganxorcielebas<br />

saqarTveloSi rig wamyvan kardiologiur klinikebSi.<br />

aRniSnuli kvlevebis ZiriTad mizans warmoadgens<br />

farmakologiuri saSualebebis adamianis organizmze<br />

zemoqmedebis Seswavla misi efeqturobisa da usaf -<br />

rTxoebis dadgenis mizniT.<br />

dRes saqarTvelo evropis im qveynebs miekuTvneba,<br />

romelsac sakmaod sruly<strong>of</strong>ili kanonmdebloba aqvs<br />

wamalTa klinikuri ikvlevebis Catarebis da pacientis<br />

uflebebis dacvis sferoSi. am ukanasknelis safuZvels<br />

warmoadgens ms<strong>of</strong>lios samedicino<br />

asociaciis helsinkis deklaracia (1964 w.), saqarTvelos<br />

kanoni “wamlisa da farmaceftuli saqmianobis<br />

Sesaxeb” (1997w.), “kanoni janmrTelobis dacvis<br />

Sesaxeb” (1997w.) da sxv. maregulirebeli kanonebi.<br />

44


klinikuri kvlevebi xorcieldeba saerTaSoriso<br />

standartis “swori klinikuri praqtika” (ICH, JCP)<br />

mixedviT.<br />

2000 wlis oqtomberSi saqarTveloSi adgilobrivi<br />

da saerTaSoriso organizaciebis egidiT pirvelad<br />

Catarda saswavlo meTodologiuri kursi “swori<br />

klinikuri praqtika” (Good Clinical Practic) da 80 eqimma<br />

miiRo specialuri sertifikati romelic maT aZlevda<br />

uflebas monawileoba miiRoT wamalTa klinikur<br />

kvlevebSi.<br />

gamoCenili amerikeli kardiologi preparat “raneqsas”samecniero-kvleviTi<br />

programis xelmZRvaneli, am programis monawile<br />

qarTvel kardiologTa jgufTan erTad (stokholmi,SvedeTi,<br />

02.09.2005w.” “evropis kardiologTa kongresi”).<br />

1999-2000 w.w. Tbilisis 5 kardiologiur klinikaSi<br />

(pr<strong>of</strong>. g. cincaZe, pr<strong>of</strong>. g. CafiZe, pr<strong>of</strong>. m. mamacaSvili,<br />

pr<strong>of</strong>. T. SaburiSvili, pr<strong>of</strong>. b. qobulia) ganxorcielebul<br />

iqna pirvelad saqarTveloSi saerTa-<br />

45


Soriso (monawileobda evropis da ms<strong>of</strong>lios 48<br />

qveyana) multicentruli klinikuri kvleva mio -<br />

kardiumis mwvave infarqtiT (ST segmentis elivaciT)<br />

1200 avadmy<strong>of</strong>ze (HERO-2), romelic Seexeboda Trombolizuri<br />

(streptokinaza) Terapiis fonze heparinisa<br />

da hirudinis SedarebiTi antikoagulanturi efeqturobis<br />

Sefasebas. aRniSnuli programis ganxorcielebis<br />

Sedegad Tbilisis wamyvan kardiologiur<br />

klinikebSi miokardiumis mwvave infarqtiT<br />

gamowveuli sikvdiloba pirveli 24 saaTis ganmavlobaSi<br />

saSualod Semcirebul iqna 16-dan 8%-mde,<br />

rac im dros metad STambeWdavi da mniSvnelovani<br />

Sedegi iyo am daavadebis mkurnalobis efeqturobis<br />

TvalsazrisiT.<br />

bolo 10 wlis ganmavlobaSi saqarTveloSi kardiologiaSi<br />

ganxorcielda 16 multicentruli<br />

klinikuri kvleva. amJamad wamalTa klinikuri<br />

kvlevebi farTod xorcieldeba, rogorc kardiologiur<br />

aseve sxva samedicino pr<strong>of</strong>ilis kli -<br />

nikebSi, rac udavod saqarTvelos samedicino dargis<br />

mniSvnelovani warmatebebis maCvenebelia da SeiZ -<br />

leba iTqvas rom am TvalsazrisiT igi ukve Cadga<br />

evropis da ms<strong>of</strong>lios mowinave qveynebis rigSi.<br />

da bolos, unda avRniSnoT, rom es mcire naSromi<br />

ra Tqma unda ver moicavs saqarTvelos kardiologTa<br />

sazogadoebis 20 wlis muSaobis yvela aspeqts,<br />

gansakuTrebiT bolo periodSi saqarTveloSi kardiologiis<br />

dargSi arsebul miRwevebs, romelic albaT<br />

momavali Taobis ganxilvis sagani iqneba.<br />

46


evropis kardiologTa sazogadoeba<br />

European <strong>Society</strong> <strong>of</strong> <strong>Cardiology</strong><br />

(mokle istoria)<br />

evropis kardiologTa sazogadoebis oqros medali.<br />

evropis kardiologTa sazogadoebis dafuZnebis<br />

sakiTxi pirvelad ganxilul iqna ramdenime evropeli<br />

kardiologis mier amerikis kardiologTa II da III<br />

kongresis msvlelobisas, romlebic Catarda 1946 da<br />

1948 w.w. mexikosa da CikagoSi.<br />

47


1949 wlis 29 ianvars briuselSi Catarda mosam -<br />

zadebeli Sexvedra romelSic monawileobda 14 qveynis<br />

belgiis, daniis, fineTis, safrangeTis, saberZneTis,<br />

italiis, niderlandebis, norvegiis, portugaliis, espaneTis,<br />

SvedeTis, Sveicariis, didi britaneTis da<br />

iugo slaviis warmomadgenlebi. Sexvedris dros<br />

arCeul iqna droebiTi aRmasrulebeli komiteti, romlis<br />

SemadgenlobaSic Sediodnen: sapatio prezidenti<br />

– C. Laubry (safrangeTi), prezidenti – G. Nilin (SvedeTi),<br />

da vice prezidentebi – D. E. Belfort (didi britaneTi),<br />

E. Okoehlo (portugalia) da J. Lenegre (safrangeTi).<br />

pirvelma sabWom moamzada sazogadoebis konstituciis<br />

proeqti. evropis kardiologTa sazogadoeba<br />

<strong>of</strong>icialurad daarsda 1950 wlis 2 seqtembers<br />

parizSi, kardiologTa I ms<strong>of</strong>lio kongresis Catarebamde.<br />

evropis kardiologTa I kongresi Catarda londonSi<br />

1952 wlis seqtemberSi. mas xelmZRvanelobda<br />

ser jon parkinsoni (John Parkinson). 1988 wlamde<br />

evropis kardiologTa kongresebi tardeboda yovel<br />

4 weliwadSi erTxel. 1988 wels venaSi gamarTul<br />

Sexvedraze generaluri asambleis monawileTa umravlesobam<br />

mxari dauWira evropis kardiologTa<br />

kongresis yovelwlirad Catarebis gadawyvetilebas.<br />

48


evropis kardiologTa sazogadoebis kongresebi<br />

ESC CONGRESSES<br />

1 1952 londoni, inglisi<br />

2 1956 stokholmi, SvedeTi<br />

3 1960 romi, italia<br />

4 1964 praRa, Cexoslovakia<br />

5 1968 aTeni, saberZneTi<br />

6 1972 madridi, espaneTi<br />

7 1976 amsterdami, niderlandebi<br />

8 1980 parizi, safrangeTi<br />

9 1984 diuseldorfi, germania<br />

10 1988 vena, avstria<br />

11 1989 nica, safrangeTi<br />

12 1990 stokholmi, SvedeTi<br />

13 1991 amsterdami, niderlandebi<br />

14 1992 barselona, espaneTi<br />

15 1993 nica, safrangeTi<br />

16 1994 berlini, germania<br />

17 1995 amsterdami, niderlandebi<br />

18 1996 birmingeni, inglisi<br />

49


19 1997 stokholmi, SvedeTi<br />

20 1998 vena, avstria<br />

21 1999 barselona, espaneTi<br />

22 2000 amsterdami, niderlandebi<br />

23 2001 stokholmi, SvedeTi<br />

24 2002 berlini, germania<br />

25 2003 vena, avstria<br />

26 2004 miunxeni, germania<br />

27 2005 stokholmi, SvedeTi<br />

28 2006 barselona, espaneTi<br />

29 2007 vena, avstria<br />

30 2008 miunxeni, germania<br />

31 2009 barselona, espaneTi<br />

32 2010 stokholmi, SvedeTi<br />

33 2011 parizi, safrangeTi<br />

34 2012 miunxeni, germania<br />

50


droebiTi aRmasrulebeli komitetis Seqmnis<br />

Semdeg, evropis kardiologTa sazodadoebis prezidentis<br />

postze, moRvaweobda 18 gamoCenili kardiologi.<br />

evropis kardiologTa sazogadoebis prezidentebi<br />

LIST OF ESC PRESIDENTS<br />

1950 - 1956 Gustav NYLIN SvedeTi<br />

1956 - 1960 Evan BEDFORD inglisi<br />

1960 – 1964 Jean LENEGRE safrangeTi<br />

1964 – 1968 Luigi CONDORELLI italia<br />

1968 – 1972 Pavel LUKL CexeTi<br />

1972 – 1976 Herman SNELLEN niderlandebi<br />

1976 – 1980 Henry DENOLIN belgia<br />

1980 – 1984 Franz LOOGEN germania<br />

1984 – 1988 Paul G. HUGENHOLTZ niderlandebi<br />

1988 – 1990 Hans-Peter KRAYENBUHL Sveicaria<br />

1990 – 1991 Attilio REALE italia<br />

1991 – 1994 Michel’E. BERTRAND safrangeTi<br />

1994-1996 Philip A.POOL-WILSON inglisi<br />

1996 – 1998 Gunter BREITHARDT germania<br />

51


1998 – 2000 Lars RYDEN SvedeTi<br />

2000 – 2002 Maarten L. SIMOONS niderlandebi<br />

2002 – 2004 Jean-Pierre BASSAND safrangeTi<br />

2004 – 2006 Michal TENDERA poloneTi<br />

2006 – 2008 Roberto FERRARI italia<br />

2008 – 2010 Michel KOMAJDA safrangeTi<br />

2010 – 2012 Panos VARDAS saberZneTi<br />

evropis gulis saxli<br />

The European Heart House<br />

evropis gulis saxls saZirkveli Caeyara 1992<br />

wlis 27 noembers. igi inicirebuli iyo evropis kardiologTa<br />

sazogadoebis prezidentis pr<strong>of</strong>esor<br />

miSel e. bertranis (Michel E. Bertrand, lili, saf ran -<br />

geTi) mier. 1993 wlis 31 agvistos, q. nicaSi evropis<br />

kardiologTa sazogadoebis XV kongresis mimdinareobis<br />

dros miSel e. bertranma sazeimod gaxsna<br />

evropis gulis saxli. gaxsnis ceremonials eswreboda<br />

300 adamiani. maT Soris iyvnen erovnuli sazogadoebebisa<br />

da samuSao jfufebis wevrebi da<br />

adgilobrivi xelisuflebis 100 warmomadgeneli. 1993<br />

wels evropis gulis saxlis gaxsnis dros moxda<br />

evropis kardiologTa sazogadoebis arCeuli wevrebis<br />

dajildoveba F.E.S.C. diplomebiT.<br />

evropis gulis saxli warmoadgens gansakuTrebul<br />

movlenas romelmac gadamwyveti roli Seasrula<br />

evropis kardiologTa sazogadoebis iseTi grZelva-<br />

52


diani valdebulebebis SesrulebaSi, rogoric aris<br />

kardiologiis ganviTarebis daCqareba da codnis<br />

sruly<strong>of</strong>a gulsisxlZarRvTa daavadebebis sferoSi.<br />

evropis gulis saxli faqtiurad asrulebs evropis<br />

kardiologTa sazogadoebis Stab-binisa da ganaT -<br />

lebisa da swavlebis centris funqcias.<br />

s<strong>of</strong>ia antipolisis regioni (samxreTi safrangeTi)<br />

sadac mdebareobs evropis gulis saxli, aramxolod<br />

sanaxaobrivad warmtacia, aramed warmoadgens<br />

teqnologiuri da samecniero saqmianobis unikalur<br />

centrs da moicavs iseT sferoebs rogoricaa kompiuteruli<br />

mecnierebebi, eleqtronika, telekomunikaciebi,<br />

jandacva da farmaceftuli kvlevebi. mogvyavs<br />

pr<strong>of</strong>esor miSel e. bertranis (Michel E. Bertrand, prezidenti<br />

1991-1994 w.w.) mogoneba evropis gulis saxlTan<br />

dakavSirebiT:<br />

“Cemi pirveli kontaqti evropis kardiologTa<br />

sazogadoebasTan moxda maSin, safrangeTis kardiologTa<br />

sazogadoebis komitetis wevrad y<strong>of</strong>nis periodSi.<br />

aRniSnul komitets evaleboda 1980 wels<br />

parizSi kardiologTa kongresis Catarebis organizeba.<br />

erTi wlis Semdeg me pol lixtlenTan (Paul Lichtlen,<br />

hanoveri) erTad gavxdi “koronaruli cirkulaciisa<br />

da datvirTvis fiziologiis” (rogorc mas maSin<br />

uwodebdnen) samuSao jgufis Tavmjdomare.<br />

1984 wels me amirCies im sabWos konsultantad,<br />

romelsac xelmZRvanelobda pol hugenholci (Paul<br />

Hugenholtz) maSin me verc ki vifiqrebdi, rom odesme<br />

gavxdebodi misi prezidenti.<br />

53


1990 wlis seqtemberSi, stogholmSi rodesac<br />

atilio reale (Attilio Reale) arCeul iqna prezidentad.<br />

generalur asambleaze saprogramo sityviT<br />

gamosvlisas man ganacxada Tavis ganzraxvis Sesaxeb<br />

aeSenebina evropis gulis saxli. faqtiurad evropis<br />

gulis saxlis Seqmnis koncepciis ganxilva moxda<br />

1990 wlis ianvarSi, davosSi Catatrebul sabWos sxdo -<br />

maze. Seiqmna specialuri komiteti, romlis movaleobasac<br />

Seadgenda am sakiTxis Sesaxeb moxsenebis<br />

momzadeba. samwuxarod, prezidentad arCevidan 5 Tvis<br />

Semdeg atilio reale moulodneelad gardaicvala.<br />

prezidenti pr<strong>of</strong>. m. bertrani da arCeuli prezidenti pr<strong>of</strong>.<br />

f. pul-vilsoni “evropis gulis saxlis” safuZvelis Cayris<br />

dros (s<strong>of</strong>ia antipolisi, safrangeTi 1992 w.).<br />

sabolood 1991 wlis 4 maiss, sabWos sxdomaze<br />

romelic mimdinareobda praRaSi, miRebul iqna<br />

gadawyvetileba rom evropis gulis saxli aSende-<br />

54


oda safrangeTSi nicasa da kans Soris mdebare<br />

s<strong>of</strong>io antipolisis regionSi, arc Tu ise didi xnis<br />

winaT Seqmnil samecniero parkSi. vil neimanTan (Wil<br />

Neimann) da alan xovardTan (Alan Howardt)erTad s<strong>of</strong>ia<br />

antipolisSi Cven SeviswavleT gulis saxlis<br />

mSeneblobisTvis ramodenime adgili. 5 oqtombers sab-<br />

Wos xmis uflebis mqone 10 wevrma erTxmad momaniWa<br />

im kontraqtze xelmoweris uflebamosileba, romelic<br />

iTvaliswinebda 24000 m 2 miwis farTobis SeZenas, sai -<br />

danac 7900 m 2 gamiznuli iyo samSenablo samuSaoebisaTvis.<br />

kontraqti xelmoweril iqna 1991 wlis 14<br />

dekembers. 1992 wlis 27 noembers sabWos wevrebisa<br />

da damfuZnebelTa ramodenime warmomadgenlis TandaswrebiT<br />

me da arCeulma prezidentma (Fhilip Pool-Wilson)<br />

evropis gulis saxlis saZirkvelSi CavdeT<br />

pirveli qva. samSeneblo samuSaoebi daiwyo 1992 wlis<br />

dekemberSi. Senobis arqiteqtorebi da mSeneblebi<br />

warmoudgenlad swrafad da efeqturad muSaobdnen.<br />

maTi Sromis Sedegad saxlis mSenebloba dasrulda<br />

9 TveSi. evropis gulis saxli sazeimod gaixsna 1993<br />

wlis 31 agvistos, samSabaTs evropis kardiologTa<br />

sazogadoebis kongresis muSaobis periodSi, romelic<br />

mimdinareobda q. nicaSi” (pr<strong>of</strong>. miSel e. bertranis<br />

mogonebidan). swored am wels q.nicaSi evropis kardiologTa<br />

sazogadoebis me-15 kongresze, saqarTvelos<br />

kardiologTa asociacia miRebul iqna evropis<br />

kardiologTa sazogadoebis wevrad.xolo saqarTvelos<br />

delegaciis wevrebi (ix.zemod) momswreni gax -<br />

dnen am RirsSesaniSnavi istoriuli movlenis.<br />

55


evropis kardiologTa sazogadoebis Stab - bina “evropis<br />

gulis saxli” (s<strong>of</strong>ia antipolisi, safrangeTi).<br />

evropis kardiologTa sazogadoebis misia:<br />

gulsisxlZarRvTa daavadebebiT gamowveuli<br />

avadobis (burden) Semcireba evropaSi.<br />

evropis kardiologTa sazogadoeba amJamad aer-<br />

Tianebs 62 aTasze met pr<strong>of</strong>essional kardiologs<br />

evropisa da xmelTaSua zRvis regionidan. evropis<br />

kardiologTa sazogadoebis SemadgenlobaSi Sedis:<br />

5 asociacia<br />

5 sabWo<br />

19 samuSao jgufi<br />

56


53 erovnuli sazogadoeba<br />

maRalkvalificiuri pr<strong>of</strong>esionalebi da<br />

eqTnebi<br />

evropis kardiologTa sazogadoebasTan mierTebulia<br />

da damyarebuli aqvs kavSiri (affiliated) ms<strong>of</strong>lios<br />

sxvadsxva kontinentis 34 saxelmwifos kardiologTa<br />

sazogadoebas.<br />

evropis kardiologTa sazogadoeba eweva mra -<br />

valferovan samecniero da sagamanaTleblo moRvaweobas,<br />

rogoric aris klinikuri praqtikis<br />

gaidlainebis SemuSaveba da sistemuri ganaxleba,<br />

saswavlo kursebisa da sxvadasxva wamowyebebis organizeba,<br />

specifikur daavadebebTan dakavSirebul<br />

kvlevebis Catareba evropis regionis masStabiT.<br />

evropis kardiologTa sazogadoebis kompetenciaSi<br />

Sedis aRniSnuli sazogadoebis kongresebis organizeba,<br />

romelic warmoadgens yvelaze farTmasStabian<br />

samedicino RonisZiebas evropaSi. amasTan, evropis<br />

kardiologTa sazogadoebis erT-erT sapatio misias<br />

warmoadgens masSi Semaval organizaciebTan erTad<br />

kongresebis Catareba qvespecialobebSi, romlebic<br />

sul ufro mzardi popularobiT sargebloben kardiologTa<br />

Soris.<br />

evropis kardiologTa sazogadoeba aseve amzadebs<br />

da gamoscems kardiologiis sferoSi ms<strong>of</strong>lio<br />

mniSvnelobis mqone 7 wamyvan samedicino Jurnals.<br />

57


evropis kardiologTa sazogadoebis 4 gamoCenili<br />

awgardacvlili prezidenti.<br />

evropis kardiologTa sazogadoebis Jurnalebi<br />

1. European Heart Journal.<br />

2. Cardiovascular Research.<br />

3. Heart Failure.<br />

4. Cardiovascular prevention and Rehabilitation.<br />

5. Europace.<br />

6. Echocardiography.<br />

7. Cardiovascular Nursing.<br />

58


evropis kardiologTa sazogadoebis asociaciebi<br />

1. eqokardiografia.<br />

2. gulis riTmi.<br />

3. gulis naklovaneba.<br />

ESC ASSOCIATION<br />

4. prevencia da reabilitacia.<br />

5. perkutanuli intervencia.<br />

evropis kardiologTa sazogadoebis sabWoebi<br />

ESC COUNCILS<br />

1. fundamentaluri kardiovaskularuli<br />

mecniereba.<br />

2. kardiologiuri praqtika.<br />

3. kardiovaskularuli gamosaxuleba (imaging).<br />

4. kardiovaskularuli avadmy<strong>of</strong>Ta movla.<br />

5. kardiovaskularuli pirveladi samedicino<br />

daxmareba.<br />

59


evropis kardiologTa sazogadoebis samuSao<br />

jgufebi<br />

ESC WORKING GROUPS<br />

1. aTerosklerozi da sisxlZarRvTa biologia.<br />

2. gulis ujredis eleqtr<strong>of</strong>iziologia.<br />

3. gulis ujredis biologia.<br />

4. koronaruli paTfiziologia da mikrocirkulacia.<br />

5. ganviTarebis anatomia da biologia.<br />

6. miokardiumis funqcia.<br />

7. Trombozi.<br />

8. mozrdilTa gulis Tandayolili daavadebebi.<br />

9. hipertenzia da guli.<br />

10. miokardiumis da perikardiumis daavadebebi.<br />

11. periferiuli cirkulacia.<br />

12. pulmonaluri cirkulacia da marjvena<br />

parkuWis funqcia.<br />

13. gulis sarqvelovani daavadebebi.<br />

14. kardiovaskularuli magnituri rezonansi.<br />

15. kardiovaskularuli farmakologia da wamlis<br />

Terapia.<br />

60


16. kompiuteri kardiologiaSi.<br />

17. birTvuli kardiologia da kardiuli kompiuteruli<br />

tomografia.<br />

18. mwvave kardiuli samedicino daxmareba.<br />

19. kardiovaskularuli qirurgia.<br />

sakuTari misiis gansaxorcieleblad evropis kardiologTa<br />

sazogadoebas dasaxuli aqvs 5 grZelvadiani<br />

strategiuli mizani, romlebic gansazRvraven Tu<br />

ra unda miRweul iqnes uaxloes wlebSi ZiriTadi<br />

faseulobebisa da eTikis kodeqsis Sesabamisad.<br />

SemuSavebul iqna Semdegi strategiuli miznebi:<br />

gulsisxlZarRvTa daavadebebis prevencia,<br />

drouli gamovlena da marTva.<br />

gulsisxlZarRvTa daavadebebis Sesaxeb codnis<br />

sruly<strong>of</strong>a da gavrceleba.<br />

gulsisxlZarRvTa medicinis sferoSi liderobis<br />

uzrunvely<strong>of</strong>a evropis regionSi da mis<br />

farglebs gareT.<br />

evropis kardiologTa sazogadoebis wevrTa<br />

CarTulobis gazrda.<br />

sazogadoebis resursebis optimizacia.<br />

evropis kardiologTa sazogadoebis marTvas axorciel;ebs<br />

sabWo (The ESC Bord). igi Sedgeba luw wlebSi<br />

61


Catarebul generalur asambleebze arCeuli xmis<br />

uflebis mqone wevrebisa da sabWos mier daniSnuli,<br />

xmis uflebis aramqone y<strong>of</strong>ili <strong>of</strong>icialuri wevrebisgan.<br />

specifikuri amocanebis Sesasruleblad evropis<br />

kardiologTa sazogadoebis sabWos SeuZlia Camoa -<br />

yalibos komitetebi. TviTeul komitets gaaCnia mudmivmomqmedi<br />

instruqciebi, romlebic gansazRvraven<br />

misi funqcionirebis farglebs, valdebulebebs, uflebamosilebebs,<br />

komitetis struqturas, wevrebTan<br />

dakavSirebul sakiTxebs, wevrebis SerCevis pirobebs<br />

da sxva iseT sakiTxebs romlebsac gansazRvravs da<br />

amtkicebs sabWo.<br />

evropis kardiologTa sazogadoebis wevroba<br />

ESC MEMBERSHIP<br />

evropis kardiologTa sazogadoebaSi gawevrianebis<br />

sxvadasxva gza arsebobs, es SesaZlebelia rogorc<br />

kardiologTa erovnuli asociaciebis<br />

meSveobiT, aseve evropis kardiologTa sazogadoebis<br />

sxvadasxva struqturebSi gaerTianebis gziTac.<br />

evropis kardiologTa sazogadoebis wevrs SeuZ -<br />

lia isargeblos Semdegi SeRavaTebiT:<br />

fasdaklebiT evropis kardiologTa sazogadoebis<br />

saswavlo produqciaze.<br />

62


xelmoweris specialuri pirobebiT evropis kardiologTa<br />

sazogadoebis yvela Jurnalze.<br />

miiRos yvela saxis informacia kongresTan<br />

dakavSirebiT.<br />

miiRos yvela saxis informacia saswavlo programebTan<br />

dakavSirebiT.<br />

ufasod miiRos evropis kardiologTa sazogadoebis<br />

kongresTan dakavSirebiT mcireformatiani<br />

(“jibis”) gaidlainebis uaxloesi versia.<br />

miiRos evropis kardiologTa sazogadoebis<br />

wevrobis personaluri baraTi.<br />

evropis kardiologTa sazogadoebis wevrobis<br />

baraTi<br />

European Membership Card<br />

“evropis kardiologTa sazogadoebis wevrobis<br />

baraTi” warmoadgens evropis kardiologTa sazogadoebisa<br />

da misi erovnuli sazogadoebebis erTobliv<br />

proeqts. am proeqtis farglebSi ganxorcielebulma<br />

teqnikurma TanamSromlobam ganapiroba erTis mxriv<br />

erovnul sazogadoebebTan monacemTa gacvlis procesis<br />

gaumjobeseba da standartizacia, xolo meores<br />

mxriv gaamartiva erovnul sazogadoebebSi gaer-<br />

Tianebul pirTa evropis kardiologTa sazogadoebis<br />

wevrebad identificirebisa da registraciis<br />

procesi.<br />

baraTze warmodgenilia evropis kardiologTa<br />

63


sazogadoebisa da Sesabamisi erovnuli sazogadoebis<br />

logoebi. personalur baraTze aseve mocemulia misi<br />

mflobelis saxeli da gvari da evropis kardiologTa<br />

sazogadoebisa da Sesabamisi erovnuli<br />

sazogadoebis saidentifikacio nomrebi. ufro metic,<br />

Strix-kodis meSveobiT baraTi iZleva misi mflobelis<br />

momentalurad identificirebis SesaZleblobas<br />

da ukve gamoiyeneba rig qveynebSi<br />

konferenciebze an sxva RonisZiebebze registraciis<br />

daCqarebis mizniT. garda amisa baraTi SeiZleba<br />

gamoyenebul iqnes evropis farglebSi uwyveti same -<br />

dicini ganaTlebis sistemaSi an momsaxureobis im<br />

nebismier sferoSi, romelic moiTxovs pirovnebis<br />

identificirebas. evropis kardiologTa sazogadoebis<br />

wevrobis baraTi saqarTvelos kardiologTa<br />

sazogadoebis wevrebze gaicema 2004 wlidan,<br />

romelzedac Cveni sazogadoebis saxeli qarTuli<br />

SriftiT aris aRniSnuli.<br />

evropis kardiologTa sazogadoebis sapatio<br />

wevroba<br />

FESC – FELLOW EUROPEAN SOCIETY OF CARDIOLOGY<br />

evropis kardiologTa sazogadoebis sapatio<br />

wevroba (FESC) ufro mzardi reputaciiT sargeblobs<br />

kardiologTa Soris. evropis kardiologTa sazogadoebis<br />

sapatio wevrebi arian gamoCenili kardiologebi.<br />

isini ganekuTvnebian kardiologTa elitarul<br />

fenas, xels uwyoben mis ganviTarebas da warmoadgenen<br />

samedicino sazogadoebis am nawilis saxes. kolegebis<br />

es jgufi, romelic amJamad aerTianebs 3 580 eqim<br />

kardiologs da eqTans ms<strong>of</strong>lios masStabiT qmnis<br />

maRalefeqtur qsels.<br />

64


evropis kardiologTa sazogadoebis sapatio<br />

wevroba(Fellowship) Seiqmna 1988 wels. misi ZiriTadi<br />

mizania uzrunvelyos erTis mxriv, evropis kardiologTa<br />

sazogadoeba arsebuli pr<strong>of</strong>esiuli donis<br />

SenarCunebisa da ganviTarebis saSualebebiT, xolo<br />

meores mxriv moaxdinos evropiuli sazogadoebebis<br />

ufro maRali xarisxiT integrireba saerTo evropul<br />

konteqstSi. sapatio wevrs unda gaaCndes kardiologiis<br />

sferoSi pr<strong>of</strong>esiuli saqmianobis mravalwliani<br />

gamocdileba da mniSvnelovani piradi<br />

miRwevebi kardiologiis klinikur, saganmanaTleblo,<br />

samecniero- saorganizacio an pr<strong>of</strong>esiul aspeqtebSi.<br />

evropis kardiologTa sazogadoebis saswavlo da<br />

samecniero grantebi<br />

ESC TRAINING AND RESEARCH GRANTS<br />

evropis kardiologTa sazogadoebis samecniero<br />

grantebi.<br />

am kategoriis granti gaicema (36 wlamde asakis)<br />

umaRlesi samedicimo ganaTlebis mqone pirebze,<br />

maTi karieruli zrdis nebismier etapze, magram<br />

manamde vidre isini daikaveben iseT Tanamdebobebs,<br />

rogoric aris “xelmZRvaneli”, “konsultanti”<br />

an Cairicxebian ZiriTad samuSao StatSi,<br />

aseTi grantebi aseve gaicema mecnier TanamSromlebze,<br />

romlebsac gaaCniaT kvleviTi muSaobis<br />

gamocdileba umcrosi mecnieri muSakis, docentis,<br />

pr<strong>of</strong>esor asistentis dargSi, an maTTan<br />

gaTanabrebul Tanamdebobebze da romelTa<br />

65


samuSaoc dakavSirebulia an ukavSirdeba gulsisxlZarRvTa<br />

medicinis sferoSi mimdinare<br />

samecniero kvlevebs.<br />

evropis kardiologTa sazogadoebis klinikuri<br />

swavlebis grantebi.<br />

am kategoriis granti gaicema (36 wlamde asakis)<br />

axalgazrda kardiologebze, romelTac surT<br />

klinikebSi Tanamedrove kardiologiuri kvlevis<br />

meTodebis Seswavla da sruly<strong>of</strong>a, gansa -<br />

kuTrebioT im SemTxvevaSi, Tu calkeuli<br />

meTodikis Seswavla maT mSobliur qveyanaSi<br />

SeuZlebelia.<br />

evropis kardiologTa sazogadoebis grantebi<br />

aTeroTrombozis kvlevis sawarmoeblad.<br />

am kategoriis granti gaicema (36 wlamde asakis)<br />

kardiologebze, romlebsac surT ganaxorcielon<br />

orginaluri sabaziso an gamoyenebiTi<br />

klinikuri kvleva evropis saukeTeso centrebSi<br />

aTerosklerozuli daavadebebis Seswavlis<br />

mizniT.<br />

evropis kardiologTa sazogadoebaSi Semavali<br />

struqturebis grantebi qvespecialobebSi.<br />

samecniero granti eqokardiografiis qvespecialobaSi.<br />

66


evropis eqokardiografiis asociacia Tavazobs<br />

2 samecniero grants.<br />

samecniero granti intervenciul kardiologiis<br />

dargSi. evropis gulsisxlZarRvTa intervenciebis<br />

asociacia gascems erTwlian<br />

saswavlo dasamecniero grantebs.<br />

saswavlo programa eleqtr<strong>of</strong>iziologiaSi.<br />

gulis riTmis darRvevis evropis asociacia<br />

saSvalebas aZlevs eqimebsa da saswavlo centrebs<br />

monawileoba miiRon am programaSi.<br />

gulis ukmarisobis Semswavlel programaSi<br />

monawileobis misaRebad. evropis kardiologTa<br />

sazogadoebis gulis ukmarisobis Semswavleli<br />

asociacia sTavazobs klinikuri da sabaziso<br />

samecniero kvlevebiT dainteresebul pirebs<br />

monawileoba miiRon aRniSnul programaSi.<br />

granti gacnobiTi vizitis gansaxorcieleblad.<br />

aRniSnuli granti gansazRvrulia sabaziso<br />

kvlevebiT dainteresebuli axalgazrda mecnierebisaTvis<br />

da saSualebas aZlevs maT ewvion maspinZel<br />

organizacias da gaecnon mis saqmianobas saswavlo<br />

an samecniero Tanamdebobebis dakavebamde.<br />

momavlis kardiologebi<br />

ESC CARDIOLOGISTS OF TOMORROW<br />

aRniSnuli programa saSualebas iZleva dau -<br />

kavSirdeT sxva axalgazrda Tanatol kardiologebs<br />

evropis sxvadasxva qveynebSi da sistematiurad mivi-<br />

67


RoT uaxlesi informacia kardiologiis sferoSi<br />

mimdinare procesebis Sesaxeb. momavali wamyvani kardiologebisaTvis,<br />

gansakuTrebuli mniSvneloba eni-<br />

Weba pr<strong>of</strong>esiul CarTulobas, rac uzrunvely<strong>of</strong>s<br />

uwyvet ganaTlebasa da kardiologTa sazogadoebis<br />

gaZlierebas. evropis kardiologTa sazogadoeba<br />

qmnis iseT struqturul erTeulebs, rmlebic saWiroa<br />

evropis sxva axalgazrda kardiologebTan kavSirebis<br />

dasamyareblad, rogorc specialistis aRiarebis<br />

uzrunvelsay<strong>of</strong>ad, aseve kolegialuri urTierTdaxmarebis<br />

xelSesawyobad karieraSi warmatebis miRwevis<br />

mizniT. 2011wlidan aRniSnul programaSi Cveni<br />

sazogadoebis 6 axalgazrda wevri CaerTo.<br />

evropis kardiologTa sazogadoebis gaidlainebi<br />

ESC GUIDELINES<br />

evropis kardiologTa sazogadoebis movaleobaa<br />

gulsisxlZarRvTa daavadebebis prevenciisa da mkurnalobis<br />

Sesaxeb codnis gavrcelebis xelSewyoba. am<br />

mizniT klinikuri gaidlainebis komiteti evropis<br />

eqspertTa jgufebs avalebs klinikuri praqti -<br />

kisaTvis gansazRvruli rekomendaciebisa da gaidlainebis<br />

SemuSavebas. aseTi rekomendaciebisa da<br />

gaidlainebis meSveobiT xdeba im sferoebis<br />

gamovlena, sadac specialistebs gaaCniaT saerTo<br />

azri an piriqiT sadac adgili aqvs garkveul Seu-<br />

Tanxmeblobebs. isini uzrunvely<strong>of</strong>en praqtikos<br />

eqimebs saukeTeso gaidliainebiT.<br />

gaidlainebis mizania calkeul klinikur problemasTan<br />

dakavSirebuli yvela im Sesabamisi mec-<br />

68


nieruli mtkicebulebis warmodgena, romelic daexmareba<br />

eqims Seafasos calkeuli diagnostikuri an<br />

samkurnalo proceduris sargebloba da riskebi.<br />

isini unda exmarebodnen specialistebs yoveldRiur<br />

klinikur samedicino praqtikaSi swori gada -<br />

w yvetilebebis miRebaSi.<br />

evropis kardiologTa sazogadoebis gaidlainebi<br />

GUIDELINES PRESENTATION<br />

winagulTa fibrilacia.<br />

mwvave da qronikuli gulis naklovaneba.<br />

filtvis arteriis mwvave embolia.<br />

diabeti, prediabeti da kardiovaskularuli<br />

daavadebebi.<br />

sinkopes diagnostika da marTva.<br />

ST – segmentis elivaciis gareSe mwvave koronaruli<br />

sindromis diagnostika da mkurnanoloba.<br />

hipertr<strong>of</strong>iuli kardiomiopaTia.<br />

infeqciuri endokarditi.<br />

neonataluri kardiogramis interpretacia.<br />

ST – segmentis elivaciiT miokardiumis mwvave<br />

infarqtis marTva.<br />

arteriuli hipertenziis marTva.<br />

69


orsulTa kardiovaskularuli daavadebebis<br />

marTva.<br />

mozrdilTa gulis Tandayolili daavadebebis<br />

marTva.<br />

supraventrikularuli ariTmiebiT pacientebis<br />

marTva.<br />

ventrikularuli ariTmiebiT pacientebis<br />

marTva da uecari sikvdilis prevencia.<br />

stabiluri stenokardiis marTva.<br />

miokardialuri revaskularizacia.<br />

perikardiumis daavadebebi.<br />

perioperatiuli kardialuri samedicino daxmareba.<br />

filtvismieri hipertenzia.<br />

miokardiumis infarqtis universaluri definicia.<br />

antitrombocitaruli saSualebebis gamoyeneba<br />

aTerosklerozuli kardioskleroziT pacientebSi.<br />

gulis sarqvlovani daavadebebi.<br />

zemoT aRniSnuli gaidlainebis umravlesoba<br />

Targmnilia qarTul enaze saqarTvelos kardiologTa<br />

sazogadoebis gaidlainebis komitetis<br />

Tavmjdomaris med.mec.doq. g. aRlaZis mier. mniSvne -<br />

lovani roli qarTul enaze gaidlainebis momzade-<br />

70


aSi da gamocemaSi miuZRviT pr<strong>of</strong>esorebs: b. qobu -<br />

lias, i. jaSs, r. TaTaraZes, v. WumburiZes, n. burkaZes<br />

g. tabiZes, b. winamZRvriSvils, g. abulaZes, z. faRavas,<br />

r. yuraSvils. agreTve jo enis sax. samedicino centris<br />

TanamSromlebs: g. kaWaravas, z. mgalobliSvils,<br />

n. gonjilaSvils da sxv.<br />

gulTan dakavSirebuli kvleva evropaSi<br />

EURO HEART SURVEY<br />

gulTan dakavSirebuli kvlevis Tavdapirveli amocanebi<br />

iyo:<br />

klinikur praqtikaSi gul-sisxlZarRvTa daa -<br />

vadebebis prevenciis, diagnostikisa da mkurnalobis<br />

gaidlainebis Sesrulebis Sefaseba.<br />

imis Sefaseba, Tu ramdenad arian klinikis pacientebi<br />

warmodgenili iseT klinikur kvle -<br />

vebSi, romlebsac xSirad efuZneba gaidlainebi.<br />

imis Sefaseba, axdenen Tu ara zegavlenas<br />

evropis saavadmy<strong>of</strong>oebSi damkvidrebul kli -<br />

nikur praqtikebs Soris arsebuli gansxvavebebi<br />

pacientebis specifikuri jgufebis mkurnalobisas<br />

miRebul sxvadasxva Sedegebze.<br />

programa moicavs gul-sisxlZarRvTa iseTi Ziri-<br />

Tadi daavadebebis kvlevebsa da registrebs, rogoricaa<br />

mwvave koronaruli sindromi, diabeti da guli, gulis<br />

ukmarisoba, stabiluri stenokardia, mozr dil Ta gulis<br />

71


Tandayolili daavadebebi, atrialuri fibrilacia, koronaruli<br />

intervenciebi.<br />

am kvlevebisa da registrirebis meSveobiT miRebuli<br />

iqna mniSvnelovani monacemebi evropis<br />

klinikur praqtikaSi am daavadebebis marTvis Sesaxeb.<br />

aRniSnuli kvlevebis farglebSi Sekrebil iqna 35<br />

qveynis 100.000 pacientis klinikuri monacemebi. gamoqveynda<br />

70 statia, xolo evropis kardiologTa sazogadoebis<br />

kongresebze gakeTda am monacemebis uamravi<br />

prezentacia.<br />

proeqtebi da kvlevebi:<br />

mwvave koronaruli sindromi<br />

mozrdilTa gulis Tandayolili daavadebebi<br />

stenokardia<br />

ariTmiebi<br />

atrialuri fibrilacia<br />

koronaruli intervenciebi<br />

diabeti da guli<br />

gulis ukmarisoba<br />

Eurospire<br />

gulis sarqvlovani daavadebebi<br />

72


2000-2008 w.w. q. Tbilisis rigma wamyvanma klinikebma<br />

m. winamZRvriSvilis sax. kardiologiis insti tuti<br />

(b. qobulia, i. jaSi, z. CafiCaZe, T. simoniSvili, g. tabi -<br />

Ze, g. abulaZe), Terapiis nacinaluri centri (v. WumburiZe,<br />

T. kikaliSvili), gadaudebeli kardiologiis<br />

centri (g. CafiZe, l. rigvava), Tbilisis saxelmwifo<br />

universitetis N 1 klinika (n. emxva ri, r. nafetvariZe),<br />

diabetis centri (r. yuraSvilim, m. xelaSvili) mona -<br />

wileoba miiRes Euro Heart Survey – s kvlevebSi: mwvave<br />

koronaruli sindromi, stenokardia, gulis ukmarisoba,<br />

ariTmiebi, diabeti da guli, riTac garkveuli<br />

wvlili Seitanes evropis masStabiT Catarebuli<br />

zemoT aRniSnul metad mniSvnelovan programaSi,<br />

romelTa Sedegebi sxvadasxva wlebSi (2002-2011 w.w.)<br />

gamoqveynebl iqna inglisur enaze evropis kardiologTa<br />

sazogadoebis JurnalSi “ European Heart Journal”<br />

.<br />

evropis kardiologTa sazogadoebis gamgeoba prezident pr<strong>of</strong>.<br />

f. pul-vilsonis TavmjdomareobiT (birmingemi, inglisi, 1996 w.).<br />

73


ZiriTadi saswavlo gegma<br />

COR CURRICULUM<br />

uwyveti samedicino ganaTlebis sabaziso struqtura<br />

zogadi pr<strong>of</strong>ilis kardiologebisaTvis:<br />

ganaTlebis aspeqtSi evropis kardiologTa sazogadoebis<br />

umTavres amocanas Seadgens ZiriTadi<br />

saswavlo gegmis SemuSaveba. am proeqtis pirvel<br />

etapze gamoica saswavlo programa (Cor Sillabus) 2004<br />

wels. aRniSnuli saswavlo programa moicavs<br />

klinikuri codnis im ZiriTad sakiTxebs, romlebsac<br />

unda flobdes zogadi pr<strong>of</strong>ilis kardiologi. zogadi<br />

pr<strong>of</strong>ilis kardiologebisaTvis SemuSavebuli<br />

ZiriTadi saswavlo gegma (Cor Curriculum) pirvelad<br />

gamoqveynda 2006 wels. igi ufro gavrcelebuli<br />

saxiT aris warmodgenili saswavlo programaSi da<br />

meti detalizaciiT aRwers swavlebis, masalis<br />

aTvisebisa da Sefasebis meTodebs. evropis kardiologTa<br />

sazogadoebis Semadgenel organizaciebTan<br />

konsultaciis Sedegad Seiqmna da 2008 wlidan xelmisawvdomi<br />

gaxda misi ganaxlebuli varianti.<br />

ZiriTadi saswavlo gegmis mizania evropaSi zogadi<br />

pr<strong>of</strong>ilis kardiologebis uwyveti samedicino<br />

ganaTlebis struqturis SemuSaveba. kardiologia, rogorc<br />

medicinis dargi, sistematurad viTardeba,<br />

amitom aucilebelia am cvlilebebis Sesabamisad<br />

sawavlo gegmis sistemuri dazusteba da ganaxleba.<br />

evropis kardiologTa sazogadoeba imedovnebs, rom<br />

aRniSnuli gegmis meore gamocema damatebiT stimuls<br />

miscems sazogadoebis wevrebs da mis Semadgenel organizaciebs,<br />

ganagrZon masze muSaoba da warmoadgi-<br />

74


non sakuTari mosazrebebi da komentarebi, rac xels<br />

Seuwyobs am mniSvnelovani dokumentis Semdgom daxvewas.<br />

akreditacia kardiologiis dargSi<br />

ACCREDITATION IN CARDIOLOGY<br />

kardiologiis dargSi akreditaciis evropis sabWo<br />

(EBAC) Seiqmna evropis kardiologTa sazogadoebisa<br />

da samedicino specialistTa evropis kavSiris iniciativiT.<br />

igi axorcielebs kardiologiis dargSi<br />

uwyveti samedicino ganaTlebis (CME – Continiuing Medi -<br />

cal Education) iseTi saerTaSoriso programebis akre -<br />

ditacias, rogoricaa:<br />

RonisZiebebi<br />

internetze dafuZnebuli kursebi<br />

kompaqturi diskebi (CDROM)<br />

uwyvet samedicino ganaTlebasTan dakavSirebuli<br />

statiebi da teqstebi<br />

akreditaciis evropis sabWom unda moaxdinos kardiologiis<br />

dargSi maRali xarisxis uwyveti samedicino<br />

ganaTlebis stimulireba da koordinireba,<br />

rogorc calkeuli pirebis, aseve dawesebulebebisaTvis,<br />

raTa pacientebi da mTlianad mosaxleoba<br />

uzrunvelyos SeZlebisdagvarad maRali xarisxis<br />

samedicino momsaxureobiT.<br />

kardiologiis dargSi akreditaciis evropis sabWo<br />

sakuTar Tavze iRebs evropaSi kardiologiis sferoSi<br />

75


uwyveti samedicino ganaTlebis ganviTarebis, xelmisawvdomobisa<br />

da maRali xarisxis uzrunvely<strong>of</strong>is pasuxismgeblobas.<br />

sabWo Seiswavlis uwyveti same dicino<br />

ganaTlebis RonisZiebebis samecniero aspeqtebs, romlebsac<br />

amtkicebs kardiologiis dargSi evropis<br />

saukeTeso eqspertebiT dakomleqtebuli damoukidebeli<br />

sabWo. miRebuli akreditacia adasturebs, rom<br />

organizacia, romelic uzrunvely<strong>of</strong>s uwyveti samedicino<br />

ganaTlebas, akmay<strong>of</strong>ilebs kardiologiis<br />

dargSi akreditaciis evropis sabWos mier dadgenil<br />

xarisxis kriteriumebs.<br />

evropis kardiologTa diplomi<br />

DIPLOMA <strong>of</strong> EUROPEAN CARDIOLOGISTS<br />

1999 wlidan evropis kardiologTa diplomiT jildovdeba<br />

is eqimi kardiologi visac gavlili aqvs<br />

saswavlo treiningi kardiologiaSi, romelic akma -<br />

y<strong>of</strong>ilebs evropis sazogadoebis saeqimo direqtivebs (European<br />

Communuty’s “Doctors” Directive, 1993/16/EC).<br />

es wodeba eniWeba eqims romelic Tavis qveyanaSi sertificirebulia<br />

kardiologad. diplomi cnobs rom eqimis<br />

klinikuri gamocdileba (kompetencia) <strong>of</strong>icialurad aris<br />

aRiarebuli zogad kardiologiaSi, ramac unda gaadvilos<br />

kardiologTa Tavisufali gadaadgileba evropis sxva -<br />

dasxva qveynebs Soris da uzrunvelyos pacientTa usa f -<br />

rTxo momsaxureoba.<br />

saqarTveloSi am diplomis mflobelebi arian kardiologebi:<br />

z. yifiani, d. maisuraZe.<br />

76


evropis kardiologTa sazogadoebis eTikis kodeqsi<br />

ESC CODE OF ETHICS<br />

evropis kardiologTa sazogadoebis mizania misi<br />

misiis ganxorcielebisas efuZnebodes gamWvirvalobisa<br />

da demokratiulobis principebs da eTikis umaRles<br />

standartebs.<br />

evropis kardiologTa sazogadoebis eTikis kodeqsi<br />

moicavs Semdeg punqtebs:<br />

evropis kardiologTa sazogadoebis nebay<strong>of</strong>lobiTi<br />

wevrebi da TanamSromlebi valdebulni arian:<br />

iqceodnen Rirseulad da eTikis normebis<br />

dacviT gadaWran personalur da pr<strong>of</strong>esiul<br />

urTierTobebSi warmoqmnili interesTa konfliqtebi.<br />

daicvan evropis kardiologTa sazogadoebis an<br />

misi partniorebisagan miRebuli informaciis<br />

konfidencialuroba, garda im SemTxvevebisa,<br />

rodesac maT eZlevaT am informaciis gamJRav -<br />

nebis uflebamosileba, an amis gakeTebas avaldebulebs<br />

kanoni.<br />

miukerZoebuli urTierTobebi iqonion evropis<br />

kardiologTa sazogadoebis partniorebTan, mimwodeblebTan,<br />

konkurentebTan, nebay<strong>of</strong>lobiT<br />

wevrebTan da TanamSromlebTan.<br />

evropis kardiologTa sazogadoebis wevrebs miawodon<br />

zusti, obieqturi, Sesabamisi, drouli da<br />

gasagebi informacia.<br />

77


ogorc pasuxismgeblobis grZnobiT gamsWva -<br />

lulma partniorebma, aqtiurad Seuwyon xeli<br />

samuSao garemoSi kolegebs Soris eTikuri<br />

qcevebis damkvidrebas.<br />

daicvan sazogadoebis mflobelobaSi my<strong>of</strong>i aqtivebi<br />

da uzrunvelyon maTi saTanado<br />

gamoyeneba.<br />

aRkveTon TaRliToba da miuRebeli qcevebi.<br />

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