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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 />
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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 />
78