Electrotherapy in Poland
Grzegorz OpolskiNational Consultant in Cardiologyin Cardiology
1st Dept of Cardiology Medical University of Warsaw
69 Pacemakers implantation centres
5
4
32 5
5
14
1
3
2
5
7
1
2
7
3
Number of pacemaker implantations
between 2001-2005 in Poland
13200
1500016300
1807719220
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
2001 2002 2003 2004 2005
Pacemakers
0
2000
4000
6000
8000
10000
12000
14000
16000
2005
new implantations reimplantations
Pacemaker implantations in 2005
New implantations - 409/mln15533
3687
Mode of the implanted pacemakers
in 2005 Percent
VVI 48
AAI 12
DDD/VDD 38
CRT 2
CRT implantations
0
50
100
150
200
250
300
350
2005
first implantation reimplantation
New implantations 9/mln
36
349
32 ICD implantation centres
4
1
32 3
2
6
1
1
1
1
3
1
1
1
2
No of ICD implantations between 2001-2005 in Poland
476 520
1000
1225
1420
0
200
400
600
800
1000
1200
1400
1600
2001 2002 2003 2004 2005
ICD
ICD implantantion in 2005
1124
296
0
200
400
600
800
1000
1200
2005
new implantations reimplantations
New implantations 30/mln
24 ablation centres in Poland
1
1
20 2
2
7
0
1
0
1
2
0
0
1
2
1131
1751
26732155
2614
0
500
1000
1500
2000
2500
3000
2001 2002 2003 2004 2005
ablation
Ablation between 2001-2005 in Poland
69/mln
0
100
200
300
400
500
600
2005
Ablation with CARTO system
527
• X-ray equipment• Electrophysiologic systems• Ablators,other..2003r - 6 centres 2006 - 18 centres2004r - 17 centres 2007 - ?2005r - 20 centres 2008 - ?
18 million PLN 5 million PLN
POLKARD 2003 -2005; 2006-2008 electrocardiotherapy
equipment
POLKARD electrotherapy programs
• registry of electrotherapy procedures (2005)
• cost-effectiveness of ICD implantations (2005)
• cost-effectiveness of CRT therapy (2006)
• cost-effectiveness of ablation in AF (2006)
• electrophysiologists training (2006)