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)