Almas Tanatorovich Begdildayev, Deputy Head, Master’s Degree, major – chronic cardiac failures, left ventricular assist devices (LVAD), donor heart sampling and preparation for transplantation. In 2003-2009, he was a student of medical faculty at Karaganda State Medical Academy. In 2009-2010, Mr. Begdildayev successfully passed internship at KSMA. Since 2012, he has been working as a cardiologist in the Scientific and Clinical Centre for Cardiac Surgery and Transplantology. In 2016, he passed the on-the-job training in heart transplantation at the Republican Scientific and Practical Centre of Cardiology in the Republic of Belarus. In 2017, he gained the master’s degree at H.A.Yasawi International Kazakh-Turkish University. In 2018, Mr. Begdildayev passed the on-the-job training in left ventricle implantation at EGE University, Izmir, Turkey. He published 5 research papers.

The Cardiology Department is one of the most prestigious centres in Kazakhstan due to experienced and professional doctors who successfully apply all laboratory and instrumental practices in cardiology. The Department provides the population with specialised and highly specialised medical treatment and diagnostics in the field of cardiology.

Major objectives of the Department include:

· improvement and implementation of new state-of-the-art innovation treatment methods;

· communications and continuity with other medical diagnostics divisions of healthcare organizations.

The Department functions include:

· taking part in research and development, collection of clinical and research data to develop new specialised and highly qualified medical support methods;

· coordination of liaison between the Department and other structural divisions of the Centre;

· performance of other functions included into the Department competence;

· implementation and development of national and international standards.

The Centre is also a main facilitator and curator in the field of chronical heart disorders in Zhambyl Region.

Under the 2019-2024 Road Map for Zhambyl Region, Exhibit No 23, health organizations initiated diagnostics of chronic heart failures (CHF) at various stages and preventive measures for CHF. A total of 48,000 patients suffering CHF at various stages were examined in Zhambyl Region and the treatment plan for various illness/disorder stages was elaborated:

Monitoring of patients with high risk of chronic heart failures if there are no structural heart changes and/or chronic heart failure symptoms (stage A) and co-structural (organic) heart changes (without CHF symptoms (stage B) at the out-patient treatment stage.

Monitoring of patients with heart disorders with current structural (organic/morphological) changes (stage C) or symptoms specified in the medical history. Patients with refractory chronic heart failures that require special interventions (interventions, surgical treatment – LVAD implantation, heart transplantation) (stage D) are examined by our cardiologists at the out-patient and in-patient stages at the Scientific and Clinical Centre for Cardiac Surgery and Transplantology.

A special services to identify CHF and create the unified patient database in Kazakhstan were created in the region.

Our centre is the second largest centre in Kazakhstan after the National Scientific Cardiac Surgery Centre in Nur-Sultan in terms of implantation of the left ventricular assist device (LVAD). In 2018, the first left ventricular assist device implantation was performed in Zhambyl Region with the assistance of colleagues from EGE University in Izmir, Turkey. Two surgeries were performed in 2020 in association with the National Scientific Cardiac Surgery Centre in Nur-Sultan. In 2021, six surgeries were performed by the Centre. Eight surgeries per year are planned for 2022, 5 of them have already been performed. Total number of 14 left ventricular assist devices have been implanted since 2018. At the start of 2022, the team of doctors from Kyrgyzstan attended the LVAD training in our Centre.

Highly skilled professionals specializing in various cardiology fields work in the Department:

Zhuldyz Kanatovna Nigmetova, first category cardiologist, specialist in the field of acute coronary syndrome. In 2006-2012, she studied at S.D. Asfendiyarov Kazakh National Medical University. Faculty: medical treatment; 2012-2013 – internship, S.D. Asfendiyarov Kazakh National Medical University. Discipline: GP; In 2013, she gained the initial cardiology specialisation: Kazakh Research Institute of Cardiology and Internal Diseases in Almaty. In 2014, Mrs. Nigmetova attended trainings in South Korea, Bucheon. She published 2 research papers.

-Yelizaveta Altynbekovna Duyssenbyeva, first category cardiologist, cardiac rehabilitation specialist. Work experience: 10 years. IKTU, medical faculty, 2005-2011. Internship from 2011 to 2012 at H.A.Yasawi IKTU, Turkestan, general practitioner. Resident from 2012 to 2015 at the National Scientific Cardiac Surgery Centre in Nur-Sultan, discipline: cardiology, including children practice. Mrs. Duyssenbyeva has been employed as a cardiologist by the Scientific and Clinical Centre for Cardiac Surgery and Transplantology since 2015.

-Madina Abdrassilovna Akilova, first category cardiologist, arterial hypertension specialist. In 2006-2012, she graduated from Kazakhstan-Russian Medical University, department: Paediatric Care; 2012 -2013- internship; Kazakhstan-Russian Medical University. Discipline: general practitioner; initial specialisation in cardiology in 2013: Almaty State Doctor Skills Upgrade Institute. Cardiology (adults and children), including intervention cardiology

– Zhanerke Argynbayevna Bekbossynova, first category cardiologist, selection of patients with biventricular disorders for left ventricular assist device implantation. Traineeship: 2018, Russia, Novosibirsk.

Yelizaveta Altynbekovna Duyssenbiyeva, DOB 14th April 1988, 1st category cardiologist. Work experience: 10 years, Education: internship at H.A.Yasawi IKTU, Turkestan. Discipline: general practitioner, 2011-2012 - medical treatment.

The Cardiology Department provides the following services on a daily basis:

· - examination and treatment of patients with chronic heart failures

· - treatment of patients with acute myocardial infarction, progressive angina pectoris, including emergency coronarography, angioplasty and coronary artery stenting

· - preparation for endovascular surgery intervention: angioplasty and coronary artery stenting

· - preparation of patients for coronary artery bypass graft surgery

· - preparation of patients for auxiliary blood circulation device implantation (LVAD, ICD, CRT-D)

· - diagnostics, examination and treatment of patients with hypertension, symptomatic arterial hypertension

· - examination and treatment of patients with various heart rhythm disorders, including emergency or routine rhythm restoration

· - examination and treatment of patients with chronic heart failures

· - examination and treatment of patients with heart disorders, preparation for surgery treatment

· - examination and treatment of patients with endocardial, myocardial, pericardiac illnesses and cardiomyopathies

The Department is also involved in the R&D activities.

The Department provides emergency care 24/7 to patients with acute coronary syndrome, coronary interventions, emergency myocardial revascularization, emergency and routine coronary artery bypass graft surgeries.