Cardiac care in the former Dutch Antilles
From a conservative to an invasive approach
Demographic characteristics in the Netherlands Antilles are similar to those in the Northeastern part of The Netherlands. The presence of multiple risk factors such as overweight, smoking, diabetes, hypertension and hypercholesterolemia are associated with low socio-economic status and related to a high incidence and prevalence of coronary artery disease, morbidity and mortality. Therefore, an invasive program was initiated in Drenthe in 2009.
In the Netherlands access to invasive cardiac care (percutaneous coronary intervention, PCI) was optimized from 2005 to improve service delivery in acute coronary syndrome especially for subjects with an acute ST segment elevation myocardial infarction (STEMI). Reorganization of service delivery was guided by guidelines created by the Netherlands society of cardiology and controlled by the supervisory board of health care.
Considering Dutch operational guidelines it was impossible to initiate a similar invasive cardiac care system in the Dutch Antilles. Yet, several skilled Antillean pioneers succeeded to initiate PCI programs
in Curacao and Aruba.
Still, these programs are challenging because of the relative low adherence per PCI center, the absence of surgical backup on location or easy accessibility. The limited resources and sometimes just in time management of materials for daily use make it a challenging event for both doctors, nurses and the unaware patients.
This meeting will give insight into the results of these programs and will facilitate collaboration between the leeward and windward islands of the Netherlands Antilles. Participants within the entire chain of survival (general practitioners, policy makers, ambulance personnel, cardiac surgeons, cardiologists, intensivists, nurses and cardiac revalidation experts) for the cardiac patient will contribute to the discussion to further improve service delivery.
We hope to meet you at this interesting conference.
Arthur Liqui Lung and Gillian Jessurun
Sharing knowledge, experience and practice in cardiovascular disease.
NVVC = Nederlandse Vereniging voor Cardiologen
VSR = Specialized Registered Nurse
SBHFL = Stichting Beroepsopleiding Hartfunctie Laboranten
CAN = Commissie Accreditering Nascholing
Target groups: Cath lab personnel, Function department personnel, Emergency department personnel, CCU and ICU nurses, General practitioners, Cardiologists, Internist and each stake holder in Cardiovascular care
|18:30||-||18:35||Welcome and Chair||Drs. A. Liqui Lung and|
|dr. G. Jessurun, MBA|
|18:35||-||18:45||Opening by Minisiter of health||Mrs. Mr. S. Camelia-Romer|
|18:45||-||19:00||Coronary artery disease in the|
|-||Dutch Antilles||Drs. J. Romer|
|19:00||-||19:15||Current ambulance service||Mrs. B. Sluis|
|19:15||-||19:30||Q & A|
|experiences with PCI in Aruba||Drs. C. Lacle|
|20:10||-||20:35||Invasive cardiac care in Curacao||Drs. J. Navarro|
|20:35||-||21:00||Dual anti-platelet therapy: short|
|vs long, once versus twice a day||Drs. A. Liqui Lung|
|21:00||-||21:30||Heart failure and device therapy||Drs. I Biggelaar /|
|21:30||-||21:55||Outpatient cardiac rehabilitation in|
|Curacao: it’s growing importance||Drs. J. Hol|
|21:55||-||22:10||Q & A|
|Drs. G. Melwani||General Practitioner|
|Drs. J. Koeijers||Intensivist|
|Drs. J. Ellis||Cardiologist|
|Drs. L. Ponte||EHBO|
|Drs. G. Martina||HNO|
|Drs. A. Casperson||SEHOS|
|Drs. F. Simon||SVB|
|Mw. Mr. S. Camelia-Romer||Minister of health|