The AEPC in Europe'

1
The AEPC in Europe.

• Dr. András Szatmári
• President AEPC

2
The Rule

• Professional need
• Institutional development
• Political acceptance

3
The Rule
Professional need pediatric cardiology in the
past
4
The Past

• Rheumatic fever was the still the target
• Hardly any possibility for treatment of CHD
• Technology was still missing
• No interventional treatment available until the
  Rashkind procedure(60)
• Surgeons approached CHD differently

5
The Past

• Almost everything, what the paediatric
  cardiologist did was
• pioneering
• AEPC was founded by the pioneers ment, as a
• club of friends

6
The Rule

• Professional need
• Institutional development
• Political acceptance

7
The Rule

• Institutional development
• the past

8
Links in the past
Paediatrics
Cardiology
Paediatric cardiology
AEPC
Heart surgery
9
The Rule

• Professional need
• Institutional development
• Political acceptance

10
The Rule

• Political acceptance ?
• Legal recognition
• Financing
• (unless quality is appropriate and costs are
  reasonably low)

11
The Rule
Professional need pediatric cardiology at present
12
The Present

• Rheumatic fever is almost disappeared in Europe
• Wide range of treatment possibilities for CHD
• Technology is booming, knowledge cummulates
• Specialization interventionalist,
  imaging people, arrhythmologist,
  
• fetal cardiologist etc.
• Surgeons begin to approach CHD as a specialty
• congenital heart surgeon

13
The Present Data

• Numbers / facts
• ( 10 M inhabitants, 100 000 live births / y )
• CHD incidence 1 (900 - 1000 / y)
• 30-40 requires treatment (300 400 / y)
• 50 (!) lt 1 y age (150 -200 /y)
• Multi-stage treatment, redo cummulation
• Still small numbers !!
• Number of cases quality linear correlation

14
The Present
600-700 procedures / y / 10 M inhabitants
15
Surgery vs. catheter intervention
16
Surgery
17
The Present

• complexity of the patients increased
• patients survive and reach adult age
• number of marker cases is still limited
  experience, quality
• Costs increase constantly
• need for improving quality

18
International cooperation
2 hours flight-time
19
The Rule

• Institutional development
• the present

20
Paediatric cardiology at present in Europe
AEPC worldwide is the only continentally (Europe)
organized association for paediatric cardiology.
21
AEPC - professional relations
CESP, EAP
ESC
EAE
Adult cardiology
Peadiatrics
Congenital cardiology
EHRA
GUCH
AEPC
Heart surgery
Intensive anaesthesiology
ECHSA
EACTS
EACTA
STS
22
The institutional representations
EU committee
Council of HC Ministers
UEMS
GPs
surgery
paediatrics
Cardiology Section
CESP, IAP
National societies
AEPC
ESC
23
The Present
AEPC is far more, than a club of friends today !
24
The Future

• To achieve quality, concentration of material
  and human resources are / will be required
• Closer cooperation among the involved
  professionals is / will be obligatory
• Re-arrangement of the professionals will
  occur!!

25
The Future

• Political acceptance
• CIVILIAN INITIATIVE AND SUPPORT ARE NEEDED !

26
Danke !