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波斯尼亚和黑塞哥维那心血管疾病的趋势以及心脏评分项目的前景

Trends in cardiovascular diseases in Bosnia and Herzegovina and perspectives with heartscore programme.

作者信息

Masic Izet, Dilic Mirza, Raljevic Enver, Vulic Dusko, Mott Dario

出版信息

Med Arh. 2010;64(5):260-3. doi: 10.5455/medarh.2010.64.260-263.

Abstract

Cardiovascular diseases are still the major cause of death, morbidity, mortality and loss of quality of life in European countries and worldwide. In Bosnia and Herzegovina we have burden of cardiovascular diseases with higher rate of morbidity and mortality than in the countries of EU zone or broader Europe. The cause of mortality is in close relation to multiple risk factors but also with specific conditions in our country; post war situation, transition and overall economic position. The main mission of European Society of Cardiology is to improve quality of life in the European population by reducing the impact of cardiovascular diseases. HeartScore web based program and PS Standalone program are introduce to assesses the overall risk of cardiovascular death for a period of 10 years, based on variables such as age, sex, smoking, systolic blood pressure and cholesterol levels in the blood, or total cholesterol/HDL ratio. Standalone PS HeartScore is practical to use, requires no permanent internet connection, the system offers its own database for each patient and the print version of the guidelines to reduce risk factors, based on evidence based medicine Program is tailored to patients, the system provides a graphical representation of the absolute risk of CVD, a version for our country is developed on the principle of high-risk populations and is available in the languages of the peoples of Bosnia and Herzegovina. Program is available for all types of medical practice which is equipped with computers, the laptop, and suitable for community nursing service as well.

摘要

心血管疾病仍是欧洲国家乃至全球范围内导致死亡、发病、致残以及生活质量下降的主要原因。在波斯尼亚和黑塞哥维那,我们面临着心血管疾病的负担,其发病率和死亡率高于欧盟区或更广泛欧洲地区的国家。死亡原因与多种风险因素密切相关,同时也与我国的特定情况有关,比如战后局势、转型以及整体经济状况。欧洲心脏病学会的主要使命是通过减轻心血管疾病的影响来提高欧洲人口的生活质量。基于网络的HeartScore程序和独立的PS程序被引入,用于根据年龄、性别、吸烟状况、收缩压、血液中的胆固醇水平或总胆固醇/高密度脂蛋白比值等变量,评估10年内心血管死亡的总体风险。独立的PS HeartScore实用且无需永久网络连接,该系统为每位患者提供自己的数据库,并提供基于循证医学的降低风险因素指南的印刷版本。该程序是为患者量身定制的,系统提供心血管疾病绝对风险的图形表示,我国版本是根据高危人群原则开发的,并且有波斯尼亚和黑塞哥维那各民族语言的版本。该程序适用于所有配备计算机、笔记本电脑的各类医疗实践,也适用于社区护理服务。

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