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Review Article

Acta Inform Med. 2010; 18(3): 151-156

Bosnia and Herzegovina Version of Heartscore® Programme: Easy to Run and User Friendly

Mirza Dilic, Dario Mott, Dusko Vulic.

In Bosnia and Herzegovina we have burden of cardiovascular diseases (CVD) with higher rate of morbidity and mortality than in the countries of EU zone or broader Europe and CVD are still the major cause of death, morbidity, mortality and loss of quality of life. Burden of CVD 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 is introduced to estimate the overall risk of cardiovascular death for a period of 10 years, based on 5 variables: age, sex, smoking, systolic blood pressure and cholesterol level or total cholesterol/ HDL ratio. This is of particular importance in predicting cardiovascular outcomes where misjudgments may have fatal consequences. Program is practical to use, takes account of the multifactorial nature of CVD, estimates risk of all atherosclerotic CVD, not just coronary heart disease, shows how risk increase with age, allows flexibility in management – if an ideal risk factor level cannot be achieved. The program offers its own database for each patient and also printing advices for reducing risk factors. HeartScore is tailored to patients, the system provides a graphical representation of the absolute risk of CVD. 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 laptops, and suitable for community nursing service as well.

Key words: cardiovascular morbidity and mortality, HeartScore web based program, Bosnia and Herzegovina

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