DIAGNOSTICS OF PREVENTABLE DISEASES IN CARDIOLOGY

A. Pilav, A. Jogunčić
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Abstract

Despite many efforts to diagnose and treat preventable cardiovascular diseases (CVD), more specifically to detect known risk factors, these diseases continue to be the leading cause of morbidity and mortality. Bosnia and Herzegovina belongs among the high-risk countries with standardized death rate (SDR) of 385 per 100 000 inhabitants in 2018. Two leading causes of death are acute myocardial infraction, with rate around 90 deaths per 100 000 inhabitants and stroke with the rate around 80 deaths per 100 000 inhabitants in one year. Both incidents are preventable. Digital interventions are necessary for strengthening of the healthcare system. Benefits of eHealth could be seen in transmission of customized health information for different audiences: transmission of health-event alerts to a specified population group; transmission of health information based on health status or demographics; alerts and reminders to clients; transmission of diagnostic results (or of the availability of results) or even notifications and reminders for appointments, medication adherence, or follow-up services. Successful implementation of digital health requires multidisciplinary approaches, from mass dissemination of recommendations through public health education programs directly in the field, to clinical treatments for patients. All this requires the involvement of numerous actors, from the strategic to the operational level of management within the healthcare system in the country.
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心脏病学中可预防疾病的诊断
尽管在诊断和治疗可预防的心血管疾病(CVD)方面做出了许多努力,更具体地说,是为了检测已知的危险因素,但这些疾病仍然是发病率和死亡率的主要原因。波斯尼亚和黑塞哥维那属于高危国家之一,2018年标准化死亡率为每10万居民385人。两种主要死亡原因是急性心肌梗死,每10万居民中约有90人死亡,以及中风,每10万居民中每年约有80人死亡。这两起事件都是可以避免的。数字干预对于加强卫生保健系统是必要的。电子保健的好处体现在为不同受众传送定制的健康信息:向特定人群传送健康事件警报;根据健康状况或人口统计资料传送健康信息;提醒和提醒客户;传输诊断结果(或结果的可用性),甚至通知和提醒预约、服药或后续服务。数字医疗的成功实施需要多学科的方法,从通过公共卫生教育项目直接在现场大规模传播建议,到对患者的临床治疗。所有这些都需要众多行为者的参与,从战略到该国卫生保健系统管理的业务层面。
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ADULT CONGENITAL HEART DISEASE – NEW GUIDELINES AND CLINICAL CARE PERSPECTIVE UPDATE IN DIAGNOSTICS CARDIOLOGY GENETICS OF CARDIOMYOPATHY DIAGNOSTICS OF PREVENTABLE DISEASES IN CARDIOLOGY
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