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Primary percutaneous coronary interventions network in Bosnia and Herzegovina--Sarajevo's proposal
Mehmed Kulic1, Anes Sosevic, A Tahirovic
1Heart Center, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Hercegovina. kulicm@gmail.com
Insights
Timely reperfusion therapy significantly improves outcomes for acute coronary syndrome patients. Establishing a primary percutaneous coronary intervention (PCI) network in Bosnia and Herzegovina is crucial for better patient care and reduced mortality.
Area of Science:
- Cardiology
- Interventional Cardiology
- Public Health
Background:
- Reperfusion therapy is critical for acute coronary syndrome (ACS) management.
- Timely initiation of reperfusion therapy positively impacts hospitalization duration, readmission rates, reinfarction risk, and mortality.
- Current reperfusion strategies include thrombolysis and primary percutaneous coronary intervention (PCI).
Purpose of the Study:
- To compare primary PCI practices in established networks (Czech Republic, Austria, Croatia, Serbia) with the current situation in Bosnia and Herzegovina.
- To outline the most efficient strategy for establishing a primary PCI network in Bosnia and Herzegovina.
- To facilitate Bosnia and Herzegovina's participation in the 'Stent for Life' initiative.
Main Methods:
- Comparative analysis of daily practices in four European countries with established primary PCI networks.
- Assessment of the current state of reperfusion therapy in Bosnia and Herzegovina.
- Development of a streamlined approach for primary PCI network implementation.
Main Results:
- Primary PCI is the preferred reperfusion strategy when available promptly in experienced centers, especially for high-risk patients.
- Established primary PCI networks in comparable countries demonstrate efficient implementation and positive patient outcomes.
- Bosnia and Herzegovina faces challenges in widespread primary PCI access compared to established networks.
Conclusions:
- Establishing a robust primary PCI network in Bosnia and Herzegovina is feasible and essential for improving ACS patient outcomes.
- A collaborative approach is recommended to expedite the development of primary PCI services.
- Implementing primary PCI networks aligns with international initiatives like 'Stent for Life', enhancing cardiovascular care standards.
Abstract:
Reperfusion therapy is the most useful part of the treatment for patients suffering from an acute coronary syndrome. Start time of reperfusion therapy is an important factor which influenced positively on the number of days of hospitalization, and readmission, the risk of reinfarction, as well as both, short and long-term mortality. Today, several models of reperfusion therapy are available: thrombolytic treatment (pre-hospital or in-hospital setting), primary percutaneous coronary intervention (primary PCI or pPCI) or a combination of both. pPCI is preferred, as soon as possible, in centers with experienced teams, especially for patients in shock, or those with contraindicated fibrinolytic therapies. We will compared, very shortly, the daily practices in 4 countries (Czech Republic, Austria, Croatia, Serbia ), where (well) developed primary PCI hospital networks works efficiently for a years, with the current situation in Bosnia and Herzegovina. Our goal is to describe the easiest and quickest way of establishing the primary PCI network in Bosnia and Herzegovina. By combining the efforts of both Entities of Bosnia and Herzegovina will be possible in the forthcoming period, that B&H becomes a participant in the Stent for life initiative.
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