Current uses of ISACS-TC registry in Mostar

Area of Science:

• Public Health
• Cardiology
• Health Policy

Background:

• Cardiovascular disease (CVD) significantly contributes to health inequalities across Europe.
• Bosnia and Herzegovina exhibits a threefold higher in-hospital death rate from acute myocardial infarction (MI) compared to pre-2004 EU member states.
• Mortality disparities also exist between Bosnia and Herzegovina and Central/Eastern European countries that joined the EU in 2004.

Purpose of the Study:

• To investigate the high acute myocardial infarction (MI) death rate in Bosnia and Herzegovina.
• To explore the potential of developing a percutaneous coronary intervention (PCI) network for rapid reperfusion therapy.
• To assess the role of social factors and the need for resource-saving health technology assessment.

Main Methods:

• Comparative analysis of MI mortality rates between Bosnia and Herzegovina and European Union countries.
• Evaluation of the impact of advanced treatment procedures on MI death rates.
• Hypothetical consideration of social factors influencing MI mortality.

Main Results:

• High acute myocardial infarction (MI) death rates in Bosnia and Herzegovina compared to EU countries.
• Limited impact of high-technology treatments on overall MI death rate control.
• Significant potential for improving MI outcomes through a PCI network for rapid reperfusion.

Conclusions:

• A PCI-capable network focused on rapid reperfusion therapy offers substantial potential to reduce MI death rates.
• Social factors may contribute to high MI mortality, but require further investigation and confirmation.
• Bosnia and Herzegovina requires a resource-saving approach to health technology development, necessitating international support.