Profile and management of acute coronary syndromes at primary- and secondary-level healthcare facilities in Cape Town
| Autor: | Uys, F, Lamprecht, M, LamVallieprecht, Y, Millar, RS, Viljoen, CA, Beeton, AT, van der Walt, S, Verryn, M, Stokes, D |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Referral medicine.medical_treatment Myocardial Infarction South Africa Health care medicine Humans Myocardial infarction Acute Coronary Syndrome Non-ST Elevated Myocardial Infarction Retrospective Studies Unstable angina business.industry Cardiovascular Topics Retrospective cohort study General Medicine Thrombolysis medicine.disease Cohort Emergency medicine ST Elevation Myocardial Infarction Cardiology and Cardiovascular Medicine business Delivery of Health Care |
| Zdroj: | Cardiovasc J Afr |
| Popis: | Background Little is known about the clinical profile and management of patients with acute coronary syndromes (ACS) in the South African public sector. Methods We conducted a retrospective study of patients presenting with ACS to a secondary-level healthcare facility in Cape Town during a one-year period to study the clinical profile and management of these patients. Results Among the 214 patients in this cohort, 48 (27.5%) had ST-segment elevation myocardial infarction (STEMI), 43 (24.7%) had non-ST-segment elevation myocardial infarction and 83 (47.7%) unstable angina pectoris. We identified high rates of >12-hour delays in first medical contact after symptom onset (46%) and inaccurate ECG diagnosis of STEMI (29.2%), which were associated with low rates of thrombolysis (39.6%). High rates of non-adherence and ACS recurrence were also observed. Conclusion To address the local challenges in ACS management highlighted in this study, we propose the development of a regional referral network prioritising access to expedited care and primary reperfusion interventions in ACS. |
| Databáze: | OpenAIRE |
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