PMID- 35792623
OWN - NLM
STAT- MEDLINE
DCOM- 20220708
LR  - 20220716
IS  - 2078-6204 (Electronic)
IS  - 2078-6190 (Print)
IS  - 2078-6190 (Linking)
VI  - 64
IP  - 1
DP  - 2022 Jun 13
TI  - Acute myocardial infarction at a district hospital in KwaZulu-Natal - Management 
      and outcomes.
PG  - e1-e8
LID - 10.4102/safp.v64i1.5463 [doi]
LID - 5463
AB  - BACKGROUND: Acute myocardial infarction (AMI) following ischaemic heart disease 
      (IHD) is associated with increased morbidity and mortality. The condition remains 
      a management challenge in resource-constrained environments. This study analysed 
      the management and outcomes of patients presenting with AMI at a district 
      hospital in KwaZulu-Natal. METHODS: A descriptive study that assessed hospital 
      records of all patients diagnosed with AMI over a 2-year period (01 August 2016 
      to 31 July 2018). Data extracted recorded patient demographics, risk factors, 
      timing of care, therapeutic interventions, follow up with cardiology and 
      mortality of patients. RESULTS: Of the 140 patients who were admitted with AMI, 
      96 hospital records were analysed. The mean (standard deviation [s.d.]) age of 
      patients was 55.8 (+/-12.7) years. Smoking (73.5%) and hypertension (63.3%) were 
      the most prevalent risk factors for patients with ST elevation myocardial 
      infarction (STEMI) in contrast to dyslipidaemia (70.2%) and hypertension (68.1%) 
      in patients with non-ST elevation myocardial infarction (NSTEMI). Almost 49.5% of 
      patients arrived at hospital more than 6 h after symptom onset. Three (12.5%) 
      patients received thrombolytic therapy within the recommended 30-min time frame. 
      The mean triage-to-needle time was 183 min - range (3; 550). Median time to 
      cardiology appointment was 93 days. The in-hospital mortality of 12 deaths 
      considering 140 admissions was 8.6%. CONCLUSION: In a resource-constrained 
      environment with multiple systemic challenges, in-hospital mortality is 
      comparable to that in private sector conditions in South Africa. This entrenches 
      the role of the family physician. There is need for more coordinated systems of 
      care for AMI between district hospitals and tertiary referral centres.
FAU - Badat, Zakariya
AU  - Badat Z
AD  - Department of Family Medicine, College of Health Sciences, University of 
      KwaZulu-Natal, Durban. zitotaws@gmail.com.
FAU - Rangiah, Selvandran
AU  - Rangiah S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220613
PL  - South Africa
TA  - S Afr Fam Pract (2004)
JT  - South African family practice : official journal of the South African Academy of 
      Family Practice/Primary Care
JID - 9701104
SB  - IM
MH  - Adult
MH  - Aged
MH  - Hospitals, District
MH  - Humans
MH  - *Hypertension
MH  - Middle Aged
MH  - *Myocardial Infarction/epidemiology/therapy
MH  - *Non-ST Elevated Myocardial Infarction/therapy
MH  - *ST Elevation Myocardial Infarction/epidemiology/therapy
MH  - South Africa/epidemiology
PMC - PMC9257761
OTO - NOTNLM
OT  - NSTEMI
OT  - STEMI
OT  - acute myocardial infarction
OT  - district hospital
OT  - ischaemic heart disease
OT  - management outcomes
COIS- The authors declare that they have no financial or personal relationships that 
      may have inappropriately influenced them in writing this article.
EDAT- 2022/07/07 06:00
MHDA- 2022/07/09 06:00
PMCR- 2022/06/13
CRDT- 2022/07/06 10:20
PHST- 2021/11/30 00:00 [received]
PHST- 2022/03/01 00:00 [accepted]
PHST- 2022/03/01 00:00 [revised]
PHST- 2022/07/06 10:20 [entrez]
PHST- 2022/07/07 06:00 [pubmed]
PHST- 2022/07/09 06:00 [medline]
PHST- 2022/06/13 00:00 [pmc-release]
AID - SAFP-64-5463 [pii]
AID - 10.4102/safp.v64i1.5463 [doi]
PST - epublish
SO  - S Afr Fam Pract (2004). 2022 Jun 13;64(1):e1-e8. doi: 10.4102/safp.v64i1.5463.