Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country
| dc.contributor.advisor | Van Der Schyff, Nasief | |
| dc.contributor.advisor | Engel, Mark | |
| dc.contributor.author | Govender, Kamini | |
| dc.date.accessioned | 2025-11-21T13:03:48Z | |
| dc.date.available | 2025-11-21T13:03:48Z | |
| dc.date.issued | 2025 | |
| dc.date.updated | 2025-11-21T13:00:19Z | |
| dc.description.abstract | Background: Acute coronary syndrome (ACS) has become a leading cause of death in low-and middle-income countries. There is a lack of data regarding the outcomes of ACS in Africa. This study aims to assess the outcomes of ACS patients admitted to a resource-limited district hospital in Cape Town, South Africa. Methods: We conducted a retrospective observational study of patients admitted with ACS to the Department of Medicine at Victoria Hospital, Cape Town, from the 1 st September 2020 to 30 November 2020. Results: Eighty eight patients with a diagnosis of ACS was admitted, of who 52 had NSTEMI/UAP and 36 patients had STEMI. The median age was 60 years, with a male predominance of 61.36%. The major risk factors for CAD were hypertension and smoking. The overall 1-month, 6-month, and 12-month mortality rates for our cohort were 4%, 17%, and 19%, respectively. Patients that received coronary intervention (thrombolytics/PCI/CABG) had better outcomes than in those who were managed conservatively. Conclusion: This study describes the experience of ACS management in a resource-limited public hospital in Cape Town, South Africa. Our patients had multiple cardiovascular risk factors with a higher mortality than published data. The lack of receiving coronary intervention was associated with worse outcomes. | |
| dc.identifier.apacitation | Govender, K. (2025). <i>Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Medicine. Retrieved from http://hdl.handle.net/11427/42299 | en_ZA |
| dc.identifier.chicagocitation | Govender, Kamini. <i>"Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2025. http://hdl.handle.net/11427/42299 | en_ZA |
| dc.identifier.citation | Govender, K. 2025. Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country. . University of Cape Town ,Faculty of Health Sciences ,Department of Medicine. http://hdl.handle.net/11427/42299 | en_ZA |
| dc.identifier.ris | TY - Thesis / Dissertation AU - Govender, Kamini AB - Background: Acute coronary syndrome (ACS) has become a leading cause of death in low-and middle-income countries. There is a lack of data regarding the outcomes of ACS in Africa. This study aims to assess the outcomes of ACS patients admitted to a resource-limited district hospital in Cape Town, South Africa. Methods: We conducted a retrospective observational study of patients admitted with ACS to the Department of Medicine at Victoria Hospital, Cape Town, from the 1 st September 2020 to 30 November 2020. Results: Eighty eight patients with a diagnosis of ACS was admitted, of who 52 had NSTEMI/UAP and 36 patients had STEMI. The median age was 60 years, with a male predominance of 61.36%. The major risk factors for CAD were hypertension and smoking. The overall 1-month, 6-month, and 12-month mortality rates for our cohort were 4%, 17%, and 19%, respectively. Patients that received coronary intervention (thrombolytics/PCI/CABG) had better outcomes than in those who were managed conservatively. Conclusion: This study describes the experience of ACS management in a resource-limited public hospital in Cape Town, South Africa. Our patients had multiple cardiovascular risk factors with a higher mortality than published data. The lack of receiving coronary intervention was associated with worse outcomes. DA - 2025 DB - OpenUCT DP - University of Cape Town KW - acute coronary syndrome KW - outcomes KW - ischemic heart disease KW - mortality KW - MACE LK - https://open.uct.ac.za PB - University of Cape Town PY - 2025 T1 - Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country TI - Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country UR - http://hdl.handle.net/11427/42299 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/42299 | |
| dc.identifier.vancouvercitation | Govender K. Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country. []. University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2025 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/42299 | en_ZA |
| dc.language.iso | en | |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Department of Medicine | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.publisher.institution | University of Cape Town | |
| dc.subject | acute coronary syndrome | |
| dc.subject | outcomes | |
| dc.subject | ischemic heart disease | |
| dc.subject | mortality | |
| dc.subject | MACE | |
| dc.title | Outcomes of patients admitted with acute coronary syndrome to a district level hospital in a lower to middle income country | |
| dc.type | Thesis / Dissertation | |
| dc.type.qualificationlevel | Masters | |
| dc.type.qualificationlevel | MMed |