Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993

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dc.contributor.advisorCommerford, Patrick Jen_ZA
dc.contributor.authorOkreglicki, Andrzej Michaelen_ZA
dc.date.accessioned2018-01-25T13:55:11Z
dc.date.available2018-01-25T13:55:11Z
dc.date.issued1996en_ZA
dc.description.abstractNon-Q Myocardial Infarction (NQMI) is considered to be an unstable condition with increased risk of recurrent infarction. Thus aggressive approaches in management have been recommended. However, there is no firm evidence that this strategy influences the course of NQMI patients favourably. To determine the experience at Groote Schuur Hospital all patients admitted to CCU from 1990 to 1993 with NQMI were analysed retrospectively especially with regard to management and outcome. One-hundred and eighty-one patients were admitted with NQMI. Seventy-eight percent (141) remained cardiovascularly stable in the early period after the index event; 51% (93) underwent cardiac catheterisation during that hospital admission and revascularization was performed in 29% (52). There were 2 deaths during the initial hospital admission, both after surgical revascularisation. At one year the cardiac mortality was 7%. There were 23 cardiac deaths in all. Early readmission for symptomatic recurrence of ischaemia was identified as a risk factor (p=0.004). By one year 51% of patients had developed recurrence of symptomatic ischaemia, the majority (62%) in the first 3 months after the primary admission. There was a significantly reduced recurrence in those patients managed actively (i.e. cardiac catheterisation with/without revascularization) as compared to those treated conservatively (p=0.001).en_ZA
dc.identifier.apacitationOkreglicki, A. M. (1996). <i>Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology. Retrieved from http://hdl.handle.net/11427/26980en_ZA
dc.identifier.chicagocitationOkreglicki, Andrzej Michael. <i>"Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology, 1996. http://hdl.handle.net/11427/26980en_ZA
dc.identifier.citationOkreglicki, A. 1996. Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Okreglicki, Andrzej Michael AB - Non-Q Myocardial Infarction (NQMI) is considered to be an unstable condition with increased risk of recurrent infarction. Thus aggressive approaches in management have been recommended. However, there is no firm evidence that this strategy influences the course of NQMI patients favourably. To determine the experience at Groote Schuur Hospital all patients admitted to CCU from 1990 to 1993 with NQMI were analysed retrospectively especially with regard to management and outcome. One-hundred and eighty-one patients were admitted with NQMI. Seventy-eight percent (141) remained cardiovascularly stable in the early period after the index event; 51% (93) underwent cardiac catheterisation during that hospital admission and revascularization was performed in 29% (52). There were 2 deaths during the initial hospital admission, both after surgical revascularisation. At one year the cardiac mortality was 7%. There were 23 cardiac deaths in all. Early readmission for symptomatic recurrence of ischaemia was identified as a risk factor (p=0.004). By one year 51% of patients had developed recurrence of symptomatic ischaemia, the majority (62%) in the first 3 months after the primary admission. There was a significantly reduced recurrence in those patients managed actively (i.e. cardiac catheterisation with/without revascularization) as compared to those treated conservatively (p=0.001). DA - 1996 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1996 T1 - Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993 TI - Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993 UR - http://hdl.handle.net/11427/26980 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/26980
dc.identifier.vancouvercitationOkreglicki AM. Non-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology, 1996 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/26980en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Cardiologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherMyocardial Infarction - South Africaen_ZA
dc.subject.otherMyocardial Infarction - therapy - South Africaen_ZA
dc.titleNon-Q wave myocardial infarction : Groote Schuur Hospital Coronary Care Unit 1990-1993en_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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