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Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System
08:01

Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System

Published on: June 11, 2020

Is it possible to distribute a scarce resource equitably? Access to invasive procedures for patients with acute

Phillip Insull1, Ritwik Kejriwal, Hitesh Patel

  • 1Whakatane Hospital, Whakatane.

The New Zealand Medical Journal
|March 7, 2007
PubMed

Insights

Patients with myocardial infarction experienced longer waits for cardiac catheterisation and percutaneous coronary intervention at hospitals without on-site facilities. This highlights disparities in timely cardiac care access for heart attack patients.

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • Timely intervention is crucial for myocardial infarction (MI) patients.
  • Access to on-site cardiac catheterisation facilities impacts treatment delays.

Purpose of the Study:

  • To compare waiting times for inpatient cardiac catheterisation between a hospital with an on-site facility (Auckland City Hospital, ACH) and a referring hospital (North Shore Hospital, NSH).

Main Methods:

  • Retrospective review of inpatient data for patients admitted with MI.
  • Comparison of time to coronary angiography and percutaneous coronary intervention between ACH and NSH.

Main Results:

  • Patients from NSH (without on-site facility) had significantly longer median delays for coronary angiography (6 vs. 3 days) and percutaneous coronary intervention (6 vs. 3 days) compared to ACH patients.
  • Fewer NSH patients received timely procedures within 48 hours of admission (coronary angiography: 11% vs. 36%; percutaneous coronary intervention: 12% vs. 41%).

Conclusions:

  • Inpatients with MI face longer delays for essential cardiac procedures at hospitals lacking on-site invasive facilities.
  • On-site cardiac catheterisation facilities are critical for reducing treatment delays and improving timely care for heart attack patients.
Abstract

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