An invasive cardiac and open heart surgical programme in Barbados: historical aspects and early results
West Indian med. j
; 45(suppl. 2): 18-9, Apr. 1996.
Article
in English
| MedCarib
| ID: med-4647
Responsible library:
JM3.1
Localization: JM3.1; R18.W4
ABSTRACT
Heart disease represents the leading cause of death in Barbados and the Organization of Eastern Caribbean States (OECS). The North Shore University Hospital, N.Y., through its Lifeline Programme offered the only regular outlet for approximately 450 patients who had cardiac surgery there between 1982 and 1992. A changing US health care policy, however, predicted an end to this programme and in 1989 a decision was made to develop a cardiac catheterisation and an open heart surgical programme at the Queen Elizabeth Hospital (QEH) in Barbados, to serve Barbados and the OECS. This programme was implemented in December 1993 and between then and September 1995, 231 patients, aged two weeks to 75 years, underwent cardiac catheterisation. Of these patients, 186 were suspected of having coronary artery disease (CAD), 21 of having congenital heart disease (CHD) and 24 of having valvular disease. Fifteen patients were from countries other than Barbados, 70 have had open heart surgery (with a surgical mortality of 2.8 percent) and 12 have had closed heart procedures. One hundred and twenty-four (124) trans-oesophageal echocardiograms were done. A successful cardiac surgical programme has been set up at the QEH in Barbados with the cooperation of the Government and the private sector. The results are excellent and the spinoffs to the hospital have been many. In particular, a significant improvement in "critical care". What is more important, however, the programme has been set up at a "low" cost and is cost-effective, saving the country significant foreign exchange. Plans are in place to introduce Interventional Cardiology in the near future (AU)
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Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Cardiovascular Disease
Database:
MedCarib
Main subject:
Cardiac Catheterization
/
Heart Diseases
Type of study:
Prognostic study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Infant, Newborn
Country/Region as subject:
Barbados
/
English Caribbean
Language:
English
Journal:
West Indian med. j
Year:
1996
Document type:
Article
/
Congress and conference