ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2017
Percutaneous coronary intervention still not accessible for many South Africans.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Acute Coronary Syndromes in Sub-Saharan Africa: A 10-Year Systematic Review.Journal of the American Heart Association · 2022Pooled it
- Low-Dose Alteplase During Primary Percutaneous Coronary Intervention According to Ischemic Time.Journal of the American College of Cardiology · 2020Trial
- Article
- Technical Challenges in Studying Infectious Disease-Associated Pulmonary Hypertension in Low- and Middle-Income Countries with Limited Resources.Infectious disease reports · 2025Review
- Comparative Benefits of Primary Percutaneous Coronary Intervention Versus Onsite Fibrinolytic for Patients With ST-Segment-Elevation Myocardial Infarction: A Quasi-Experimental Study.Journal of the American Heart Association · 2025Article
- Clinical characteristics and outcomes of patients undergoing percutaneous coronary intervention at Gesund Cardiac and Medical Center, Addis Ababa, Ethiopia, 2024.American journal of cardiovascular disease · 2025Article
- Views and perceptions of advanced life support practitioners on initiating, withholding and terminating resuscitation in out-of-hospital cardiac arrest in the Emergency Medical Services of South Africa.Resuscitation plus · 2024Article
- A resuscitation systems analysis for South Africa: A narrative review.Resuscitation plus · 2024Review
- Adapting an Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Co-Design of the MIMIC Intervention.Annals of global health · 2024Article
- A 12-month retrospective descriptive analysis of a single helicopter emergency medical service operator in four South African provinces.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- In-Hospital Mortality Outcomes of ST-Segment Elevation Myocardial Infarction: A Cross-Sectional Study from a Tertiary Academic Hospital in Johannesburg, South Africa.Journal of cardiovascular development and disease · 2023Article
- Assessing the condition of percutaneous coronary intervention services in Africa: challenges and prospects for advancement - a review.Annals of medicine and surgery (2012) · 2023Article
- One-Year Outcomes and Factors Associated With Mortality Following Acute Myocardial Infarction in Northern Tanzania.Circulation. Cardiovascular quality and outcomes · 2022Observational
- Observational
- Heart failure care and outcomes in a Tanzanian emergency department: A prospective observational study.PloS one · 2021Observational
- An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Barriers to the implementation of prehospital thrombolysis in the treatment of ST-segment elevation myocardial infarction in South Africa: An exploratory inquiry.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Barriers and facilitators to implementing coronary care networks in South Africa: a qualitative study.African health sciences · 2020Article
- The application of optimisation modelling and geospatial analysis to propose a coronary care network model for patients with ST-elevation myocardial infarction.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- A prehospital randomised controlled trial in South Africa: Challenges and lessons learnt.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe incidence of myocardial infarction is rising in Sub-Saharan Africa. In order to reduce mortality, timely reperfusion by percutaneous coronary intervention (PCI) or thrombolysis followed by PCI is required. South Africa has historically been characterised by inequities in healthcare access based on geographic and socioeconomic status. We aimed to determine the coverage of PCI-facilities in South Africa and relate this to access based on population and socio-economic status.
methodsThis cross-sectional study obtained data from literature, directories, organisational databases and correspondence with Departments of Health and hospital groups. Data was analysed descriptively while Spearman's Rho sought correlations between PCI-facility resources, population, poverty and medical insurance status.
resultsSouth Africa has 62 PCI-facilities. Gauteng has the most PCI-facilities (n = 28) while the Northern Cape has none. Most PCI-facilities (n = 48; 77%) are owned by the private sector. A disparity exists between the number of private and state-owned PCI-facilities when compared to the poverty (r = 0.01; p = 0.17) and insurance status of individuals (r = -0.4; p = 0.27).
conclusionFor many South Africans, access to PCI-facilities and primary PCI is still impossible given their socio-economic status or geographical locale. Research is needed to determine the specific PCI-facility needs based on geographic and epidemiological aspects, and to develop a contextualised solution for South Africans suffering a myocardial infarction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.