Abstract
During 1975-81 a non-invasive cardiac unit was established at St Peter's Hospital, Chertsey, a district hospital serving a population of 202 000. There was a progressive increase in outpatient referrals in cardiology, and in 1981 non-invasive investigations included 424 echocardiograms, 305 exercise electrocardiograms, 275 ambulatory electrocardiograms, and 147 thallium-201 studies. Between 1979 and 1981, 151 patients were admitted directly to major centres for further investigation; 74% of those with ischaemic heart disease and 68% of those with valvular heart disease subsequently underwent surgery, a ratio of investigation to surgery that is half the norm for the four metropolitan regions. Based on the 1981 figures, which were substantially above those for 1980, there is a need for a minimum of 270 open heart operations per million of the population including 180 vein bypass operations. This figure for bypass grafting is 230% higher than in the United Kingdom as a whole in 1978 and has substantial implications.
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Selected References
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- BROWN K. W., MACMILLAN R. L., FORBATH N., MELGRANO F., SCOTT J. W. CORONARY UNIT: AN INTENSIVE-CARE CENTRE FOR ACUTE MYOCARDIAL INFARCTION. Lancet. 1963 Aug 17;2(7303):349–352. doi: 10.1016/s0140-6736(63)93011-3. [DOI] [PubMed] [Google Scholar]
- Chamberlain D. A., Goodwin J. F., Emanuel R. W., Bailey L. G. Career prospects in cardiology in England and Wales. Survey and 15 health regions. Br Heart J. 1981 Apr;45(4):460–463. doi: 10.1136/hrt.45.4.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JUDE J. R., KOUWENHOVEN W. B., KNICKERBOCKER G. G. Cardiac arrest. Report of application of external cardiac massage on 118 patients. JAMA. 1961 Dec 16;178:1063–1070. doi: 10.1001/jama.1961.03040500005002. [DOI] [PubMed] [Google Scholar]
- Loop F. D., Lytle B. W., Cosgrove D. M., Sheldon W. C., Irarrazaval M., Taylor P. C., Groves L. K., Pichard A. D. Atherosclerosis of the left main coronary artery: 5 years results of surgical treatment. Am J Cardiol. 1979 Aug;44(2):195–201. doi: 10.1016/0002-9149(79)90304-7. [DOI] [PubMed] [Google Scholar]
- Sutherland H. D. Honored speaker's address. The metamorphosis of cardiac surgery in Australia. J Thorac Cardiovasc Surg. 1980 Dec;80(6):808–823. [PubMed] [Google Scholar]