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Issue

Vol 129 No 1428: 8 January 2016

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Issue Summary

SUMMARY

Changing causes of heart valve disease mortality in New Zealand from 1988 to 2007

Sean Coffey, Brian Cox, Michael JA Williams

This study examined deaths from valvular heart disease in New Zealand over two decades from 1988. The study showed than an annual increase in deaths from valvular heart disease of 2.9%/year. The increased number of deaths was predominantly related to increased death rates in those aged 85 years and above. The ageing population is likely to lead to an increase in valvular heart disease deaths in the future.

SUMMARY

Early outcome of patients undergoing transcatheter aortic valve implantation (TAVI): the Auckland City Hospital experience 2011–2015

S Y Sylvia Wu, Tom Kai Ming Wang, Parma Nand, Tharumenthiran Ramanathan, Mark Webster, Jim Stewart

Transcatheter aortic valve implantation (TAVI) is an alternative to traditional surgical aortic valve replacement (AVR). It is particularly suited to elderly patients who are at higher than average risk of open heart surgery, resulting in excellent relief of symptoms and shortened hospital stay compared to AVR, with a low risk of serious complications. Early data suggest that TAVI may be more cost-effective than AVR in high risk, elderly patients.

SUMMARY

Cardiopulmonary resuscitation knowledge and opinions on end of life decision making of older adults admitted to an acute medical service

Rupali Sharma, Sisira Jayathissa, Mark Weatherall

This paper looks at patients understanding of cardio pulmonary resuscitation. Authors studied 100 adults who had a medical illness requiring hospitalisation and waiting to be discharged. Patients had high expectations about success of resuscitation and they appear to be more knowledgeable than before. Patients are keen on having an open discussion on resuscitation and involvement of family in this discussion.

SUMMARY

Echocardiography service provision in New Zealand: the implications of capacity modelling for the cardiac sonographer workforce

Belinda Buckley, Mark J Farnworth, Gillian Whalley

There is regional disparity in the capacity of the cardiac sonographer workforce which appears strongly related to scan duration. The population-based workforce size in New Zealand is 43-60% smaller than in the United Kingdom (based on need). Workforce capacity modelling should be used with need and demand modelling to plan adequate levels of service provision.

SUMMARY

Management of non ST-elevation acute coronary syndrome patients in New Zealand: a longitudinal analysis. Results from the New Zealand Acute Coronary Syndrome national audits of 2002, 2007 and 2012

Gerry Devlin, Michael Williams, John Elliott, Harvey White, John French, Greg Gamble, Philip Matsis, Richard Troughton, Mark Richards, Chris Ellis

This study looked at care of heart attacks over a 10-year period in New Zealand and shows that whilst care has gotten better considerable room remains for further improvements. This includes identifying high risk patients early and transferring them to hospitals for coronary angiography (201cdye test). It is also hoped that ministry of health initiatives such as ANZACSQI, a registry of all heart attack admissions in New Zealand will help us with further quality improvement.

SUMMARY

National variation in coronary angiography rates and timing after an acute coronary syndrome in New Zealand (ANZACS-QI 6)

Michael J A Williams, Scott A Harding, Gerard Devlin, Chris Nunn, Seif El-Jack, Tony Scott, Mildred Lee, Andrew J Kerr on behalf of the ANZACS-QI investigators

Persons admitted to hospital with suspected heart attack are recommended to have imaging of their heart arteries within 3 days of hospital admission. This study included all patients admitted with suspected heart attack to New Zealand hospitals over a one year period. There was a two fold variation in the rates of imaging the heart arteries across New Zealand Hospitals. Patients admitted to hospitals with on site heart artery stenting services had higher rates of heart artery imaging tests and shorter hospital stay compared to those admitted to hospitals without these facilities. New policies to correct this difference are proposed.

ALL ARTICLES
SUMMARY

Foreign bodies and X-rays

Changing causes of heart valve disease mortality in New Zealand from 1988 to 2007

Sean Coffey, Brian Cox, Michael JA Williams

Association between reported levels of physical activity and depressive symptoms: data from a population-based survey of New Zealand young people

Sarah Hudson, Joanna White, Karen McBride-Henry

Is the NZ Government responding adequately to the Māori Affairs Select Committee’s 2010 recommendations on tobacco control? A brief review

Jude Ball, Richard Edwards, Andrew Waa, Shane Kawenata Bradbrook, Heather Gifford, Chris Cunningham, Janet Hoek, Tony Blakely, Nick Wilson, George Thomson, Sue Taylor

Early angiography and revascularisation for acute coronary syndromes in New Zealand

Mark Webster

Early outcome of patients undergoing transcatheter aortic valve implantation (TAVI): the Auckland City Hospital experience 2011–2015

S Y Sylvia Wu, Tom Kai Ming Wang, Parma Nand, Tharumenthiran Ramanathan, Mark Webster, Jim Stewart

Cardiopulmonary resuscitation knowledge and opinions on end of life decision making of older adults admitted to an acute medical service

Rupali Sharma, Sisira Jayathissa, Mark Weatherall

Echocardiography service provision in New Zealand: the implications of capacity modelling for the cardiac sonographer workforce

Belinda Buckley, Mark J Farnworth, Gillian Whalley

Management of non ST-elevation acute coronary syndrome patients in New Zealand: a longitudinal analysis. Results from the New Zealand Acute Coronary Syndrome national audits of 2002, 2007 and 2012

Gerry Devlin, Michael Williams, John Elliott, Harvey White, John French, Greg Gamble, Philip Matsis, Richard Troughton, Mark Richards, Chris Ellis

Aromatase inhibitors versus tamoxifen in early breast cancer

National variation in coronary angiography rates and timing after an acute coronary syndrome in New Zealand (ANZACS-QI 6)

Michael J A Williams, Scott A Harding, Gerard Devlin, Chris Nunn, Seif El-Jack, Tony Scott, Mildred Lee, Andrew J Kerr on behalf of the ANZACS-QI investigators

Lessons in courage from the past: lest we forget

Frank Houghton

Guillain-Barré Syndrome presenting as facial diplegia

Rajnish Singh, Ulka Kamble, Brijesh Sharma, Palden w Bhutia, Saurabh Shishir, Antony Wilson

SUMMARY

Changing causes of heart valve disease mortality in New Zealand from 1988 to 2007

Sean Coffey, Brian Cox, Michael JA Williams

This study examined deaths from valvular heart disease in New Zealand over two decades from 1988. The study showed than an annual increase in deaths from valvular heart disease of 2.9%/year. The increased number of deaths was predominantly related to increased death rates in those aged 85 years and above. The ageing population is likely to lead to an increase in valvular heart disease deaths in the future.

SUMMARY

Early outcome of patients undergoing transcatheter aortic valve implantation (TAVI): the Auckland City Hospital experience 2011–2015

S Y Sylvia Wu, Tom Kai Ming Wang, Parma Nand, Tharumenthiran Ramanathan, Mark Webster, Jim Stewart

Transcatheter aortic valve implantation (TAVI) is an alternative to traditional surgical aortic valve replacement (AVR). It is particularly suited to elderly patients who are at higher than average risk of open heart surgery, resulting in excellent relief of symptoms and shortened hospital stay compared to AVR, with a low risk of serious complications. Early data suggest that TAVI may be more cost-effective than AVR in high risk, elderly patients.

SUMMARY

Cardiopulmonary resuscitation knowledge and opinions on end of life decision making of older adults admitted to an acute medical service

Rupali Sharma, Sisira Jayathissa, Mark Weatherall

This paper looks at patients understanding of cardio pulmonary resuscitation. Authors studied 100 adults who had a medical illness requiring hospitalisation and waiting to be discharged. Patients had high expectations about success of resuscitation and they appear to be more knowledgeable than before. Patients are keen on having an open discussion on resuscitation and involvement of family in this discussion.

SUMMARY

Echocardiography service provision in New Zealand: the implications of capacity modelling for the cardiac sonographer workforce

Belinda Buckley, Mark J Farnworth, Gillian Whalley

There is regional disparity in the capacity of the cardiac sonographer workforce which appears strongly related to scan duration. The population-based workforce size in New Zealand is 43-60% smaller than in the United Kingdom (based on need). Workforce capacity modelling should be used with need and demand modelling to plan adequate levels of service provision.

SUMMARY

Management of non ST-elevation acute coronary syndrome patients in New Zealand: a longitudinal analysis. Results from the New Zealand Acute Coronary Syndrome national audits of 2002, 2007 and 2012

Gerry Devlin, Michael Williams, John Elliott, Harvey White, John French, Greg Gamble, Philip Matsis, Richard Troughton, Mark Richards, Chris Ellis

This study looked at care of heart attacks over a 10-year period in New Zealand and shows that whilst care has gotten better considerable room remains for further improvements. This includes identifying high risk patients early and transferring them to hospitals for coronary angiography (201cdye test). It is also hoped that ministry of health initiatives such as ANZACSQI, a registry of all heart attack admissions in New Zealand will help us with further quality improvement.

SUMMARY

National variation in coronary angiography rates and timing after an acute coronary syndrome in New Zealand (ANZACS-QI 6)

Michael J A Williams, Scott A Harding, Gerard Devlin, Chris Nunn, Seif El-Jack, Tony Scott, Mildred Lee, Andrew J Kerr on behalf of the ANZACS-QI investigators

Persons admitted to hospital with suspected heart attack are recommended to have imaging of their heart arteries within 3 days of hospital admission. This study included all patients admitted with suspected heart attack to New Zealand hospitals over a one year period. There was a two fold variation in the rates of imaging the heart arteries across New Zealand Hospitals. Patients admitted to hospitals with on site heart artery stenting services had higher rates of heart artery imaging tests and shorter hospital stay compared to those admitted to hospitals without these facilities. New policies to correct this difference are proposed.

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