Published on:
    Journal of Cardiovascular Disease Research, 2011; 2(2):123-126
    ORIGINAL ARTICLE | doi:10.4103/0975-3583.83042

    A single-center prospective study analyzing the cardiac referrals made to a tertiary care center in India


    Sourabh Aggarwal, Alka Sharma, Vishal Sharma

    Department of Medicine, University College of Medical Sciences (University of Delhi) and GTB Hospital, New Delhi


    Background:Healthcare systems in most parts of the world functions on a three-tier system,involving primary,secondary,and tertiary care centers.The appropriate and efficient referral system plays crucial role in maximally efficient healthcare delivery.Materials and Methods:In all,46 referral made to the medicine department of the hospital over a period of 1 month with chief compliant of chest pain and presumptive diagnosis of myocardial ischemia/infarct by outside physicians were selected randomly.Analysis was done both for extent and clarity useful informationprovied.Results:Out of 46 referrals, exact indication for referral was mentioned in 4(8.7%),time of referral in 2 (4.3%).blood pressure in 38 (17.4%),pulse rate in 29(63.04%),respiratory rate in 1 (2.17%),electrocardiograph diagnosis was not mentioned in 12 (63.04%),respiratory rate in the details of referring physician were mentioned in 2 (4.34%).Correct dose of aspirin was given to 27 (58.69%),Clopidogerl to 19 (41.30%),stains to 9 (19.45%),angiotension-converting enzyme inhibitors to 6 (13.04%),beta-blockers to 8 (17.39%),low-molecular weight heparin in 6 (13.04%),and 22 (47.82%) patients warranted thrombolysis,but was given in 12 (54.54%).Conclusions:There is serious lack of quality and clarity of important information provided while making referrals.

    Key words:Acute coronary syndrome,cardiac,referral,tetiary care