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- Title
Primary Percutaneous Coronary Intervention in Acute ST Elevation Myocardial Infarction: A Single Centre Experience.
- Authors
Al-Hassnawi, Mushtaq T.; AL Mayali, Ahmed Hussein
- Abstract
Background Early revascularization is critically important in the management of patients presenting with acute myocardial infarction. Aim To assess the benefit of early primary percutaneous coronary intervention in patients with acute ST elevation myocardial infarction. Methods This study include 51 patients with acute STEMI they were selected from those who were admitted to the coronary care unit of Karbala cardiac center in Karbala-Iraq during a period between January 2017 and February 2018. Detailed history and thorough physical examination was done. Investigations done for each patient in form of ECG, cardiac troponin, blood urea, serum creatinine, and complete blood picture. Results & discussion percutaneous coronary intervention only, using one stent, two stent, three stent, aspiration catheter, CABG & medical treatment, 7 (13.7%),25(49%), 8(15.6%), none, 4(7.8%), 4(7.8%), 4(7.8%), 3(5.8%) respectively). Infarct related artery, LAD, LCX, RCA & LMS (30(58.8%), 4(7.8%), 6(11.7%), 2(3,9%) respectively, and the number of diseased vessels, single vessel, two vessels, three vessels & LMS which was (20(39.2%), 13(25.4%), 14(27.4%) respectively. In hospital outcome, which include the following:- favorable outcome, period of hospitalization, access site bleeding, contrast induced nephropathy, death, respectively. Which were (96%, < 1 day 38(74.5%), >day 13(25.5), 3.9%, 5.8%, 3.9% respectively) Conclusion in case of ST elevation myocardial infarction, left anterior descending artery is most culprit vessel to be involved, one quarter of patient needs one stent & carry favorable out comes in form of less complications and also decrease the period of hospitalization.
- Subjects
IRAQ; CORONARY care units; PERCUTANEOUS coronary intervention; MYOCARDIAL infarction; THERAPEUTICS
- Publication
Kerbala Jorunal of Medicine, 2018, Vol 11, Issue 2, p3988
- ISSN
1990-5483
- Publication type
Article