PRIMARY PCI IN ST ELEVATION MYOCARDIAL INFARCTION : AN EXPERIENCE AT AFIC/NIHD RAWALPINDI

Abstract

Objective: To evaluate the practicability, safety, and efficacy of primary percutaneous coronary intervention as a therapeutic option in acute ST elevation Myocardial Infarction (STEMI).
Study Design: Descriptive study.
Place and Duration of Study: The study was carried out in Armed Forces Institute of Cardiology– National Institute of Heart Diseases (AFIC-NIHD) from 18th October 2011 to 30th November 2011.
Patients and Methods: All patients presenting with acute STEMI were offered primary PCI. Patients who chose primary PCI as a mode of reperfusion were included in the study. Informed consent was taken and detailedquestionnaire was filled for those patients who fulfilled the study criteria.
Results: Our initial experience of primary PCI in 33 patients with ST elevation MI has revealed some favourable statistics. Only 01 (3.0%) patient died during hospital stay following the procedure. Thirty two (97%) patients had an uneventful recovery and were successfully discharged 48-72 hours following PCI.
Conclusion: We have shown that primary PCI is a viable therapeutic option and can be performed in public sector tertiary care hospitals with excellent immediate, short and long term outcomes despite relatively long symptom onset to emergency room and door-to-balloon times.