TWO YEAR OUTCOME OF PRIMARY PERCUTANEOUS CORONARY IN PAKISTAN NAVAL SHIP SHIFA CARDIAC CENTER

Abstract

Objective: To determine the in-hospital outcomes of primary percutaneous coronary intervention approach in a tertiary care cardiac center.

Study Design: Retrospective observational descriptive study.

Place and Duration of Study: Pakistan Naval Ship Shifa Hospital, Karachi Pakistan, from Jan 2018 to Dec 2019.

Methodology: A total of 143 consecutive ST-elevation myocardial infarction patients presented to the ER within 24 hours of the onset of chest pain were included in this study. We included patients of both genders, aged >20 years and met the diagnostic criteria of ST-elevation myocardial infarction. Patients with cardiogenic shock, puncture site infection were excluded from the study.

Results: Average age of patients was 54.2 ± 12.7 years (min-max age=24-92 years). Majority 130 (90.9%) of cases were males, while 55 (38.5%) patients had diabetes, 52 (36.4%) were hypertensive, 38 (26.6%) were smokers, family history of CAD was found in 10 (7%) cases and 8 (5.6%) cases had prior percutaneous coronary intervention or coronary artery bypass graft. Mostly 64.3% procedures were performed by trans-radial approach. Mean ± SD door-to-balloon time was 60.31 ± 29.8 minutes. About 72% patients received primary percutaneous coronary intervention within ≤60 min and 40 (28%) cases received primary percutaneous coronary intervention with door-to-balloon time >60 min. This study shown 100% success rate with zero= mortality only one patient developed arrhythmia during procedure.

Conclusion: Primary percutaneous coronary intervention through trans-radial approach was safe option with excellent success rates in terms of both morbidity & mortality rates.