PROCEDURAL OUTCOME OF PRIMARY PCI INST-SEGMENT ELEVATION MYOCARDIAL INFARCTION AT AFIC & NIHD RAWALPINDI – PAKISTAN

Abstract

Objective: To determine the procedural outcome of primary percutaneous coronary interventions (PCI) in ST
segment elevation myocardial infarction.
Study Design: A quasi-experimental study.
Place and Duration: Armed Forces Institute of Cardiology & National Institute of Heart Diseases, a tertiary care
cardiac institute from November 2011 to September 2013.
Materials and methods: Total 228 patients who underwent primary percutaneous intervention (primary PCI)
were included in this study. A pre designed performa was prospectively filled which included demographic and
procedural variables. Procedural success and in hospital mortality were recorded.
Results: The mean age was 59 ± 10.88 years. There were 205 (89.9%) males, 80 (35.1%) patients were found to be
diabetic, 47 (20.6%) hypertensive, and 90 (39.5%) patients were smokers. Family history of ischemic heart disease
was positive in 51 (22.4) patients. Anterior, inferior and lateral myocardial infarction were present in 137 (60.1%),
90 (39.5%) and 1 (0.4%) patients respectively. The Median time from the onset of symptoms to the arrival in the
hospital was 122.5 ± 142.57 and median door to balloon time was 60 ± 22.88 min. Left anterior descending (LAD)
was the commonest infarct related artery accounting for culprit artery in 138 (60.5%) followed by right coronary
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Conclusion: High success rate with low mortality rates can be achieved in our set up. However more studies and
long term follow up is required to validate our results.