Experience and Outcomes of Primary Percutaneous Coronary Intervention in a Tertiary Care Hospital in South Punjab, Pakistan

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 12; p. e50024
• Main Authors: Akhtar, Ammar, Saleemi, Muhammad S, Zarlish, Qazi M, Arshad, Muhammad B, Hashmi, Kashif A, Ghafoor, Hamza
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 06.12.2023
• Subjects: Age; Angioplasty; Cardiology; Cardiovascular disease; Coronary vessels; Ejection fraction; Electrocardiography; Emergency medical care; Family medical history; Fatalities; Glycoproteins; Heart attacks; Hospitals; Informed consent; Intubation; Ischemia; Medical imaging; Metabolic disorders; Patients; Thrombosis; Vein & artery diseases; Punjab Pakistan; Pakistan; door-to-balloon time; timi flow; st-elevation myocardial infarction; total ischemic time; primary percutaneous coronary intervention
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.50024

Primary percutaneous coronary intervention (PCI) is the emergency procedure and gold standard for the treatment of ST-Elevation Myocardial Infarction (STEMI). To share the experience and outcomes of primary PCI in a tertiary care hospital in South Punjab, Pakistan. A descriptive cross-sectional study was planned from the 1 of April, 2023 to the 30 of September, 2023. All patients presenting with acute STEMI undergoing primary PCI were included in the study. Data regarding patient demographics, risk factors, procedural characteristics, time variables, and in-hospital events was observed. A total of 1132 patients were included in the study. There were 934 (82.5%) males. Smoking is the most common risk factor among all the patients. Anterior wall myocardial infarction is the most common STEMI and the left anterior descending artery is the culprit vessel in 58.3% (n=660) of patients. Single vessel disease was present in 34.6% (n=392) of the patients. Thrombolysis in Myocardial Infarction (TIMI )Flow III was achieved in 80% (n=906) of patients after primary PCI. The average total ischemic time of the patients included in the study was 5 hours and 48 minutes, with a standard deviation of 3 hours and 55 minutes. Our mortality was 3.5% (n=40). Our patients take a longer time to present to the PCI-capable centers. Despite their late presentation, primary PCI has better outcomes for treating acute STEMI.