“Study of Clinical Profile and Outcomes of Percutaneous Coronary Intervention in ST Elevation Myocardial Infraction”
Abstract
Background: Percutaneous Coronary Intervention (PCI) is the preferred method of revascularization in Acute ST
Elevation Myocardial Infarction (STEMI). Aim: Our aim was to study the clinical profile and outcomes of patients who
underwent PCI for STEMI at tertiary cardiac centre of Bangladesh. Methods: It is a retrospective, single centre study,
performed at Bangabandu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. All patients who underwent
PCI for STEMI from November 2017 to July 2019 were enrolled in this study. All the data were collected from hospital
registry and cath lab records. Results: The Study showed that out of 232 patients who presented with STEMI, 74.5%
were male with average age of 57.39 years. The mean time of presentation after onset of symptom/s was 17.5 hours.
About 66% patients presented in less than 12 hours of symptoms onset, 21% presented at 12-24 hours of symptoms onset
and 13% patients presented late. Primary PCI was done in 87% of patients. Almost all patients (98.2%) underwent
coronary artery stenting with drug eluting stents. Multivessel PCI during index procedure was done in 7 patients. TIMI
III flow following PCI was achieved in 97% cases. Average LVEF at discharge was 44.73%. There were 8 deaths, all
after Primary PCI. In-hospital mortality rates for patients presenting with and without cardiogenic shock were 38.46%
and 1.59% respectively. The overall mortality rate was 3.98%. Conclusion: This study has reemphasized that PCI is
effective in the management of STEMI cases in Bangladesh with improving mortality rates and decreasing
complications. Minimizing the delayed presentation after the onset of symptoms should be one of the prime focuses for
effective management of STEMI.
Keywords: Coronary Artery Disease, Percutaneous Intervention, ST elevation Myocardial infarction.