P-388 Outcomes of Primary Percutaneous Coronary Intervention (PCI) in a Tertiary Care Cardiac Centre

Background: The mortality rate among patients undergoing primary percutaneous coronary intervention (PPCI) in the setting of cardiac arrest (CA) and whether the location where the patient sustains CA influences the outcome is not known in the contemporary era. Methods: Prospectively collected data at a tertiary cardiac centre on all patients undergoing PPCI for ST elevation myocardial infarction (STEMI) in the setting of CA was analysed. Results: In total, 484/4118 (11.8%) patients sustained CA during the study period. Of these, 91/484 (18.8%) sustained CA prior to ambulance arrival, the remainder occurred either after ambulance arrival or in hospital. The overall in-hospital mortality was 20.5% in this cohort. Those sustaining CA before ambulance arrival experienced the highest unadjusted mortality compared to those that had CA after ambulance arrival, in hospital and in the catheterisation laboratory (29.7% versus 12.0%, 16.1% and 23.8% respectively, p=0.03). Multiple logistic regression analysis showed that the following parameters are independent predictors of in-hospital mortality: age (odds ratio (OR) for each year increment of age 1.05; 95% confidence interval (CI) 1.02–1.08, p=0.0009); female gender (OR 2.42; 95% CI 1.17–4.99, p=0.0173); previous PCI (OR 7.59; 95% CI 1.72–33.53, p=0.0075); asystole/ electromechanical dissociation (EMD) (OR 13.43; 95% CI 5.34–33.80, p<0.0001); and patient location at arrest (OR 5.77 for before ambulance arrival; 95% CI 2.55–13.07, p<0.0001). Conclusions: In conclusion, in-hospital mortality remains high among patients undergoing PPCI in the context of CA, particularly among those that arrest prior to ambulance arrival.

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OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70isuppl-4.6017 ◽

2021 ◽

Vol 70 (Suppl-4) ◽

pp. S745-51

Author(s):

Amna Rashdi ◽

Ayaz Ahmad ◽

Jahanzab Ali ◽

Ahmad Usman ◽

Syed Khurram Shahzad ◽

...

Keyword(s):

Myocardial Infarction ◽

Percutaneous Coronary Intervention ◽

Primary Percutaneous Coronary Intervention ◽

Coronary Intervention ◽

Access Time ◽

Transradial Approach ◽

Arterial Access ◽

Percutaneous Coronary ◽

Cardiac Centre ◽

Door To Balloon

Objective: An experience to evaluate the outcomes, feasibility, effectiveness and safety of transradial approach practice in patients undergoing primary percutaneous coronary intervention for acute ST elevation Myocardial infarction in Army Cardiac Centre. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Army Cardiac Centre, Lahore, from Jan 2020 to Mar 2020. Methodology: All patients undergoing primary percutaneous coronary intervention via transradial approach for acute ST elevation Myocardial infarction were included. Informed consent was taken signed. Demographic characteristics, risk factors, time variables like arterial access time, door to balloon time and procedural success was determined. Results: Out of enrolled patients in study, frequency of males and females were 49 (82%) and 9 (18%) respectively. The mean age was 57 ± 10.86 years ranging from 30 to 75 years. On admission, 25 (50%) were hypertensives, 20 (40%) had diabetes and 18 (36%) were smokers. The initial choice for primary percutaneous coronary intervention was transradial approach in all patients, right side 49 (98%) and left side 1 (2%). Due to failure to achieve radial access transfemoral and homolateral ulnar approach was adopted 2 (4%) and 1 (2%) respectively leading to 96% success and 4% failure for transradial access. The main infarcted artery was LAD 31 (62%) followed RCA 15 (30%) Time to arterial access time was 2 mins, door to balloon 34 mins. Eighty percent complication free transradial approach was achieved, 8 (16%) patients had pain and 2 (4%) developed hematoma. Conclusion: Our results proved Transradial approach for primary PCI as a safe, feasible and cost effective procedure.

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Quality of life at six months after primary percutaneous coronary intervention performed at a predominantly rural population

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20193621 ◽

2019 ◽

Vol 6 (5) ◽

pp. 1456

Author(s):

Syed Fayaz Mujtaba ◽

Jawaid Akbar Sial ◽

Sajid Ali Shaikh ◽

Muhammad Naeem ◽

Imran Soomro ◽

...

Keyword(s):

Quality Of Life ◽

Percutaneous Coronary Intervention ◽

Primary Percutaneous Coronary Intervention ◽

Low Income ◽

Tertiary Care ◽

Coronary Intervention ◽

Care Hospital ◽

Cross Sectional ◽

Percutaneous Coronary

Background: HRQL is important in improving the quality of patient care. However, there is a paucity of data from low-income and middle-income countries (LMIC). Differences in socio-demographics and socio-cultural contexts may influence HRQOL. Therefore, this research was designed with the aim to explore the HRQOL in patients after Percutaneous Coronary Intervention (PCI).Objective: The goal of the study was to evaluate the quality of life after six months of Percutaneous Coronary Intervention using HeartQol questionnaire at a tertiary care hospital in Pakistan.Method: This was a Cross-sectional, descriptive study. Patients between the ages of 20-60 years who underwent primary Percutaneous Coronary Intervention at least 6 months ago were inducted in the study. Coronary angiography was performed mostly through radial as preferred route. Data was collected using a structured questionnaire covering demographic characteristics, predisposing risk factors, procedural details, and quality of life. Heart related Quality of life was assessed using HeartQol questionnaire. Collected data was analyzed using SPSS v.21.Results: A total of 241 patients participated in the study. Mean age of the patients was 53.37±11.07 years. On analysis of quality of life at six months, the median (IQR) HeartQol score was 31 (37-23) with majority of the patients, 84.22% (203) fall under the excellent score (>20).Conclusion: It is of enormous prognostic importance that the quality of life of patient is assessed on a regular basis after PCI. Our study shows that the majority of patients had improved quality of life at six months of PCI. Majority of patients were not bothered by mild symptoms. Further investigation needs to be done to validate these results.

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Retracted: Primary Percutaneous Coronary Intervention (PPCI) in Acute Myocardial Infarction Complicated by Cardiogenic Shock in a Newly Emerging Cardiac Centre in Nepal

Nepalese Heart Journal ◽

10.3126/njh.v6i1.18451 ◽

2017 ◽

Vol 6 (1) ◽

pp. 27-31

Author(s):

Arun Maskey ◽

Shyam Raj Regmi ◽

Yadav Bhatt ◽

Rabi Malla ◽

Rajib Rajbhandari ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Percutaneous Coronary Intervention ◽

Cardiogenic Shock ◽

Primary Percutaneous Coronary Intervention ◽

Coronary Intervention ◽

Percutaneous Coronary ◽

Cardiac Centre ◽

Retraction Notice

The following retraction notice for this article appears in Vol.16(1) 2019 DOI: https://doi.org/10.3126/njh.v16i1.25742 On 17th September 2019 the Editorial Board of Nepalese Heart Journal agreed to retract the article ‘Primary Percutaneous Coronary Intervention (PPCI) in Acute Myocardial Infarction Complicated by Cardiogenic Shock in a Newly Emerging Cardiac Centre in Nepal' published in Nepalese Heart Journal, Vol.6(1) 2009 pages 21-24 (DOI: https://doi.org/10.3126/njh.v6i1.18451) as the paper had already been published in the Journal of Research in Medical Sciences Vol.14(2) 2009 pages 123-127 http://jrms.mui.ac.ir/index.php/jrms/article/view/2353. This error is regretted, and we apologise for any inconvenience.

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