scholarly journals In Hospital Clinical Outcome of Percutaneous Coronary Intervention (PCI) Result of 150 Cases

2004 ◽  
Vol 3 (3) ◽  
pp. 28-29
Author(s):  
Jamal Uddin ◽  
Mahboob Ali ◽  
AHK Choudhury ◽  
AAS Majumber ◽  
N Hossain ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Positive Family History ◽  
Coronary Intervention ◽  
Circumflex Coronary Artery ◽  
Postmyocardial Infarction ◽  
Percutaneous Coronary ◽  
Study Population ◽  
Obtuse Marginal

This is a ongoing study done in National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh during the period May 2002 to June 2003. Total number of study population was 150 with male 135 & female 15. Indication of percutaneous coronary intervention (PCI) was Unstable angina with no prior myocardial infarction 60 cases. Myocardial infarction (MI) inferior with postmyocardial infarction angina 40 cases & MI anterior with post MI angina 50 cases. The risk factors were Hypertension (HTN) in 72 cases (48%), smoking in 90 cases (60%), Diabetes Mellitus (DM) in 50 cases (33.33%), Positive family history for ischemic heart disease (IHD) in 40 cases (26.66%) and Dyslipidemia 35 cases (23.32%), Total number of target coronary arteries were 190 of which 184 lesions treated. Distribution of 184 lesions were left anterior descending coronary artery (LAD) 91 (Proximal LAD 40, mid LAD 40, distal LAD 11), Right coronary artery (RCA) 60 (Proximal 15, mid RCA 40, distal RCA 05), Left circumflex coronary artery (LCX) 26 (Proximal LCX 05, mid LCX 15, distal LOX 04, LCX PD 02), Diagonal 02,Obtuse marginal (OM) 04, Ramus intermedius 02.

scholarly journals Immediate Clinical Outcome of 600 Cases of Percutaneous Coronary Intervention (PCI)

1970 ◽  
Vol 3 (2) ◽  
pp. 50-56
Author(s):  
MJ Uddin ◽  
KS Hussain ◽  
M Ali ◽  
AHK Chowdhury ◽  
SA Haque ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Heart Diseases ◽  
Positive Family History ◽  
Total Mortality ◽  
Coronary Intervention ◽  
Vessel Disease ◽  
Triple Vessel Disease ◽  
Percutaneous Coronary

This is an ongoing study done in National Institute of Cardiovascular Diseases (NICVD) during the period April 2002 to October 2007, few cases were done in Eurobangla Heart Hospital, Lab Aid Cardiac Hospital & National Heart Foundation, SSMC & MH, Metropolitan Medical Center. Total number of study population was 600 with male 550 & female 50. Indication of Percutaneous coronary intervention (PCI) was- Unstable angina (with no prior myocardial infarction) 240 cases, MI inferior (with post Myocardial infarction angina) 204 cases & MI anterior (with post MI angina) 156 cases. The risk factors were Hypertension (HTN) 310 cases (52%), smoking 426 cases (71%), Diabetes Mellitus (DM) 180 cases (30%), Positive family history for ischemic heart diseases (IHD) 120 cases (20%), Hyperlipidemia 150 cases (25%). Total number of target coronary arteries was 760 and total number of lesion was 803 of which780 lesions treated. Distribution of 803 lesions were left anterior descending coronary artery (LAD) 389 (proximal LAD 152, mid LAD 177, distal LAD 60), Right coronary artery (RCA) 230 (proximal 94, mid RCA 93, Distal RCA 26, RCA PD 17), Left circumflex coronary artery (LCX) 137 (proximal LCX 60, mid LCX 54, distal LCX 16, LCX PD 07), diagonal 15, obtuse marginal (OM) 20, ramus intermedius. Angiographic diagnosis of the patients were Single vessel disease 312 (52%), Double vessel disease 156 (26%) & Triple vessel disease 132 (22%). Number of lesions treated were 803 of which 780 lesions was treated. PTCA with stenting done in 725 lesion & 34 lesions treated with plain PTCA. Total occlusion was treated in 85 cases. The native vessel has a mean reference diameter was 3.03 ± 0.61 mm. Residual stenosis after deploying stents was <10%. Our success rate was-angiographic success 96%, procedural success 94% & clinical success 92%. Total mortality was 03. One patient having triple vessel disease died on P the procedure due to sudden cardiac arrest due to asystole, one pt died on the table due to acute closure by thrombus & one patient died on 4th day due to huge retroperitoneal hemorrhage & shock. Sub acute stent thrombosis occurs in 3 cases causing acute myocardial infarction & one case required emergency CABG. Following procedure, in hospital course of the patients were uneventful. All the patients were discharged by three to fourth day of the procedure with improvement of their clinical condition. So the result of our study is good both in plain PTCA group & PTCA + stent group. (University Heart Journal 2007; 3 : 50-56)

scholarly journals Multivessel Percutaneous Coronary Intervention in Patients with Acute ST-segment Elevation Myocardial Infarction in Same Sitting

2015 ◽  
Vol 8 (1) ◽  
pp. 53-58
Author(s):  
AHM Waliul Islam ◽  
Shams Munwar ◽  
Azfar H Bhuiyan ◽  
Sahabuddin Talukder ◽  
AQM Reza ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Positive Family History ◽  
Coronary Intervention ◽  
Primary Pci ◽  
St Segment ◽  
Percutaneous Coronary ◽  
Artery Disease

Background: Aim of the study was to evaluate the primary procedural success of Multivessel Percutaneous coronary intervention in patients with acute ST-segment elevated myocardial infarction at the same sitting.Methods: Total 23 (13.4%) patients were enrolled in this very preliminary study, among the total 171 patients who had primary PCI at our center from Jan 2010 to February 2015. Among them, Male: 20 and Female: 3. Total 52 stents were deployed in 46 territories. Mean age were for both male and female were 54 yrs. Associated coronary artery disease risk factors were Dyslipidemia, High Blood pressure, Diabetes Mellitus, positive family history for coronary artery disease and Smoking.Results: Among the study group; 17(74%) were Dyslipidemic, 11(47.8%) were hypertensive; 8(34.8%) patients were Diabetic, positive family history 4(17.4%) and 9(39%) were all male smoker. Female patients were more obese (BMI: M 26: F 27). Common diagnosis at admission based on ECG evidence was; Inferior wall myocardial infarction: 12 (52.2%), Anterior wall myocardial infarction 9(39.1%) and lateral 2(8.7%). Common stented territory was left anterior descending artery 9(39.1%), right coronary artery 7(30.4%), and left circumflex artery 7(30.4%). Stent used: Bare metal stent 3 (5.7%), DES: 49 (94.2%). Among the different drug eluting stents, Everolimus 26 (52%), Sirolimus 8(15.4%) and Zotarolimus 9(17.3%), Paclitaxel 2 (3.8%), Biolimus 2 (3.8%), Genous 2 (3.8%).Conclusion: In the current prospective non randomized study, we found that the multivessel primary PCI for ST elevation myocardial infarction with non-culprit vessel are suitable for PCI at the same sitting with better in-hospital and 1 yr survival outcome.Cardiovasc. j. 2015; 8(1): 53-58

scholarly journals Isolated right ventricular myocardial infarction: a case report

2020 ◽  
Author(s):  
Adeogo Akinwale Olusan ◽  
Paul Francis Brennan ◽  
Paul Weir Johnston
Keyword(s):  
Myocardial Infarction ◽  
Computed Tomography ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Ventricular ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Left Circumflex Artery ◽  
Right Ventricular Myocardial Infarction ◽  
Percutaneous Coronary

Abstract Background Isolated right ventricular myocardial infarction (RVMI) due to a recessive right coronary artery (RCA) occlusion is a rare presentation. It is typically caused by right ventricle (RV) branch occlusion complicating percutaneous coronary intervention. We report a case of an isolated RVMI due to flush RCA occlusion presenting via our primary percutaneous coronary intervention ST-elevation myocardial infarction pathway. Case summary A 61-year-old female smoker with a history of hypercholesterolaemia presented via the primary percutaneous coronary intervention pathway with sudden onset of shortness of breath, dizziness, and chest pain while walking. Transradial coronary angiography revealed a normal left main coronary artery, large left anterior descending artery that wrapped around the apex and dominant left circumflex artery with the non-obstructive disease. The RCA was not selectively entered despite multiple attempts. The left ventriculogram showed normal left ventricle (LV) systolic function. She was in cardiogenic shock with a persistent ectopic atrial rhythm with retrograde p-waves and stabilized with intravenous dobutamine thus avoiding the need for a transcutaneous venous pacing system. A computed tomography pulmonary angiogram demonstrated no evidence of pulmonary embolism while an urgent cardiac gated computed tomography revealed a recessive RCA with ostial occlusive lesion. A cardiac magnetic resonance imaging confirmed RV free wall infarction. She was managed conservatively and discharged to her local district general hospital after 5th day of hospitalization at the tertiary centre. Discussion This case describes a relatively rare myocardial infarction presentation that can present with many disease mimics which can require as in this case, a multi-modality imaging approach to establish the diagnosis.

Ephedrine-Induced Acute Myocardial Infarction in a Young Athlete: A Case of Thrombus Management

Angiology ◽  
2008 ◽  
Vol 60 (2) ◽  
pp. 254-258 ◽  
Author(s):  
Igor Kranjec ◽  
Andreja Cerne ◽  
Marko Noc
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Ultrasound Examination ◽  
Outpatient Visit ◽  
Young Athlete ◽  
Coronary Intervention ◽  
Plaque Disruption ◽  
Percutaneous Coronary

A case of acute myocardial infarction in a young athlete provoked by ephedrine abuse has been described in this study. An intracoronary thrombus found in the left anterior descending coronary artery at urgent angiography was successfully removed using the Pronto (Vascular Solutions, Minneapolis, Minnesota) aspiration catheter. The intravascular ultrasound examination performed thereafter showed a nonobstructive atherosclerotic plaque in the culprit artery; there was no evidence whatsoever of possible plaque disruption. The result of percutaneous coronary intervention was satisfactory, and no stent implantation was needed. The patient experienced no adverse events until his outpatient visit 3 months later.

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