Primary results of percutaneous coronary intervention in patients with ST-segment elevation acute myocardial infarction at Nghe An General friendship Hospital
Main Article Content
Abstract
Objective: To evaluate early results of percutaneous coronary intervention in patients with ST-segment elevation acute myocardial infarction (STEMI).
Method: Cross-sectional description. Total 106 participating patients diagnosed with ST-segment elevation acute MI received percutaneous coronary intervention at Nghe An General friendship Hospital from January 2020 to December 2020.
Results: Mean age was 71.67±13.13 years old. The majority of patients were > 60 years old, accounting for 78.3%. The rate of male is 72.6% higher than that of female is 27.4%. The proportion of patients who received intervention by radial artery, accounted for 87.7%. The rate of patients having stent placement after balloon angioplasty was 86.8%. The average time of the ball door was 96.7±38.22 minutes, of which 65 patients reached the time of the balloon door <90 minutes. The success rate of the procedure is 94.3% and 90.2% of patients after the intervention have a clinical success rate. The mortality rate after the intervention is 5.6%.
Conclusion: Prompt primary percutaneous coronary intervention for acute STEMI is feasible in our setup and is associated with high success rate, low mortality rates and low complication rates
Article Details
Keywords
Myocardial infarction, Killip, STEMI.
References
2. Brodie BR, Stuckey TD, Muncy DB et al., Importance of time-to reperfusion in patients with acute myocardial infarction with and without cardiogenic shock treated with primary percutaneous coronary intervention, Am Heart J, 2003; 145:708-15.
3. Phuong NHM, Hoa VTX, Hung TNH, Primary results of coronary intervention for acute myocardial infarction, Scientific conference - An Giang Hospital, pp:103 – 109, October, 2014.
4. Hoa T, Hoang VV, Nguyen NHK et al., Primary percutaneuous coronary intervention in acute STEMI at university medical center - Ho Chi Minh City, Ho Chi Minh City Journal of Medicine, 2012; 16(1): 94-100.
5. Tan NV, Tam PTT, Short-term results of percutaneous coronary intervention in very elderly patients with acute coronary syndrome, Ho Chi Minh City Journal of Medicine, 2018; 22(1): 14-21.
6. Trung NTT, Clinical and subclinical, results of treatment of acute myocardial infarction with ST elevation at Thai Binh General Hospital, Journal of practical medicine, 2014; 905(2): 16-19.
7. Gajendra D, Sunil KV, Vinay KB, Primary percutaneous coronary intervention for acute ST elevation myocardial infarction: Outcomes and eterminants of outcomes: A tertiary care center study from North India, Indian heart journal, 2017; 69 (2017): 294 – 298.
8. Phuong HK, Vien TT, Clinical and para-clinical features of acute myocardial infaction with type 2 diabetes mellitus aged ≥ 45 years old, Ho Chi Minh City Journal of Medicine, 2016; 20(2): 220 – 233.
9. Kushner FG, Hand M, Smith SC Jr et al., Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (updating the 2004 Guideline and 2007 Focused Update) and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention (updating the 2005 Guideline and 2007 Focused Update): A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, Circulation, 2009; 120: 2271–2306.