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RESEARCH ARTICLE
Year : 2017  |  Volume : 16  |  Issue : 2  |  Page : 1-7

The role of emergency PCI in the management of acute STEMI the local experience in Al-Nassiriya heart center


1 Department of cardiology, Ibn Albitar cardiac center, Baghdad, Iraq
2 Al-Yarmouk Teaching Hospital, Baghdad, Iraq
3 Al-Nassiriya Heart center, Iraq

Correspondence Address:
Ali Jabbar Alibrahemi
Department of cardiology, Ibn Albitar Cardiac Center, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


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Background: Primary PCI is an emergent percutaneous catheter intervention in the setting of STEMI, without previous fibrinolytic treatment. It is the prefered strategy in patients with STEMI. Aim: To evaluate the immediate and intermediate procedural and clinical outcome in a local experience. Methods: This is a descriptive cross sectional study carried out in a tertiary cardiac center for 301 patirnts with acute myocardial infarction. Fifty patients (16.6%) were followed up prospectively for one month up to one year in the outpatient clinic. Results: primary PCI was done in 294 patients (97.6%) and rescue PCI was done in 7 patients (2.4%). Ischemic time is ranging from one hour to twenty four hours (mean 5.02±3.27). Procedural success rate was 100%. Mortality rate was 5.3% mostly because of cardiogenic shock. Conclusion: Primary PCI should be the standered of care for patients with STEMI.


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