FREQUENCY OF PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST ELEVATION MYOCARDIAL INFARCTION WITHIN 3 HOURS OF SYMPTOM ONSET

Abstract

It is crucial to thoroughly inspect the total ischemia period, which is the duration from the beginning of symptoms to the administration of reperfusion therapy when evaluating the time to reperfusion in a STEMI patient. The proposed study aimed to ascertain the number of patients who underwent a primary percutaneous coronary intervention (PCI) for the acute coronary syndrome (STEMI) at a tertiary coronary care center in Pakistan within three hours of the beginning of symptoms. Additionally, the research was to evaluate the in-hospital death rate among patients who underwent primary PCI in three hours and those who did so after three hours of symptom onset. There were 92 patients in total. The duration of total ischemic time was noted. Death rates within the hospital were noted. The hospital mortality was assessed between patients receiving primary PCI within three hours and after three hours of the onset of symptoms. In our sample, the most prevalent form of myocardial infarction was anterior wall MI (37 %), while other common conditions included 57.6 percent of individuals with hypertension, 51.8 percent with diabetes, 36.9 percent with smoking, 18.4 percent with a family history of coronary artery disease and 18.4 percent with obesity. Of the 92 patients, 34.8 percent had SVD, 30.4 percent had 2VD, and 34.8 percent had 3VD. We discovered that 3.3 percent had LAD, 44.6 percent had LCX, 48.9 percent had RCX, and 77.2 percent had LM. In our study, the entire ischemia time for 56.5 percent of the participants was shown to be within three hours, and for 53.5 percent of patients, it was determined to be after three hours. The in-hospital death rate was 19.6 percent. While every person with total ischemia time ≥ 3 hours showed mortality, the majority of those studied had total ischemic duration within 3 hours and no mortality was noted.