Primary percutaneous coronary intervention in patients with acute myocardial infarction
| Autor: | Safi, M., Moghadam, H. R., Sadeghi, R., Saadat, H., Mohammad Hassan Namazi, Vakili, H., Hassantash, S. A., Motamedi, M. R. |
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| Zdroj: | Scopus-Elsevier Journal of Tehran University Heart Center, Vol 4, Iss 1, Pp 45-48 (2009) Journal of Tehran University Heart Center, Vol 4, Iss 1 (2009) |
| Popis: | Background: Primary percutaneous coronary intervention (primary PCI) is the method of choice in establishing reperfusion in acute myocardial infarction (AMI) patients. The aim of this study was to determine the success rate of primary PCI in a university medical center in Iran with a view to promoting it as a first-line therapy in patients with AMI, especially in centers with established catheterization labs across the country. Methods: All cases of AMI admitted between September 2001 and September 2005 underwent primary PCI. The achieved thrombolysis in myocardial infarction (TIMI) flow was recorded, and the patients were followed during the hospital admission for major adverse cardiac events (MACE). Results: A total of 180 patients, consisting of 36 females and 144 males, with a mean age of 56±2.1 years were included in the study. The target vessel was the left anterior descending artery in 66.1%, right coronary artery in 27.2%, and left circumflex artery in 6.7% of the cases. The respective rate of anatomical and procedural success was 94.4% and 90%. The rates of mortality, coronary artery bypass grafting (CABG), and reinfarction were 6.7%, 1.1%, and 2.2%, respectively. Most patients were discharged with no complications in less than a week. Anatomical success in patients |
| Databáze: | OpenAIRE |
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