Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Successful implementation of primary percutaneous coronary intervention in an Iranian population: A single-center experience

(2019) Successful implementation of primary percutaneous coronary intervention in an Iranian population: A single-center experience. Iranian Heart Journal.

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Abstract

Background: Primary percutaneous coronary intervention (PPCI) is the gold standard for the treatment of ST-segment-elevation myocardial infarction (STEMI). Guidelines emphasize the importance of STEMI networks in order to facilitate rapid acute reperfusion therapy and improve prognosis. The outcomes of PPCI in a single tertiary university hospital in Hormozgan Province in Iran are reported herein. Methods: We performed an observational study including all the consecutive STEMI cases admitted to our interventional cardiology department. Symptom to door, door to ECG, door to diagnosis, door to cath lab, door to balloon, and mortality were reported. Descriptive statistics (median, quartile 1-3) and nonparametric tests (Kruskal-Wallis and Mann-Whitney) were used. Results: Totally, 195 patients were considered eligible for PPCI. The mean age of the patients was 54.90 years old (range =21-91 y). Women accounted for 28.2 of the study population. All the patients successfully underwent PPCI with a 100 rate of stenting. The in-hospital mortality rate was 1.45. The median time for symptom-to-door, door-to-diagnosis, code-activation, symptom-to-device, and door-to-device times was 167.50, 23, 35, 266, and 60 minutes, respectively. Conclusions: Our results, in line with previous studies, confirm the role of PPCI as the frontline approach to STEMI. Our results display the continuous efforts provided to reduce the inhospital procedural times; nevertheless, ongoing efforts are needed to decrease symptom-todoor times. © 2019, Iranian Heart Association. All rights reserved.

Item Type: Article
Additional Information: cited By 0
Keywords: acetylsalicylic acid; clopidogrel; eptifibatide; fibrinogen receptor antagonist; heparin, adult; aged; air medical transport; angiography; aortic flow; Article; clinical decision making; coronary artery bypass graft; coronary artery circumflex branch; electrocardiogram; Emtree; female; femoral artery flow; geographic distribution; heart arrest; heart bundle branch block; hospital discharge; hospital mortality; human; intervention study; major clinical study; male; middle aged; observational study; percutaneous coronary intervention; pilot study; ST segment elevation myocardial infarction; survival analysis; time to treatment; treatment duration; very elderly
Subjects: Cardiovascular System > WG 120-180 Cardiovascular Diseases, Diagnosis, and Therapeutics
Divisions: Research Vice-Chancellor Department > Cardiovascular Research Center
Research Vice-Chancellor Department > Molecular Medicine Research Center
Depositing User: هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/6716

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