Title : The outcome of primary PCI among STEMI patients at Benghazi National Cardiac Center
Abstract:
Background:
The process of removing a blocked coronary artery is called percutaneous coronary intervention, or PCI. A catheter (a thin, flexible, hollow tube with a small balloon at the end) is inserted through an artery in the arm or groin. Align the balloon with the obstacle using guidance.The balloon is inflated to the point where it pushes fatty tissue from the narrowed arteries, allowing more blood to enter the heart. The balloon is then removed and the stent is left in place. Complications Bleeding Usually occurs at the access site. Local infection is another complication. Renal failure Contrast used for angiography may worsen kidney function, especially in patients with pre-existing kidney failure. Stroke caused by a blood clot that occurs during the procedure. Complication rates increase Age 65 and older Women Renal dysfunction Diabetes Systolic heart disease Extensive coronary artery disease Patients with low BMI.
Aims and objectives:
To identify the Risk factor, mortality rate, and outcome of primary PCI.
Methodology:
Retrospective cohort study we will enrolled patients who underwent Primary PCI between October and December 2023 to estimate the outcome of Primary PCI among STEMI patients. at benghazi national cardiac center.collect patients hospital document to All patient who underwent Primary PCI between the above mentioned period were enrolled N=106 in this study. Patient were included if Patients have STEMI and Age above 18 year . and excluded if have NSTEMI , unstable angina, Normal coronary or Congenital heart disease.
Results:
Patients with STEMI included 66.7%, NSTEMI included 14.7%, unstable angina included 10.7%, and Wellen syndrome included 8%. The majority of patients (79.2%) were male and ranged in age from 31 to 60 years. Patient PCI Results from October - December 2023. 70.8% stenting, 3.8% CABAG, 6.6% drug therapy, 0.9% pacemaker, with mortality rate 5.7%. The most significant risk factors were HTN (51.9%), DM (41.5%), and smoking (39.6%).
Conclusion:
The age group most at risk from 31 to 60 years old is men with comorbidities such as hypertension, diabetes, and smoking. most were stent able and STEMI.
Audience Take Away:
- The risk factor that make patient undergo primary PCI
- The outcome of Primary PCI in STEMI
