Open AccessDevelopment of Primary Percutaneous Coronary Intervention as a National Reperfusion Strategy for Patients with ST-Elevation Myocardial Infarction and Assessment of Its Use in Egypt
Author(s) -
Mohamed Sobhy,
Ahmed M. Elshal,
Noha Ghanem,
Hosam HasanAli,
Nabil Farag,
Nireen Okasha,
Elsayed Farag,
Mohamed Sadaka,
Hisham Abo El Enein,
Sameh Salama,
Hazem Khamis,
Khaled Abd El Azim Shokry,
Hany Ragy,
Amany Elshorbagy,
Radwa A. Mehanna
Publication year - 2020
Publication title -
cardiovascular innovations and applications
Language(s) - English
Resource type - Journals
eISSN - 2009-8782
pISSN - 2009-8618
DOI - 10.15212/cvia.2019.0571
Subject(s) - conventional pci , medicine , percutaneous coronary intervention , myocardial infarction , door to balloon , balloon , cardiology , acute coronary syndrome , st elevation , st segment , angioplasty , primary angioplasty
Objective: Early treatment of acute ischemia of the heart by performing immediate percutaneous coronary intervention (PCI) to restore blood flow in patients with the clinical presentation of an acute coronary syndrome and more specifically with ST-elevation myocardial infarction (STEMI) can save lives. This study aims to identify the mean time (door to balloon time and first contact to balloon time) to primary PCI for STEMI patients and to assess the percentage of primary PCI and its success rate in Egypt. Methods: A registry study of patients presenting to cardiac centers in Egypt was designed, where patients’ basic characteristics, the treatment strategy, and the door to balloon time and the first contact to balloon time were assessed. Results: One thousand six hundred fifty STEMI patients with a mean age of 57 years were included in the study. Immediate transfer for primary PCI was the most used treatment strategy, representing 74.6% of all treatment strategies used. The door to balloon time and the first contact to balloon time were 50 and 60 minutes, respectively, with a primary PCI success rate of 65.1%. Conclusion: The registry study results showed a marked improvement by implementation of the best treatment strategy with respect to the time factor to achieve a better outcome for STEMI patients in Egypt.