Open AccessAssociation of Total Ischemic Times and In-Hospital Outcomes of Acute STEMI Patients who Underwent Primary Angioplasty at a Tertiary Cardiac Care Facility
Author(s) -
Asad Hussain Shah,
SR Shah,
Muhammad Talha Khan,
Faisal Ahmed,
Iftikhar Ahmed,
Fawad Farooq,
Dileep Kumar
Publication year - 2021
Publication title -
journal of pharmaceutical research international
Language(s) - English
Resource type - Journals
ISSN - 2456-9119
DOI - 10.9734/jpri/2021/v33i60a34554
Subject(s) - medicine , primary angioplasty , myocardial infarction , angioplasty , cardiology , observational study , chest pain , balloon , st segment , emergency medicine , percutaneous coronary intervention
Aims: To determine the association between total ischemic time and in-hospital outcome of acute ST elevation myocardial infarction (STEMI) patients who underwent primary angioplasty.
Study Design: Prospective observational study.
Place & Duration of Study: Department of Cardiology, Dow university of health sciences Karachi between October 2017 till March 2021.
Methodology: Data for total ischemic time analysis were collected from 366 STEMI patients who consecutively underwent primary angioplasty. Total ischemic time was measured from the onset of chest pain to o the first balloon inflation during primary angioplasty and in hospital outcome was measured.
Results: Total ischemic times were available in 366 STEMI patients which was ≥ 30 minutes and 2-3 hours in 11.4%, >3-5 hours in 25.4%, and >5 hours in 47.5% of STEMI patients. In addition, STEMI patients with total ischemic times 5 hours.
Conclusion: This study showed that shorter ischemic times are significantly related to improved myocardial reperfusion and decreased mortality.