PMID- 20578598 OWN - NLM STAT- MEDLINE DCOM- 20100809 LR - 20101118 IS - 0030-9982 (Print) IS - 0030-9982 (Linking) VI - 60 IP - 7 DP - 2010 Jul TI - Procedure indications and outcome of percutaneous coronary interventions in a tertiary care hospital. PG - 523-7 AB - OBJECTIVE: To determine clinical indications and one month outcome of Percutaneous Coronary Interventions (PCI) in a tertiary care centre. METHODS: We prospectively conducted a descriptive study on 259 symptomatic coronary artery disease patients, who underwent primary, rescue or elective PCI with stent deployment at the Tabba Heart Institute, from May 2005 to September 2006. The primary objective of the study was to identify--stable angina, unstable angina, Non-ST elevation myocardial infarction (NSTEMI), ST elevation myocardial infarction (STEMI), congestive heart failure (CHF) and cardiogenic shock) and thirty days outcome of PCI in terms of mortality, peri-procedural myocardial infarction, re-infarction and stent thrombosis. This was done according to the standard guidelines of Canadian Cardiovascular Society and New York Heart Association classification. The patients were followed for one month and complications were noted. RESULTS: The mean age of sample was 54.9 +/- 10.6 years. The indications were stable angina (32.4%), unstable angina (13.9%), NSTEMI (18.9%), STEMI (35.1%), CHF (5.4%) and cardiogenic shock (1.5%). The outcome was mortality (2.7%), peri-procedure MI (0.4%), re-infarction (3.08%), cardiogenic shock (1.5%) and stent thrombosis (4.3%). CONCLUSION: Our clinical indications and outcome are comparable with international findings. Stable angina was a major indication and stent thrombosis was the major complication observed, particularly after primary percutaneous intervention for STEMI. FAU - Siddiqui, Muhammad Shamim AU - Siddiqui MS AD - Tabba Heart Institute, Karachi. FAU - Shaikh, Ayaz Hussain AU - Shaikh AH FAU - Hanif, Bashir AU - Hanif B FAU - Ali, Hammad AU - Ali H FAU - Hussain, Syed Muhammad Faisal AU - Hussain SM FAU - Sami, Sahr AU - Sami S FAU - Kisat, Mehreen AU - Kisat M LA - eng PT - Journal Article PL - Pakistan TA - J Pak Med Assoc JT - JPMA. The Journal of the Pakistan Medical Association JID - 7501162 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Angina Pectoris/therapy MH - *Angioplasty, Balloon, Coronary MH - Coronary Artery Disease/*diagnosis MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Stents EDAT- 2010/06/29 06:00 MHDA- 2010/08/10 06:00 CRDT- 2010/06/29 06:00 PHST- 2010/06/29 06:00 [entrez] PHST- 2010/06/29 06:00 [pubmed] PHST- 2010/08/10 06:00 [medline] AID - 2160 [pii] PST - ppublish SO - J Pak Med Assoc. 2010 Jul;60(7):523-7.