PMID- 27031976
OWN - NLM
STAT- MEDLINE
DCOM- 20170202
LR  - 20181023
IS  - 0009-0875 (Print)
IS  - 0009-0875 (Linking)
VI  - 61
IP  - 1
DP  - 2016 Mar
TI  - Outcome of early coronary intervention for acute ST elevation myocardial 
      infarction in a tertiary care cardiac centre in Sri Lanka.
PG  - 26-31
LID - 10.4038/cmj.v61i1.8258 [doi]
AB  - OBJECTIVES: To describe the outcomes of early percutaneous coronary intervention 
      (PCI) for the treatment of acute ST elevation myocardial infarction (STEMI) in a 
      tertiary care cardiac centre in Colombo, Sri Lanka. METHODS: Medical records of 
      139 consecutive patients presenting to Cardiology Unit 5, National Hospital of 
      Sri Lanka from March 2013 to June 2014 with acute STEMI, and treated with early 
      PCI as a mode of reperfusion were reviewed. These patients were then followed up 
      for 6 months to determine survival, target-vessel revascularization, in-stent 
      thrombosis and other major adverse cardiac events (MACE). RESULTS: Of 139 
      patients, 116 (83.5%) were male. Mean age was 52.3+/-SD11.1 years. Eighty eight 
      (63.3%) patients underwent primary PCI and 51 (36.7%) underwent rescue PCI. There 
      were six deaths (4.3%). One occurred on-table and three occurred after discharge. 
      Four patients who died had cardiogenic shock. Mean door-to-balloon (DTB) time was 
      147 minutes for the primary PCI patients who were transferred from ETU. At six 
      months, of 106 patients who attended follow up, two had been re-hospitalised for 
      heart failure but none underwent coronary artery bypass grafting (CABG). 
      CONCLUSIONS: This report from the national tertiary care cardiology referral 
      centre in Sri Lanka, found that the study population was relatively younger, 
      similar to other Asian countries. There was high rate of initial success (98.6%) 
      and good short-term survival (95.7%), particularly in the subset presenting 
      without cardiogenic shock (98.4%) despite the long DTB time. Loss to follow up at 
      6 months in this centre was 23.7% (33 patients).
FAU - Rahuman, M B F
AU  - Rahuman MB
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Sri Lanka. 
      faslurcard@yahoo.com.
FAU - Jayawardana, J B
AU  - Jayawardana JB
FAU - Francis, G R
AU  - Francis GR
FAU - Niraj, M
AU  - Niraj M
FAU - Kumara, A H T W
AU  - Kumara AH
FAU - Wijesinghe, U A D
AU  - Wijesinghe UA
FAU - Haniffa, R
AU  - Haniffa R
FAU - Ariyapperuma, R
AU  - Ariyapperuma R
FAU - Anuruddha, C
AU  - Anuruddha C
FAU - de Silva, A P
AU  - de Silva AP
LA  - eng
PT  - Journal Article
PL  - Sri Lanka
TA  - Ceylon Med J
JT  - The Ceylon medical journal
JID - 1264702
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Readmission
MH  - *Percutaneous Coronary Intervention
MH  - ST Elevation Myocardial Infarction/mortality/*surgery
MH  - Sri Lanka
MH  - Survival Rate
MH  - Tertiary Care Centers
MH  - Time Factors
MH  - Time-to-Treatment
MH  - Treatment Outcome
EDAT- 2016/04/01 06:00
MHDA- 2017/02/06 06:00
CRDT- 2016/04/01 06:00
PHST- 2016/04/01 06:00 [entrez]
PHST- 2016/04/01 06:00 [pubmed]
PHST- 2017/02/06 06:00 [medline]
AID - 10.4038/cmj.v61i1.8258 [doi]
PST - ppublish
SO  - Ceylon Med J. 2016 Mar;61(1):26-31. doi: 10.4038/cmj.v61i1.8258.