PMID- 28648416
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20220318
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 69
IP  - 3
DP  - 2017 May-Jun
TI  - Primary percutaneous coronary intervention for acute ST elevation myocardial 
      infarction: Outcomes and determinants of outcomes: A tertiary care center study 
      from North India.
PG  - 294-298
LID - S0019-4832(16)30093-1 [pii]
LID - 10.1016/j.ihj.2016.11.322 [doi]
AB  - BACKGROUND: Primary percutaneous coronary intervention (PCI) is the current 
      standard of care for acute ST elevation myocardial infarction (STEMI). Most of 
      the data on primary PCI in acute STEMI is from western countries. We studied the 
      outcomes of primary PCI for acute STEMI at a tertiary care center in North India. 
      METHODS: Consecutive patients undergoing primary PCI for STEMI were prospectively 
      studied during the period from February 2103 to May 2015. The outcomes assessed 
      were all cause in hospital mortality, factors associated with mortality, major 
      adverse cardiac and cerebrovascular event rate (composite of all cause in 
      hospital mortality, non-fatal re infarction and stroke) and procedural 
      complications. RESULTS: 371 patients underwent primary PCI during the study 
      period. The mean age was 54 years and 82.7% were males. The mean total ischemia 
      time and door to balloon times were 6.8h and 51min respectively. 96.4% patients 
      underwent successful primary PCI. The total in hospital mortality was 12.9%. 
      Mortality with cardiogenic shock at presentation was 66.7% while non-shock 
      mortality was 2.6%. In hospital MACCE rate was 13.5%. Factors significantly 
      associated with mortality were KILLIP class (OR: 8.4), door to balloon time (OR 
      1.02), final TIMI flow (OR 0.44) and severe LV dysfunction (OR 22.0). Procedure 
      related adverse events were rare and there was no non-CABG associated major TIMI 
      bleeding. CONCLUSION: Primary PCI for acute STEMI is feasible in our setup and 
      associated with high success rate, low mortality in non-shock patients and low 
      complication rates.
CI  - Copyright (c) 2016. Published by Elsevier B.V.
FAU - Dubey, Gajendra
AU  - Dubey G
AD  - Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 
      India. Electronic address: gajendra.dubey119@gmail.com.
FAU - Verma, Sunil Kumar
AU  - Verma SK
AD  - Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 
      India.
FAU - Bahl, Vinay Kumar
AU  - Bahl VK
AD  - Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 
      India.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20161130
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Coronary Angiography
MH  - Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Incidence
MH  - India/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/*methods
MH  - Postoperative Complications/*epidemiology
MH  - Prospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/diagnosis/mortality/*surgery
MH  - Survival Rate/trends
MH  - *Tertiary Care Centers
MH  - Time Factors
MH  - Treatment Outcome
PMC - PMC5485382
OTO - NOTNLM
OT  - Cardiogenic shock
OT  - Door to balloon time
OT  - KILLIP class
OT  - Primary PCI
OT  - STEMI
OT  - Total ischemia time
EDAT- 2017/06/27 06:00
MHDA- 2018/04/12 06:00
PMCR- 2018/05/01
CRDT- 2017/06/27 06:00
PHST- 2016/05/01 00:00 [received]
PHST- 2016/10/30 00:00 [revised]
PHST- 2016/11/17 00:00 [accepted]
PHST- 2017/06/27 06:00 [entrez]
PHST- 2017/06/27 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
PHST- 2018/05/01 00:00 [pmc-release]
AID - S0019-4832(16)30093-1 [pii]
AID - 10.1016/j.ihj.2016.11.322 [doi]
PST - ppublish
SO  - Indian Heart J. 2017 May-Jun;69(3):294-298. doi: 10.1016/j.ihj.2016.11.322. Epub 
      2016 Nov 30.