Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUD:
Primary percutaneous coronary intervention (PCI) provides outcomes superior to fibrinolytic therapy in acute myocardial infarction (AMI), but no registry or study in Iraq has demonstrated its use in hospital.
OBJECTIVE:
To evaluate using of primary PCI for acute MI in Ibn Alnafees hospital –Baghdad.
METHODS:
Patients between 2010 and march 2013 having symptom onset within 12 hours and either ST-segment elevation of - 1 mm in - 2 contiguous leads or presumed new left bundle branch block (LBBB) in electrocardiogram (ECG) who were treated with primary PCI were included in this study. Two patient had cardiogenic shock treated within 16 hours.
RESULTS:
A total of 76 patient included in this study having primary PCI for acute MI. successful result reported in 71 of cases, while death reported in 2 cases, slow flow in 2 cases, no re flow in one case and stent thrombus formation in one case. No need for urgent or elective CABG.
CONCLUSION:
Primary PCI for patients with AMI having ST-elevation or new LBBB is a safe and effective strategy