Feasibility of Primary PCI as the Reperfusion Strategy for Acute ST elevation MI at PIMS
Objective: To determine the feasibility of primary PCI in terms of frequency of patients with acute ST elevation MI found to have a first-medical-contact to needle time of 90 minutes.
Methodology: The descriptive, cross sectional case series was conducted at department of Cardiology, PIMS, Islamabad from January 2017 to April 2017
Results: A total of 350 patients were enrolled into the study, 67% (235) of which were males and 33% (115) females. Mean age of the participating population was 54 ±7.8 years. The mean first medical contact needle time was 2.3±1.1 hours, out of which a vast majority (73%) fell into the 90 minutes range. The patients had a median first medical contact to needle time of 74 minutes.
Conclusion: The study concluded that majority of patients presenting to the emergency department with acute STEMI were found to be feasible for primary PCI as the reperfusion strategy with an FMC to needle time of less than 90 minutes. Therefore, accelerated efforts need to be made to develop this center as a primary PCI capable facility providing such standards of care to patients with ST-elevation MI.
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