Author/Authors :
Sezavar, Hashem Research Center for Prevention of Cardiovascular Disease - Institute of Endocrinology & Metabolism - Iran University of Medical Sciences, Tehran, Iran , Hassanzadeh, Morteza Department of Internal Medicine - Rasoul-e-Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Akhlagh Moayed, Davood Cardiovascular Department - Pars General Hospital, Tehran, Iran , Tabandeh, Mahmood Kowsar Heart Hospital, Shiraz, Iran , Ghasemi, Massoud Department of Cardiology - Imam Khomeini Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Abdi, Seifollah Shahid Rajaei Heart Center, Tehran, Iran , Firoozi, Iraj Day hospital, Tehran, Iran , Golbidi, Pejman No Affiliation , Pourjafari, Marzieh No Affiliation , Taslimi, Negin Iran university of Medical Sciences, Tehran, Iran , Akhlaghi, Ali Asghar Department of Epidemiology and Reproductive Health - Reproductive Epidemiology Research Center - Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran , Hashemian, Mahmoud Day hospital, Tehran, Iran
Abstract :
Background: Frequent Percutaneous Coronary Intervention (PCI) procedures are being performed on a daily basis in Iran.
However, no study has been reported on the current PCI practice in patients with acute coronary syndrome (ACS) in Iran. We aimed to
describe the clinical characteristics and treatment patterns in Iranian ACS patients treated with PCI.
Methods: Between February 2017 and July 2017, ACS patients presented to 5 referral hospitals in two major cities of Iran (Tehran
and Shiraz) were included in this observational study if aged > 18 years and underwent PCI for ACS during hospitalization; and their
clinical and procedural characteristics were collected. All data were entered into SPSS v.21 and descriptive statistics were performed.
Results: Of a total of 314 patients, 228 (73%) were males, 162 (52%) were diagnosed with ST-elevation myocardial infarction and
152 (48%) with Unstable angina/ Non-ST elevation myocardial infarction. Trans-femoral approach was more often (64%) used for PCI
procedures. Stent placement was the most frequent (98%) treatment strategy on PCI, with drug-eluting stent selected in the majority of
subjects (98%). The overall rate of PCI success was 95%, with 4.1% PCI-related complications, and 1.6% post-PCI bleeding events.
The vast majority of the study patients (99%) were discharged with dual anti-platelet therapy.
Conclusion: In this study, we observed a high level of adherence to the currently accepted guidelines in the current PCI practice on
ACS patients in Iran. Also we found our practice is highly in line with the global reduction trend in the PCI-related complications.
