Primary Percutaneous Coronary Intervention is a Safe, Feasible andReasonable Therapeutic Option in Management of Acute ST Elevation Myocardial Infarction

Objective: To assess the feasibility and outcomes of primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI) in Pakistan. Study Design: Place and Duration: The study was conducted in Kulsoom International Hospital, Islamabad Between January 2011 to January 2014. Martials and Methods: Consecutive STEMI patients who underwent PPCI within 12 hours of onset of chest pain in Kulsoom International Hospital, Islamabad were included in the study and analyzed. Patients demographics, risk factors, procedural characteristics, time variables and in-hospital and 30 day major adverse cardiovascular events (MACE) were assessed. Results: A total of 193 patients underwent PPCI during this period. The mean age was 52 ± 13.4 years. 86% were males, 41% were hypertensives , 45% were diabetics, and 3 patients had cardiogenic shock. Anterior myocardial infarction was diagnosed in 59% patients. The median chest pain onset to hospital arrival time was 3.5 hours, and average door-to-balloon time was 35 minutes. In-hospital adverse events occurred in 7 patients [death 2, cardiac arrest in 2 cases, acute renal failure in 3 cases].