Frequency of Cardiogenic Shock after Primary Percutaneous coronary intervention In Patients with ST elevation myocardial infarction And Their Hospital Outcome.
Qaiser Iqbal, Sunil Dat Maheshwari, Najeeb Ullah Ansari, Zahid Naseeb Ansari, Faiz Muhammad Memon
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ABSTRACT
Objective: To find
out the frequency of cardiogenic shock in patients with STEMI (ST Elevation
Myocardial Infarction) and there in hospital outcome after primary PCI
(Percutaneous Coronary Intervention).
Methodology: This
design of the study is observational cross sectional, performed at department
of adult cardiology, National Institute of Cardiovascular Diseases (NICVD) from
1st November 2016 to 30th April 2017. We took 292
patients who landed at Emergency room within 12 hours of onset of symptoms with
ST segment elevation or new LBBB, treated with primary or rescue PCI or patient presenting with cardiogenic shock.
Results: The age of the patients was
50.10±6.45 years on average. Cardiogenic shock in patients with
STEMI after primary PCI was 19.8%. From total 70.7% mortality, 24.1% coma and
5.2% remains alive and well after primary PCI in STEMI patients with cardiogenic
shock. (p=0.0005).
Conclusion: As per study conclusion cardiogenic
shock prevalence among cases having STEMI after primary PCI and rate of
mortality was high, so a preventable cause of cardiogenic shock with STEMI
after primary PCI should be established.
Key Words: STEMI,
Cardiogenic shock, Myocardial infarction