Risk Stratification of Patients Undergoing Primary Pci for Stemi Using Dynamic Timi Risk Score at A Tertiary Care Cardiac Center
Jehangir Hasan, Muhammad Hashim Kalwar, Javed Khurshed Shaikh, Syed Mohammad Haleem, Muhammad Hassan Butt, Gulzar Ali
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ABSTRACT
Objective: To determine the
frequency of severity based on dynamic TIMI scoring among STEMI patients
undergoing primary PCI at a tertiary care Cardiac center.
Subject and Methods: This case series study
was carried out on 171 patients admitted with acute STEMI undergoing PPCI at the
department of cardiology NICVD, Karachi for six months from February 1st
to July 30th, 2018. After the selection of patients, they were
shifted to the Cath lab, the arterial sheath was passed through the femoral
route only although the radial route is also present but to reduce the bias we
choose the same femoral route only. Angiography was done and the area of
occlusion identified was ballooned/stented by the interventional cardiologist
having experience of at least 03 years. The study parameters of dynamic TIMI
risk score points were recorded on a predesigned proforma.
Results: The mean age of the
patients of the study subjects was 59.89±12.67, Distribution of gender was
stated, 133(77.78%) patients were male and (22.22%) were female. Outcome
dynamic TIMI risk score severity was stated, 86(50.29%) patients had a low
risk, 62(36.26%) patients had a moderate risk, 23(13.45%) patients had a high
risk.
Conclusion: When used in STEMI
patients, this new approach shows the ever-changing risks and could be helpful
in clinical decision-making as well as risk assessment.
Keywords: ST-segment elevation
myocardial infarction; Primary percutaneous coronary intervention, TIMI