Prevelence of Multivessel Anatomy in Primary Percutaneous Coronary Intervention (PCI) after Acute ST Elevation Myocardial Infarction


  • Vickee Kumar Mamtani, Naveed Ahmed Shaikh, Javed Khurshed Shaikh, Mir Fahad Hussain Talpur, Shahbaz Ali Shah, Rajesh Kumar



Multivessel Disease Anatomy (MVDA), Standard Modified Cardiovascular Risk Factor (SMuRF), Primary Percutaneous Coronary Artery Intervention (PPCI), Acute ST segment Elevation Myocardial Infarction (STEMI)


Objective: This study aims to determine the frequency of multivessel anatomy in patients with Primary Percutaneous Coronary Intervention (PPCI) after Acute ST-Elevation  Myocardial Infarction (STEMI).

Methodology: From February 2017 to August 2017, this descriptive cross-sectional study was conducted in National Institute of Cardiovascular Diseases Karachi. P-value<0.05 was considered statistically significant. Patients of Either gender, having comorbid of Diabetic, hypertensive, obese, smokers or ex-smokers, from age ≥35 years and ≤65 years were included for the research subject. However, patients with a previous history of coronary angioplasty or thrombolytic therapy, valvular heart disease, CABG, and all those patients with non-ST-elevation myocardial infarction (NSTEMI) do not meet the criteria for STEMI on electrocardiography were excluded.

Result: A total of 97 patients were evaluated with a mean age of 52.5 and standard deviation ±9.76 and weight mean was 68.65±10.86. A significant result was observed with the help of chi-square t-test analysis in the stratification for MVDA. Age was proportionally related to MVDA with a p-value of 0.001. Diabetes Mellitus is another significant factor in association with MVDA with a p-value of 0.001. Hypertension and current smoking status in association with multivessel disease reflect moderate evident significance while gender and ex smoking status have no association with MVDA.

Conclusion: Patients with multi-vessel disease comprise the majority of patients undergoing PCI today and will likely remain so. With improved techniques, stents, and adjunctive drugs, outcomes have improved significantly