Outcomes of primary percutaneous coronary intervention (PCI) in a tertiary care cardiac centre

To determine the outcomes of primary percutaneous coronary intervention (PCI) in a tertiary care cardiac centre.

Medical records of 104 consecutive patients presented in our hospital between January 2006 to December 2007 with acute ST elevation myocardial infarction (STEMI) and treated with primary PCI as a mode of reperfusion were reviewed. The primary end point was in hospital mortality and secondary end points were 30 day mortality, myocardial infarction, recurrent angina and congestive cardiac failure, from discharge to one month follow up.

The procedural success was 97%. Six (5.8%) patients died during hospital stay including one on table death. Out of six patients who died, five (83.3%) had cardiogenic shock. No mortality was observed in the 30 days follow up from discharge while other complications like myocardial infarction, recurrent angina and congestive cardiac failure were 1%, 1% and 5% respectively.

Our findings suggest that favourable outcomes, matching the international data can be achieved in our patients with primary PCI in the management of life threatening illness like STEMI despite all the limitations. Primary PCI as a preferred method of reperfusion strategy fieeds to be practiced more often in our part of the world.