TY - JOUR ID - TI - The Role Of Emergency PCI In The Management Of Acute STEMI The Local Experience In Al-Nassiriya Heart Center AU - Ali Khalid Almaliki AU - Ali Jabbar Alibrahemi AU - Tahsin Ali Al-kinani PY - 2017 VL - 16 IS - 2 SP - 1 EP - 7 JO - Mustansiriya Medical Journal مجلة المستنصرية الطبية SN - 20701128 22274081 AB - Background: Primary PCI is an emergent percutaneous catheter intervention in the setting of STEMI,without previous fibrinolytic treatment .It is the prefered strategy in patients with STEMI.Aim: To evaluate the immediate and intermediate procedural and clinical outcome in a local experience.Methods: This is a descriptive cross sectional study carried out in a tertiary cardiac center for 301 patirnts with acute myocardial infarction. Fifty patients(16.6%) were followed up prospectively for one month up to one year in the outpatient clinic.Results: primary PCI was done in 294 patients (97.6%) and rescue PCI was done in 7 patients (2.4%). Ischemic time is ranging from one hour to twenty four hours (mean 5.02±3.27) . Procedural success rate was 100%. Mortality rate was 5.3% mostly because of cardiogenic shock. Conclusion: Primary PCI should be the standered of care for patients with STEMI.

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