Multivessel Percutaneous Coronary Intervention in Patients with Acute ST-segment Elevation Myocardial Infarction in Same Sitting

Authors

  • AHM Waliul Islam Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Shams Munwar Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Azfar H Bhuiyan Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Sahabuddin Talukder Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • AQM Reza Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Tamzeed Ahmed Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Nighat Islam Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Atique Bin Siddique Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Intekhab Yousuf Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Shaifur Rahman Shohel Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Sarder Md Tanvir Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Aparajita Karim Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • Tanvir Ahmed Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka
  • MS Alam Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka

DOI:

https://doi.org/10.3329/cardio.v8i1.24769

Keywords:

Acute MI, Multivessel PCI, Primary PCI, Infarct related artery

Abstract

Background: Aim of the study was to evaluate the primary procedural success of Multivessel Percutaneous coronary intervention in patients with acute ST-segment elevated myocardial infarction at the same sitting.

Methods: Total 23 (13.4%) patients were enrolled in this very preliminary study, among the total 171 patients who had primary PCI at our center from Jan 2010 to February 2015. Among them, Male: 20 and Female: 3. Total 52 stents were deployed in 46 territories. Mean age were for both male and female were 54 yrs. Associated coronary artery disease risk factors were Dyslipidemia, High Blood pressure, Diabetes Mellitus, positive family history for coronary artery disease and Smoking.

Results: Among the study group; 17(74%) were Dyslipidemic, 11(47.8%) were hypertensive; 8(34.8%) patients were Diabetic, positive family history 4(17.4%) and 9(39%) were all male smoker. Female patients were more obese (BMI: M 26: F 27). Common diagnosis at admission based on ECG evidence was; Inferior wall myocardial infarction: 12 (52.2%), Anterior wall myocardial infarction 9(39.1%) and lateral 2(8.7%). Common stented territory was left anterior descending artery 9(39.1%), right coronary artery 7(30.4%), and left circumflex artery 7(30.4%). Stent used: Bare metal stent 3 (5.7%), DES: 49 (94.2%). Among the different drug eluting stents, Everolimus 26 (52%), Sirolimus 8(15.4%) and Zotarolimus 9(17.3%), Paclitaxel 2 (3.8%), Biolimus 2 (3.8%), Genous 2 (3.8%).

Conclusion: In the current prospective non randomized study, we found that the multivessel primary PCI for ST elevation myocardial infarction with non-culprit vessel are suitable for PCI at the same sitting with better in-hospital and 1 yr survival outcome.

Cardiovasc. j. 2015; 8(1): 53-58

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Author Biography

AHM Waliul Islam, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka, Dhaka



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Published

2015-08-28

How to Cite

Islam, A. W., Munwar, S., Bhuiyan, A. H., Talukder, S., Reza, A., Ahmed, T., Islam, N., Siddique, A. B., Yousuf, I., Shohel, S. R., Tanvir, S. M., Karim, A., Ahmed, T., & Alam, M. (2015). Multivessel Percutaneous Coronary Intervention in Patients with Acute ST-segment Elevation Myocardial Infarction in Same Sitting. Cardiovascular Journal, 8(1), 53–58. https://doi.org/10.3329/cardio.v8i1.24769

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Original Articles