Outcomes of primary percutaneous coronary intervention (PCI) in NICVD, Dhaka,Bangladesh- our initial experiences

Authors

  • Mir Jamaluddin Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Ibrahim Khalil Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Kajal Kumar Karmakar Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Humayun Kabir Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Rakibul Islam Litu Department of Cardiology, Uttara Adhunik Medical College, Dhaka
  • Bazlur Rashid Department of Cardiology, Uttara Adhunik Medical College, Dhaka
  • AHK Chowdhury Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • AAS Majumder Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Abul Khair Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Zahid Hasan Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Shahin Kabir Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Khq Islam Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Amal Kumar Chowdhury Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • GK Shaha Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Mahboob Ali Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Afzalur Rahman Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Abdul Kader Akanda Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka
  • Mamunur Rashid Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka

DOI:

https://doi.org/10.3329/uhj.v9i2.23428

Keywords:

Primary PCI, STEMI

Abstract

The aim of the study is to determine the out comes of primary percutaneous coronary intervention (PCI) in patients with acute myocardial infarction in NICVD the only government cardiac hospital of Bangladesh where resources are very limited. Total 73 (male 70, female 3) patients were enrolled in this study who were brought in to our hospital with STEMI between August 2010 to October 2013. Average age was 55.6 ±11.78. Primary PCI was performed after transferring patient from Emergency Department to cardiac catheterization laboratory. Cardiovascular risk factors among the studied population were Diabetes mellitus, Hypertension, Smoking, Dyslipidemia and Positive family history for IHD. Primary PCI either with Bare Metal Stent (BMS) or Drug Eluting Stent (DES) were performed in total 42 LAD lesions, 28 RCA lesions and 3 LCX lesions. BMS used were 87.7%, DES used were 12.3%. The procedural success was 95.8%.Four patients (5.4%) died during hospital stay. Out of four patients who died, one had cardiogenic shock. No mortality was observed in the 30 days follow up from discharge, while other complications like unstable angina and congestive heart failure were 5.7% and 4.3% respectively. Our findings suggest favorable outcomes, matching the international data which was achieved in our patients with primary PCI in the management of STEMI despite all the limitations. Primary PCI as a preferred method of reperfusion strategy needs to be practiced more often in our part of world.

University Heart Journal Vol. 9, No. 2, July 2013; 83-87

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Author Biography

Mir Jamaluddin, Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka



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Published

2015-05-20

How to Cite

Jamaluddin, M., Khalil, I., Karmakar, K. K., Kabir, H., Litu, R. I., Rashid, B., Chowdhury, A., Majumder, A., Khair, A., Hasan, Z., Kabir, S., Islam, K., Chowdhury, A. K., Shaha, G., Ali, M., Rahman, A., Akanda, A. K., & Rashid, M. (2015). Outcomes of primary percutaneous coronary intervention (PCI) in NICVD, Dhaka,Bangladesh- our initial experiences. University Heart Journal, 9(2), 83–87. https://doi.org/10.3329/uhj.v9i2.23428

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Original Articles