Development of Primary Percutaneous Coronary Intervention as a National Reperfusion Strategy for Patients with ST-Elevation Myocardial Infarction and Assessment of Its Use in Egypt

• 作者: Ahmed Elshal Amany Elshorbagy El Sayed Farag Hany Ragy Hazem Khamis Hisham Abo El Enein Hosam Hasan-Ali Khaled Shokry Mohamed Sadaka Mohamed Sobhy Nabil Farag Nireen Okasha Noha Ghanem Radwa Mehanna Sameh Salama
• 来源期刊: Cardiovascular Innovations and Applications
• 学科: 医学
• 关键词: ST-elevation myocardial infarction primary percutaneous coronary intervention door to balloon time fi rst medical contact to balloon time
• 年，卷（期）: carinnapp,（2）
• 页码范围: 269-278
• 页数: 10页
• 分类号: R54

摘要

Objective:Early treatment of acute ischemia of the heart by performing immediate percutaneous coronary intervention(PCI)to restore blood fl ow in patients with the clinical presentation of an acute coronary syndrome and more specifi cally with ST-elevation myocardial infarction(STEMI)can save lives.This study aims to identify the mean time(door to balloon time and fi rst contact to balloon time)to primary PCI for STEMI patients and to assess the percentage of primary PCI and its success rate in Egypt.Methods:A registry study of patients presenting to cardiac centers in Egypt was designed,where patients’basic characteristics,the treatment strategy,and the door to balloon time and the fi rst contact to balloon time were assessed.Results:One thousand six hundred fi fty STEMI patients with a mean age of 57 years were included in the study.Immediate transfer for primary PCI was the most used treatment strategy,representing 74.6%of all treatment strategies used.The door to balloon time and the fi rst contact to balloon time were 50 and 60 minutes,respectively,with a primary PCI success rate of 65.1%.Conclusion:The registry study results showed a marked improvement by implementation of the best treatment strategy with respect to the time factor to achieve a better outcome for STEMI patients in Egypt.