Volume : V, Issue : XI, November - 2016

FEASIBILITY, EFFICACY OUTCOME AND SAFETY OF PRIMARY ANGIOPLASTY IN FEMALE PATIENTS WITH ST ELEVATION MYOCARDIAL INFARCTION PRESENTING TO A TERTIARY CARE HOSPITAL.

Dr Hetan C Shah, Dr. Charan P. Lanjewar, Dr Rishi A Bhargava, Dr. Prafulla G. Kerkar

Abstract :

 Background: In acute myocardial infarction (AMI), primary percutaneous transluminal coronary angioplasty (PTCA) has proved to be the best therapeutic approach. However , previous studies mentions differences in the outcomes in the females as compared to males who undergo primary angioplasty. Aim: To evaluate gender influence on clinical outcome and in–hospital mortality in patients with ST elevation myocardial infarction(STEMI) who undergo primary percutaneous interventions. Methods: We studied 32 consecutive patients (10 women, 31.2 %), who underwent primary PTCA between Feuary 2016 and September 2016 . ?e following parameters were analyzed : risk factors for coronary artery disease including hypertension, diabetes, smoking, hypercholesterolemia and family history, previous AMI, PTCA or angina, door–to–balloon time, extent of coronary disease and outcome. Results: Female patients were older (60.6 yrs min 50yrs, max 85 yrs) with hypertension in majority of them (60% of the patients). Diabetes mellitus and hyperlipidemia was present in 40% of the patients. All the females were post menopausal. Angina was presenting symptom in all of them. One female was in Killip class II, all others were in Killip class I at presentation. None of the patient had smoking as risk factor. Door– to–balloon time was longer in women(mean 6.8 hours). LAD was most frequently involved vessel(60%) followed by RCA(40%). Glycoprotein IIb/IIIa inhibitors were used in 2 patients . Eight patients underwent stenting while 2 underwent balloon angioplasty alone. ?e procedure was uneventful in all the patients. Symptom relief noted immediate post procedure. Mean Left ventricular ejection fraction at discharge was 45%. No death or major adverse cardiovascular event occurred in 30 day follow up. Conclusions: Primary angioplasty is feasible, efficacious and safe approach for treatment of AMI with good procedural outcome and no significant complication. Longer duration study with larger sample size will lead to further insight into the topic

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Hetan C Shah, Dr. Charan P. Lanjewar, Dr Rishi A Bhargava, Dr. Prafulla G.Kerkar, FEASIBILITY, EFFICACY OUTCOME AND SAFETY OF PRIMARY ANGIOPLASTY IN FEMALE PATIENTS WITH ST ELEVATION MYOCARDIAL INFARCTION PRESENTING TO A TERTIARY CARE HOSPITAL., International Journal of Scientific Research, Volume : 5 | Issue : 11 | November 2016

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