IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-5-15372 Original Research Paper SHORT TERM OUTCOME IN PATIENTS UNDERGOING PRIMARY PTCA IN A TERTIARY CARE HOSPITAL SHASHANK DIXIT Dr. Dr N PANDIT Dr. May 2018 7 5 01 02 ABSTRACT

Objective: To determine the outcomes of primary percutaneous coronary intervention in

a tertiary care cardiac centre.

Materials and Methods: This is a prospective  single centre review of all patients receiving primary PCI for STEMI between august 2012–december 2013. Demographic, procedural and outcome data were analysed.

Results :There were 478 patients who underwent primary PCI. The mean age was 52.6 ± 7.5years. Median door–to–balloon time was 46 minutes and 67.78 % and 30.96% had anterior andinferior STEMI, respectively. The majority of patients presented with Killip class I (63.17%); however, 7.11 % were in Killip class IV. Single vessel disease was found in 57 .7%. AngiographicPCI success (defi ned as residual stenosis <50% with TIMI 3 fl ow) was achieved in 93 %. No patients required transfer for emergencycoronary bypass surgery as a result of PCI complication. The mean post–infarct left ventricular ejection fraction was 44.1%. In–hospital and 30–day mortality rates were 4.9% and 2.51%respectively. Stent thrombosis occurred in 1.88%.

Conclusion: High procedural success and favourable clinical outcomes matching the international data  achieved in our patients undergoing primary percutaneous coronary intervention