Impact of primary percutaneous coronary intervention on ST-segment elevation myocardial infarction patients:A comprehensive analysis
作者机构：Department of MedicineHawler Medical UniversityErbil 44001KurdistanIraq
出 版 物：《World Journal of Experimental Medicine》 (世界实验医学杂志)
年 卷 期：2024年第14卷第1期
页 面：58-69页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Percutaneous coronary intervention Impact analysis,Segment elevation Erbil
摘 要：BACKGROUND Myocardial infarction,particularly ST-segment elevation myocardial infarction(STEMI),is a key global mortality *** study investigated predictors of mortality in 96 STEMI patients undergoing primary percutaneous coronary intervention at Erbil Cardiac *** factors were identified influencing in-hospital ***,time from symptom onset to hospital arrival emerged as a decisive ***,our study hypothesis is:Reducing time from symptom onset to hospital arrival significantly improves STEMI prognosis.AIM To determine the key factors influencing mortality rates in STEMI *** We studied 96 consecutive STEMI patients undergoing primary percutaneous coronary intervention(PPCI)at the Erbil Cardiac *** clinical histories were compiled,and coronary evaluations were performed via angiography on *** included comorbid conditions,onset of cardiogenic shock,complications during PPCI,and ***-discharge,one-month follow-up assessments were *** significance was set at P*** Our results unearthed several significant *** in-hospital and 30-d mortality rates among the 96 STEMI patients were 11.2%and 2.3%*** the investigation of independent predictors of in-hospital mortality,we identified atypical presentation,onset of cardiogenic shock,presence of chronic kidney disease,Thrombolysis In Myocardial Infarction grades 0/1/2,triple vessel disease,ventricular tachycardia/ventricular fibrillation,coronary dissection,and the no-reflow ***,the recorded average time from symptom onset to hospital arrival amongst patients who did not survive was significantly longer(6.92±3.86 h)compared to those who survived(3.61±1.67 h),P*** findings underscore the critical role of timely intervention in improving the survival outcomes of STEMI *** Our results affirm that early hospital arrival after symptom onset significantly i
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