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Impact of primary percutaneous coronary intervention on ST-segment elevation myocardial infarction patients:A comprehensive analysis

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World Journal of Experimental Medicine 2024年第1期14卷 58-69页

作者： eza nawzad saeed Abdulsatar Kamil Faeq Department of Medicine Hawler Medical UniversityErbil 44001KurdistanIraq

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

关键词： Percutaneous coronary intervention Impact analysis,Segment elevation Erbil

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