Outcome of Primary Percutaneous Coronary Intervention Among Patients of Complete Atrioventricular Block with Acute Inferior St-Elevation Myocardial Infarction

Abstract

Aim: To assess the outcomes of primary percutaneous coronary intervention among patients of complete atrioventricular block with acute inferior ST-elevation myocardial infarction Methods: We conducted an observational study of patients with CAVB and STEMI who underwent Primary PCI at interventional cardiology department, national institute of cardiovascular diseases Karachi during the period from January 1, 2022 to July 31, 2022. The primary outcomes were in-hospital mortality and CAVB resolution. Results: A total of 100 patients were included in the study. The mean age was 60.63±5.63 years, and 61% were male. The median door-to-balloon time was 89.96±17.97 minutes. In hospital mortality rate was 4%. CAVB was resolved in 93%. Conclusion: For patients with CAVB and STEMI, Primary PCI is a safe and successful treatment with a low rate of in-hospital mortality. These findings support the use of primary PCI in this patient population. Keyword: Primary PCI, CAVB, STEMI

In Hospital Outcome of Patients with Acute St-Elevation Myocardial Infarction Requiring Temporary Pacemaker

“…A patient with significant ST-segment elevation may benefit from reperfusion treatment (pharmacologic or catheter-based) to restore blood flow in a blocked coronary artery. Primary PCI is defined as an intervention of the blocked infarct-related coronary artery performed within 12 hours of the onset of symptoms and without preceding fibrinolytic therapy [2]. In patients with acute STEMI, primary PCI is an effective and preferred form of emergency revascularization.…”