Retracted: Primary Percutaneous Coronary Intervention (PPCI) in Acute Myocardial Infarction Complicated by Cardiogenic Shock in a Newly Emerging Cardiac Centre in Nepal

Abstract

Background: Acute myocardial infarction (AMI) is complicated by cardiogenic shock in 7-10% of patients. Mortality rate is exceedingly high and reaches 70-80% in those treated conservatively. Large thrombolytic trials demonstrate 60% mortality with most effective thrombolytic agent. In between September 2005 to August 2008 total PCI in Shahid gangalal National Heart Centre (SGNHC), Nepal was 452. among them primary PCI (PPCI) in AMI with cardilgenic shock was done in only 16 patients with cardiogenic shock who underwent PPCI, 6 patients are in out of 50% (n=8) patients with cardiogenic shock who underwent PPCI, 6 patients are in routine follow up over 12 months and 2 were doing well in subsequent 6 months but lost in follow up afterwards. Primary PCI in AMI complicated by cardiogenic shock has lower mortality and improved outcome. High cost, high in-hospital mortality, need for trained manpower are the major limitations.

Short Term Outcome of Acute ST Elevation Myocardial Infarction in a Tertiary Care Cardiac Center

“…Similar high mortality was seen in patients with STEMI presenting in cardiogenic shock. 23,24 While excluding patients in shock, the mortality was 6.6%. In Indian CREATE study, 30 day mortality was 9%, 13 and in GRACE study 8% 25 and in Hospital in Kerala study 8.2%.…”