Association of Clinical Factors for Short- Term Clinical Outcome of Primary Percutaneous Coronary Intervention (P-PCI) in Patients Presented with STSegment Elevation MI (STEMI)

Abstract

Primary Percutaneous Coronary Intervention (P-PCI) is an essential procedure for increasing the survival of
ST-Segment Elevation Myocardial Infarction (STEMI) patients. However, there are discrepancies
regarding the superiority of PCI and CABG. Several factors influence patient outcomes and survival. Short
term and long term patient outcomes after successful PCI implementation are documented in the literature.
This study aimed to evaluate the effect of demographic, clinical factors on the short-term clinical outcomes
in patients with STEMI undergoing primary PCI. A total of 60 patients with STEMI were included in this
study. Patients were evaluated for their respective medical history, followed by physical examination,
blood tests, Standard 12 lead ECG. Later on, coronary angiography and primary PCI were performed.
Conventional transthoracic echocardiography was done during the first presentation and 30 days of clinical
follow up was done at the XXX. The present analysis suggested that age is having statistically important
and significant association with multiple factors related with the risk of the disease conditions such as
degree of vessels outcomes (P = 0.0111), the effectiveness of (GPIIb/IIIa) inhibitors used (P = 0.0107), the
influence of hypertension (P = 0.0377), IRA conditions (P = 0.0325), pre-treatment stage LVEF values (P =
0.0005), ST-segment resolution results (P < 0.0001), and the symptom to FMC (P = 0.0001). Smoking was
also associated with age for the current patients (P = 0.0106). The present study was able to establish
statistically significant associations related to age, gender, LVEF, TIMI flow, and the use of GPIIb/IIIa
inhibitors with P-PCI outcomes.