Comprehensive analysis of the impact of primary percutaneous coronary intervention on patients with ST-segment elevation myocardial infarction

Abstract

This comprehensive analysis by Saeed and Faeq investigates the impact of primary percutaneous coronary intervention (pPCI) on mortality among patients with ST-segment elevation myocardial infarction (STEMI) at the Erbil Cardiac Center. Analyzing data from 96 consecutive STEMI patients, the study identified significant predictors of in-hospital mortality, emphasizing the critical impact of time of hospital arrival post-symptom onset on overall prognosis. Findings indicate that factors such as atypical presentation, cardiogenic shock, chronic kidney disease, and specific coronary complications are associated with higher mortality rates. The study underscores the necessity of prompt medical intervention for improving survival outcomes in STEMI patients, especially in the high-risk subgroup. This research offers valuable insights into optimizing STEMI management and enhancing patient survival rates through effective and timely pPCI.

Keywords: ST-segment elevation myocardial infarction; Primary percutaneous coronary intervention; Mortality predictors; Timely hospital arrival; Cardiogenic shock

Core Tip: This study by Saeed and Faeq reveals the significant impact of timely primary percutaneous coronary intervention on mortality reduction in ST-segment elevation myocardial infarction patients. The analysis showed that chronic kidney disease, specific culprit coronary lesions, and an atypical presentation characterized by presence of either syncope, cardiogenic shock, or ventricular arrhythmias on arrival were predictive of post-percutaneous coronary intervention mortality.