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. 2009 Mar;14(2):123-7.

Primary Percutaneous Coronary Intervention (PPCI) in acute myocardial infarction complicated with cardiogenic shock in a newly emerging cardiac center in Nepal

Arun Maskey  1 , Shyam Raj Regmi, Laxman Dubey, Yadab Bhatt, Rabi Malla, Yuba Raj Limbu, Deewakar Sharma, Man Bahadur
Affiliations

Primary Percutaneous Coronary Intervention (PPCI) in acute myocardial infarction complicated with cardiogenic shock in a newly emerging cardiac center in Nepal

Arun Maskey et al. J Res Med Sci. 2009 Mar.

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.

Methods: In between September 2005 to August 2008 total PCI in Shahid Gangalal National Heart Center (SGNHC) in Nepal was 452. Among them primary PCI (PPCI) in AMI with cardiogenic shock was done in only 16 patients (3.5%).

Results: This study showed in-hospital mortality of 50% (n = 8). Of 50% (n = 8) alive 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 not in follow up after that.

Conclusion: Primary PCI in AMI complicated by cardiogenic shock has lower mortality and improved outcome. High cost, high in-hospital mortality and lack of trained personnel are major limitations.

Keywords: Primary percutaneous coronary intervention; SGNHC (Shahid Gangalal National Heart Center); acute myocardial infarction; cardiogenic shock.

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Conflict of interest statement

Conflict of Interest

Authors have no conflicts of interest.

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