Key result
Primary percutaneous coronary intervention in patients with complete atrioventricular block and acute inferior ST-elevation myocardial infarction achieved a 93% block resolution and a 4% in-hospital mortality rate.
Why the study?
The study was conducted to assess the outcomes of primary percutaneous coronary intervention among patients presenting with complete atrioventricular block and acute inferior ST-elevation myocardial infarction.
Does primary PCI improve in-hospital mortality and CAVB resolution in patients with complete atrioventricular block and acute inferior ST-elevation myocardial infarction?
Cross-Sectional (n=100)
No
Does primary PCI improve in-hospital mortality and CAVB resolution in patients with complete atrioventricular block and acute inferior ST-elevation myocardial infarction?
Primary PCI is a safe and effective treatment for patients with STEMI complicated by CAVB, resulting in a high rate of CAVB resolution (93%) and low in-hospital mortality (4%).
Answers are grounded in this paper and cite their sources.
May support expectant management after primary PCI for CAVB resolution in inferior STEMI; leaves open need for randomized mortality data.
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.
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Rashid et al. (2022) conducted a cross-sectional in Complete atrioventricular block with acute inferior ST-elevation myocardial infarction (n=100). Primary percutaneous coronary intervention was evaluated on In-hospital mortality. Primary percutaneous coronary intervention in patients with complete atrioventricular block and acute inferior ST-elevation myocardial infarction achieved a 93% block resolution and a 4% in-hospital mortality rate.
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