Key result
Timely primary percutaneous coronary intervention (door-to-balloon time ≤ 90 minutes) was achieved in only 55% of patients and did not significantly reduce in-hospital mortality compared to delayed intervention (2.8% vs 7.8%, p=0.19).
Why the study?
Does timely primary percutaneous coronary intervention (door-to-balloon time ≤ 90 minutes) improve morbidity and mortality compared to delayed intervention in patients with STEMI?
Observational (n=198)
Yes
Does timely primary percutaneous coronary intervention (door-to-balloon time ≤ 90 minutes) improve morbidity and mortality compared to delayed intervention in patients with STEMI?
Absolute Event Rate: 2.8% vs 7.8%
p-value: p=0.19
Primary PCI is significantly underutilized in the Arabian Gulf region, with only 55% of treated patients achieving guideline-recommended door-to-balloon times of ≤90 minutes.
Reveals underuse and delays in pPCI across Gulf countries; leaves open whether system-level interventions improve reperfusion rates or survival.
BACKGROUND AND OBJECTIVES: Primary percutaneous coronary intervention (pPCI) has been recognized as an effective management strategy for acute ST-segment-elevation myocardial infarction (STEMI). However, there is no first-hand information regarding the quality of pPCI procedures in the Arabian Gulf countries. This study aims to explore the quality of pPCI practice. DESIGN AND SETTINGS: The Gulf Race II was designed as a prospective, multinational, multicentre registry of acute coronary events, focusing on the epidemiology, management practices, and outcomes of patients with acute coronary syndrome. The study recruited consecutive patients aged 18 years and above from 65 hospitals in 6 adjacent Middle Eastern countries (Bahrain, Saudi Arabia, Qatar, Oman, United Arab Emirates, and Yemen). PATIENTS AND METHODS: We used data from the Gulf Registry of Acute Coronary Events (Gulf RACE 2). We analyzed data on patients who received pPCI to assess the guidelines-supported performance measure of door-to-balloon (D2B).
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Shehab et al. (2014) conducted an observational in Acute ST-segment-elevation myocardial infarction (STEMI) (n=198). Timely primary percutaneous coronary intervention (door-to-balloon time ≤ 90 minutes) vs. Delayed primary percutaneous coronary intervention (door-to-balloon time > 90 minutes) was evaluated on In-hospital mortality (p=0.19). Timely primary percutaneous coronary intervention (door-to-balloon time ≤ 90 minutes) was achieved in only 55% of patients and did not significantly reduce in-hospital mortality compared to delayed intervention (2.8% vs 7.8%, p=0.19).
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