Key result
Primary PCI is linked to ~98% lower in-hospital mortality versus no PCI in AWMI with cardiogenic shock.
Why the study?
The study was conducted to evaluate the mortality frequency in cardiogenic shock in anterior wall myocardial infarction in patients presenting to Lady Reading Hospital, Peshawar.
Observational (n=139)
Yes
In a descriptive study of patients with cardiogenic shock complicating anterior wall myocardial infarction, in-hospital mortality was 20.9%.
High mortality signals need for vigilance in cardiogenic shock after anterior MI; case report data leaves open optimal strategies.
Background: The insufficient supply oxygen and blood to the myocardium is characterized by the coronary artery disease. The coronary arteries occlusion leads to this condition. The plaques formation in coronary arteries lumen is indicative of the condition. These plaques impede blood flow. It is a major concern worldwide. Objective: To evaluate the mortality frequency in cardiogenic shock in anterior wall myocardial infarction in patients presenting to Lady Reading Hospital, Peshawar. Study Design: It is a descriptive case study conducted at department of Cardiology, Lady Reading Hospital Peshawar and NICVD, Nawabshah. This study was conducted from 1st June 2021 to 30th November 2021. Subjects and Methods: A total of 139 patients diagnosed with cardiogenic shock were selected for the study. According to the operational definition the followed up of all patients till discharge and mortality was recorded. Results: The age range of the patients selected for the study was 18-70 years. The mean of age was 47.841±6.66 years, mean weight 83.259±7.39 Kg and mean duration of symptoms was 8.870±3.76 hours. Male patients were 77.7% and females were 22.3%. Mortality was seen in 20.9% patients. Conclusion: Patients with anterior wall myocardial infarction and cardiogenic shock undergoing percutaneous coronary intervention have better clinical out-comes. The decreased mortality is also observed. Without the delay of time the patients must be transferred to the primary percutaneous coronary intervention facility if it is far away. There is need to establish more primary percutaneous coronary intervention centers.
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Ahmad et al. (2023) conducted an observational in Anterior wall myocardial infarction with cardiogenic shock (n=139). Primary percutaneous coronary intervention (PCI) vs. No Primary PCI was evaluated on In-hospital mortality (p=<0.001). Primary percutaneous coronary intervention significantly reduced in-hospital mortality to 2.2% compared to 100% in patients receiving no primary PCI among those with anterior wall myocardial infarction and cardiogenic shock.
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