More articles from Volume 36, Issue 2, 2020
The role of pelvic lymphadenectomy in the treatment of endometrial cancer
Hospital mortality of patients with acute myocardial infarction in the first year of the implementation of the primary PCI program in the Clinical-Hospital Center Zemun
The prognostic impact of the phospholipids, free fatty acids, and nitric oxide on malignant thyroid nodule diagnostics
Surgical approach in laparoscopic colorectal cancer surgery
Endoscopic management of giant simple hepatic cyst
Article views
Hospital mortality of patients with acute myocardial infarction in the first year of the implementation of the primary PCI program in the Clinical-Hospital Center Zemun
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Faculty of Medicine, University of Belgrade , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Faculty of Medicine, University of Belgrade , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Faculty of Medicine, University of Belgrade , Belgrade , Serbia
Clinical Hospital Center Zemun , Belgrade , Serbia
Faculty of Medicine, University of Belgrade , Belgrade , Serbia
Published: 02.05.2020.
Volume 36, Issue 2 (2020)
pp. 1874-1883;
Abstract
Acute coronary syndrome is common term for various clinical conditions such as unstable angina (UA), myocardial infarction without ST segment elevation (NSTEMI) and myocardial infarction with ST segment elevation (STEMI). ACS is one of the leading cause of morbidity and mortality worldwide. The most serious manifestation of this syndrome is STEMI. The main goal of treatment is rapid restoration of blood flow in the infarct related artery. This can be achieved either with conservative (thrombolysis) or invasive (primary or rescue percutaneous coronary intervention – pPCI or rPCI) approach. Based on the data from varoius registries, the rate of complications of these type of interventions is low and they can be safely performed in centers without on site cardiac surgery. The main goal of this paper is to assess in-hospital mortality as well as demographic, clinical and angiographic characteristics of patients with STEMI treated in cardiac catheteterisation lab in the Clinical Hospital Center Zemun during the first year of implementation of pPCI program. The study included 284 consecutive STEMI patients. Total in-hospital mortality was 4.9% and, depending of the severity of heart failure at admission (Killip/Kimball class), the highest mortality was in cardiogenic shock (54,5%). The most common intrahospital complications were complicated infections unrelated to the pPCI procedure (3.5%), vascular complications (2.8%) and early stent thrombosis (2.1%). No patient was reffered to emergency cardiac surgery due to unsuccesfull or complicated pPCI procedure. Our study showed that performing pPCI during the first year of the implementation of pPCI program in the center without on-site cardiac surgery support was safe end effective and resulted in low in-hospital mortality.
Keywords
Citation
Copyright
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article metrics
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
