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Open Access Development of Primary Percutaneous Coronary Intervention as a National Reperfusion Strategy for Patients with ST-Elevation Myocardial Infarction and Assessment of Its Use in Egypt

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Objective: Early treatment of acute ischemia of the heart by performing immediate percutaneous coronary intervention (PCI) to restore blood flow in patients with the clinical presentation of an acute coronary syndrome and more specifically with ST-elevation myocardial infarction (STEMI) can save lives. This study aims to identify the mean time (door to balloon time and first contact to balloon time) to primary PCI for STEMI patients and to assess the percentage of primary PCI and its success rate in Egypt.

Methods: A registry study of patients presenting to cardiac centers in Egypt was designed, where patients’ basic characteristics, the treatment strategy, and the door to balloon time and the first contact to balloon time were assessed.

Results: One thousand six hundred fifty STEMI patients with a mean age of 57 years were included in the study. Immediate transfer for primary PCI was the most used treatment strategy, representing 74.6% of all treatment strategies used. The door to balloon time and the first contact to balloon time were 50 and 60 minutes, respectively, with a primary PCI success rate of 65.1%.

Conclusion: The registry study results showed a marked improvement by implementation of the best treatment strategy with respect to the time factor to achieve a better outcome for STEMI patients in Egypt.

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Keywords: ST-elevation myocardial infarction; door to balloon time; first medical contact to balloon time; primary percutaneous coronary intervention

Document Type: Research Article

Affiliations: 1: Cardiology Department, Faculty of Medicine, Alexandria University Hospital, Alexandria, Egypt 2: International Center for Organization and Marketing, Alexandria, Egypt 3: Cardiology Department, Faculty of Medicine Assiut University Hospital, Assiut Governorate, Egypt 4: Cardiology Department, Faculty of Medicine Ain Shams University Hospital, Heliopolis, Egypt 5: Cardiology Department, Nasser Institute, Cairo, Egypt 6: Cardiology Department, Faculty of Medicine, Zagazig University Hospital, Zagazig, Egypt 7: Cardiology Department, Faculty of Medicine, Banha University Hospital, Banha, Egypt 8: Cardiology Department, Faculty of Medicine, Kasr El Ainy Hospital, Kasr Al Ainy, Egypt 9: Cardiology Department, Wady El Nile Hospital, Zeitoun, Egypt 10: Cardiology Department, Military Hospital, Heliopolis, Cairo, Egypt 11: Cardiology Department, National Heart Institute, Heliopolis, Cairo, Egypt 12: Physiology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Publication date: July 1, 2020

This article was made available online on June 1, 2020 as a Fast Track article with title: "Development of Primary Percutaneous Coronary Intervention as a National Reperfusion Strategy for Patients with ST-Elevation Myocardial Infarction and Assessment of Its Use in Egypt".

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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