Profile Patient with ST-Elevation Myocardial Infarction Underwent Percutaneous Coronary Intervention at Kariadi Hospital

Author : Y.S. Pratama, S. Sungkar, A. Yudanto, S. Rifqi
Upload Date : 19-04-2018

Background: Acute coronary syndrome (ACS) was a thrombotic event with high risk of morbidity and mortality. Reperfusion strategy by primary percutaneous coronary intervention (PPCI) decrease this risk but profile patient ACS particularly ST-Elevation Myocardial Infarction (STEMI) underwent PPCI at Kariadi Hospital was not established.

Methods: Our method was retrospective study included 63 patients STEMI underwent PPCI at Kariadi Hospital from January to September 2017. We collected data from electronic medical record and Cath-lab. Analysis data used SPSS software

Results: In our study, STEMI incidence in male was greater than female (82.5% vs 17.5%) with culprit lesion in LAD was 55%, RCA was 36.7% and LCx was 8.3% respectively. The mean of age was 56.78 ±10.25 years old and median onset was 4 hours with TIMI score 3. Coronary angiography showed 45.8% patient had 3 vessel disease (VD), 23.7 % had 2VD, 30.5% had 1VD, 23.8 % patient performed thrombosuction during PPCI procedure and 39.7% patient had complete revascularization (78.26 % in 1VD, 17.39 % in 2VD and 4.3% in 3VD). We also found complication following STEMI: seven patients with heart failure, six patients with VT/VF, five patients with AV block, three patients with RV infarction, one patient with cardiogenic shock and one patient with ventricular septal rupture. Mortality rate in our study was 6.1% with VT/VF as a common cause.

Conclusion: Data suggested patient STEMI underwent PPCI at Kariadi Hospital tend to be male, young, low TIMI score and had three vessel disease with LAD as a common culprit lesion.

KEYWORDS : profile, STEMI, primary percutaneous coronary intervention

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