Outcomes and Demographic Profiles of Patients Undergoing Primary Percutaneous Coronary Intervention at Lady Reading Hospital Peshawar

Zia Ullah, Saddam Hussain, Dawood Ahmed Jan, Jabar Ali
and Adil Rehman

ABSTRACT

Objective: This study aims to analyze the demographic and clinical predictors of post-PCI outcomes in CAD patients, focusing on the role of BMI, diabetes, age, and procedural variables such as door-to-balloon time (DTBT) and total ischemic time (TIT).

Study Design: A retrospective cohort study.

Place and Duration of Study: This study was conducted at the Lady Reading Hospital Cardiology Department from August 2023 to May 2024.

Methods: In this retrospective cohort study, 90 CAD patients undergoing PCI were assessed for demographic and clinical parameters, including age, BMI, diabetes status, and Killip class. Chi-square tests were applied to determine associations between demographic factors and clinical outcomes, with a focus on post-PCI complications such as stent thrombosis, left ventricular failure (LVF), and renal failure.

Results: The mean age of patients was 57.03 years, with a mean BMI of 27.1. High variability in blood sugar and prolonged TIT correlated with worse outcomes. Stent thrombosis, LVF, and renal failure were significantly associated with patient demographics, especially BMI and comorbidity status (p < 0.05). Significant chi-square values were observed for associations between comorbidities, stent thrombosis (p = 0.008), and cardiogenic shock (p = 0.004).

Conclusion: This study underscores the importance of demographic and clinical factors in predicting PCI outcomes, with comorbidities and procedural time playing critical roles. Optimizing management protocols for high-risk patients and reducing ischemic time could improve CAD patient outcomes.

Key Words: Coronary artery disease, PCI, BMI, comorbidities, ischemic time, post-PCI outcomes

Citation of article: Zia Ullah, Hussain S, Jan DA, Ali J, Rehman A. Outcomes and Demographic Profiles of Patients Undergoing Primary Percutaneous Coronary Intervention at Lady Reading Hospital Peshawar. Med Forum 2024;35(10):45-49. doi:10.60110/medforum.351011.