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  3. 19.Improvement in Left Ventricular Function in Patients Having Percutaneous Coronary Intervention (PCI) for Acute ST-Elevation Myocardial Infarction (STEMI) with Late Presentation
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19.Improvement in Left Ventricular Function in Patients Having Percutaneous Coronary Intervention (PCI) for Acute ST-Elevation Myocardial Infarction (STEMI) with Late Presentation

Asad Ullah Khan1, Fazal Akbar1, Hasan Zeb1, Zeeshan Afzal1 and Musa Kakakhel2

ABSTRACT

Objective: To assess the improvement in left ventricular functions after percutaneous coronary interventions (PCI) performed in individuals with ST- segment elevation MI with late presentation.

Study Design: Prospective descriptive study

Place and Duration of Study: This study was conducted at the Department of Cardiology, Peshawar Institute of Cardiology, Peshawar from 1st January 2022 to 31st December 2022.

Methods: 136 individuals with ST segment elevation MI having history of chest pain >3 hours were recruited. Baseline left ventricular functions (EF, EDD, ESD and WMSI) were assessed using echocardiography performed within an hour of admission. All patients subsequently received revascularization procedure. A follow up echo was performed at 3 months. Mean difference in the baseline and follow up LV functions were compared using paired sample t test.

Results: Age of the participants ranged from 40 to 80 years with mean age of 57.39 ± 13.204 years. The number of male participants were 91 (72.2%) and male to female ratio was 2.0: 1. The p values for mean difference in follow up versus baseline EF, EDD, ESD and WMSI were <0.001, 0.739, 0.039 and 0.310 respectively.

Conclusion: Despite late presentation, revascularization intervention still proved beneficial for acute STEMI patients as evident from enhancement in LV functions.

Key Words: Acute ST Segment Elevation MI (STEMI), Percutaneous Coronary Intervention (PCI), Late Presentation, LV Functions

Citation of article: Khan A, Akbar F, Zeb H, Afzal Z, Kakakhel M. Improvement in Left Ventricular Function in Patients Having Percutaneous Coronary Intervention (PCI) for Acute ST-Elevation Myocardial Infarction (STEMI) with Late Presentation. Med Forum 2023;34(11):85-88. doi:10.60110/medforum.341119.