The prognosis of primary percutaneous coronary intervention after one year clinical follow up.
OBJECTIVE
The aim of this study was to evaluate the clinical outcomes, one year after primary percutaneous coronary intervention(PCI).


METHODS
From September 2009 to March 2012, primary PCI was performed on 70 cases, and the data relating to their catheterization were recorded. Peri-interventional treatment data included PCI with drug-eluting or bare-metal stent or balloon angioplasty alone.


RESULTS
The mean age of the patients was 61.34+11.31 years, and 72.9% of them were males. The ratios of patients with diabetes, hypertension and, hyperlipidemia were 61.4%, 71.4%, and 52.9% respectively. In clinical follow-up, total incidence of death was 4.3%, with no death occurring during 30 days. However, 3 patients died after one-year, of which one patient (1.4%) had cardiac problem and the other 2 (2.9%) died because of non-cardiac reasons. Target vessel revascularization, reinfarction within 30 days, and mechanical complication or stroke were not found in any of the patients. Patients with hypertension (6%) and those with LAD ST-elevation myocardial infarction (5%) died after one year (P= 0.263 and P= 0.319 respectively). However, no mortality was reported in patients with RCA and LCX ST-elevation myocardial infarction. Of subjects with multivessel disease, 7% died after one-year (P= 0.161), but there was no reported mortality in those with single vessel disease.


CONCLUSIONS
The prognosis was satisfactory in patients undergoing PCI after one year clinical follow up.
Cardiovascular Research Center, Bagheiatallah University of Medical Sciences, Tehran, IR Iran.
Yahya
Y
Dadjoo
Cardiovascular Research Center, Bagheiatallah University of Medical Sciences, Tehran, IR Iran.
Yadallah
Y
Mahmoodi
Intervention; Mortality; Myocardial Infarction