In hospital outcomes of primary percutaneous intervention in patients presenting with acute myocardial infarction in Saudi Arabia – A single center study

Bugami, Saad Al; Niaz, Akram; Alabbadi, Mosa; Alsubaie, Amani; Almalki, Abdullah; AlRahimi, Jamilah; Mansour, Nassir M.; Alkashkari, Wail; Krimly, Ahmed

doi:10.4172/2368-0512.1000102

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The primary goal is to restore blood flow to the blocked coronary artery as quickly as possible to salvage heart muscle. Two common methods are employed: Percutaneous Coronary Intervention (PCI), including angioplasty and stent placement, is the preferred method when available and can be performed in numerous cardiac centers across the country (27). Compared to rates reported in prior Saudi registry studies (about 20%), the rate of primary PCIs for patients with STEMI (42.5%) was found to be significantly higher [2][3][4] in the most recent study on the subject by Alhabib et al (23).…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Incidence, Diagnosis and Management of Myocardial Infarction in Saudi Arabia

Alharbi,

Alsubaie,

Al Rashed

et al. 2023

JOHS

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Cardiovascular disease (CVD) affects a third of the global population, with myocardial infarction (MI) being a severe form primarily caused by coronary artery disease (CAD). Saudi Arabia's urbanization has led to an increase in CAD cases, driven by risk factors like obesity, hypercholesterolemia, diabetes, hypertension, and dyslipidemia. Family history also plays a role, especially in younger myocardial infarction (MI) patients. Diagnostic tools include electrocardiography, cardiac biomarkers, and imaging. Telemedicine aids in remote diagnosis. Recent studies in Saudi Arabia show chest pain as a common MI symptom, with younger patients more likely to have ST-segment elevation MI. Management follows international guidelines, emphasizing early recognition, emergency medical services intervention, and reperfusion therapy. Medications, including antiplatelets and statins, are used, but gender disparities exist. Cardiac rehabilitation programs and public health initiatives contribute to post-MI care. Despite advancements, challenges like door-to-balloon time persist, requiring further improvements in MI care in Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

Prevalence, Incidence, Diagnosis and Management of Myocardial Infarction in Saudi Arabia

Alharbi,

Alsubaie,

Al Rashed

et al. 2023

JOHS

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“…So, door-to-balloon time still behind the recommended time. (20) In addition, a standardized Code-STEMI programin King Khalid University Hospital's (KKUH) have been established and code-STEMI implementation significantly improved door-to-balloontime. (21) To the best of our knowledge, no data available on the assessment of reperfusion time in the emergency centers in Makkah.…”

Section: Introductionmentioning

confidence: 99%

Evaluation the Door-to-Balloon Time in Patient with STElevation Myocardial Infraction (STEMI) in King Abdullah Medical City (KAMC) in Makkah Almukarramah: A Retrospective Single Center Study

2021

MLU

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Background: ST-Elevation Myocardial Infarctionis a time-sensitive emergency condition. Thus, guidelines recommended 90 minutes or less for door-to-balloon time at a percutaneous coronary intervention-capable hospital and with in 120 minutes or less if transferred from per cutaneous coronary intervention-Uncapable Hospital. The main objective was to evaluate the recommended time needed forreperfusion therapy particularly percutaneous coronary intervention inpatients with ST-Elevation Myocardial Infarctionat King Abdullah Medical City. Method and Results:A retrospective single center study. Data were obtained from 47 patients records diagnosed with ST-Elevation Myocardial Infarction and treated with percutaneous coronary interventionat King Abdullah Medical Cityfrom Jan 2018 through March 2019. About 36.4% of patients received percutaneous coronary intervention in more than 90 Minutes eventhough they arrived directly at King Abdullah Medical City. For patients who were transferred to King Abdullah Medical City, 63.9% of those patients did not achieve the recommended door-to-balloon time. Conclusion: High percentage of patients with ST-Elevation Myocardial Infarctionat King Abdullah MedicalCity did notreceive percutaneous coronary intervention within the recommended timeline.

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Outcomes of percutaneous coronary intervention among patients with coronary artery disease in Saudi Arabia

Bugami¹,

Bashaweih²,

Hijazi³

et al. 2019

JCCR

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Background: There is no published risk score model to predict mortality and morbidity following Percutaneous Coronary Intervention in Saudi Arabia. We aim to identify risk predictors that can estimates risks associated with percutaneous coronary intervention (PCI) specific to Saudi population that can be incorporated in creation of a population specific risk model. Methods: Data of 418 patients who were treated with percutaneous coronary intervention at king faisal cardiac center (KFCC) were retrospectively collected from January 2015 till December 2017. Demographics and clinical data were measured to define clinical predictors associated with in hospital death and Major Adverse Cardiac Events (MACE). Results: The study included 418 patients who underwent PCI between January 2015 until December 2017. The majority of the patients were of Saudi nationality (92.4%). The mean age was 60.58 (±7.8). Out of the study subjects, 225 (53.8%) were 60 years of age and above. Majority were male 315 (75.36%). The most prevalent pre-procedural risk factors were hypertension in 82%, Diabetes Mellitus in 74.52%, and dyslipidaemia in 70.7% of patients. Non-ST-elevation myocardial infarction was the major presentation with a percentage of 58.39%. The PCI status among the patients was divided into 38.35% urgent PCI, 35.19% elective PCI, and 26.46% primary PCI. In-hospital mortality occurred in a total of 5 patients (1.2%). Nineteen patients (4.5 %) experienced post-procedural complications. Intra procedural cardiac arrest occurred in 5 patients (1.2%). four patients (0.96%) required blood transfusion three of them due to post procedure bleeding. Other procedure related complications were as follows, cardiac tamponade (0.49%), stroke (0.73%), contrast allergy (0.24%), contrast nephropathy (0.73%), new requirement for dialysis (0.49%), and death in Cath lab (0.24%). Dyslipidaemia, previous renal disease, PCI indication, cardiogenic shock, pre and post-procedural haemoglobin level as well as post-procedural creatinine level showed significate relationship with in hospital MACE. Conclusion: Our findings suggest favourable outcomes of patients treated with PCI, matching the international data. We have identified certain risk predictors that need to be confirmed by large scale and prospective data In order to generate a population specific risk score model.

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In hospital outcomes of primary percutaneous intervention in patients presenting with acute myocardial infarction in Saudi Arabia – A single center study

Cited by 3 publications

References 8 publications

Prevalence, Incidence, Diagnosis and Management of Myocardial Infarction in Saudi Arabia

Prevalence, Incidence, Diagnosis and Management of Myocardial Infarction in Saudi Arabia

Evaluation the Door-to-Balloon Time in Patient with STElevation Myocardial Infraction (STEMI) in King Abdullah Medical City (KAMC) in Makkah Almukarramah: A Retrospective Single Center Study

Outcomes of percutaneous coronary intervention among patients with coronary artery disease in Saudi Arabia

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