In-Hospital Outcomes on Patients Submitted to Primary Percutaneous Coronary Intervention Versus Rescue

A comparison of rescue and primary percutaneous coronary interventions for acute ST elevation myocardial infarction

“…However, this lower age at presentation is consistent with other studies on acute MI in broader, more representative populations in Sri Lanka (not necessarily undergoing primary PCI), and probably reflects premature atherosclerosis that is commonly seen in the country 18 . To further highlight the relatively younger age population in our study, we compared it with two other similar studies – where the common age groups spanned from the late 50′s to early 60′s 6, 10. (Table 3)…”

“…There was no significant difference in the mortality rates between rescue and primary PCI (5.1% vs. 3.8%; p = 0.67). The mortality rates from our study were reflected in other similar studies as well, that is with no significant difference between rescue and primary PCI 6, 10. Data regarding the Major Adverse Cardiac Events (MACE) which occurred in the two PCI strategies were recorded (Table 4).…”

“…Notably, these results were also transferred to patients who underwent rescue PCI 8 . These findings were supported by randomized trials that assessed the performance of PCI after thrombolysis treatment6, 9, 10 which included a similar trend in mortality in these patients. Table 3 compares variables from two different studies6, 10 along with ours.…”

“…Results in our study showed that the incidence of MACE occurred at a similar rate when the two strategies were compared (7.7% s. 12.4%; p = 0.33). In a comparison study conducted in Brazil, the frequency of MACE was also insignificant between the two groups (6.3% vs. 6.9%; p = 0.89) 10 . None of the patients required an emergency by-pass.…”

“…Therefore, depending on available facilities for early PCI, both primary and rescue PCI strategies are proving to be effective for coronary reperfusion 10 . The objective of this study was to perform a comparative analysis of the outcomes of rescue and primary PCI performed at the Cardiology Unit-5, NHSL over a period of 2 years (March 2013–April 2015).…”