In-Hospital Outcomes of Patients with Anterior Wall Myocardial Infarction and Right Bundle Branch Block in the Primary PCI Era: Impact and Prognostic Factors

Authors

  • Nasir Ali Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Asghar Khan Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Ikram Shinwari Hayatabad Medical Complex, Peshawar, Pakistan
  • Inayat Ullah Hayatabad Medical Complex, Peshawar, Pakistan

DOI:

https://doi.org/10.47144/phj.v57i2.2762

Abstract

Objective: This study investigates the in-hospital outcomes of patients presenting with Anterior Wall Myocardial Infarction (AWMI) and Right Bundle Branch Block (RBBB) during the primary Percutaneous Coronary Intervention (PCI) era. It aims to assess the impact of primary PCI on these patients and identify factors contributing to poor outcomes.

Methodology: A prospective observational study was conducted at the Department of Cardiology, Hayatabad Medical Complex (HMC), Peshawar, Pakistan. The study enrolled 150 patients diagnosed with AWMI and RBBB, undergoing reperfusion therapy. Data on demographics, clinical characteristics, and treatment outcomes were collected and analyzed using IBM SPSS version 21.0.

Results: Among the 150 patients included in the study, there was a balanced gender distribution with a mean age of 51.15 years. The majority of patients, 136 (90.7%), survived their hospital stay. Primary PCI was significantly associated with improved survival rates compared to medical management alone. Factors such as TIMI and GRACE risk scores were crucial for risk stratification, highlighting the need for personalized management strategies.

Conclusion: The findings underscore the effectiveness of primary PCI in improving in-hospital outcomes for patients with AWMI and RBBB. This study highlights the necessity of timely reperfusion therapy and personalized risk stratification to enhance patient prognosis. By documenting the impact of primary PCI and identifying factors leading to poor outcomes, this research provides valuable insights that aid in the optimization of treatment protocols for this high-risk patient group.

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Published

2024-06-18

How to Cite

1.
Ali N, Khan MA, Shinwari MI, Ullah I. In-Hospital Outcomes of Patients with Anterior Wall Myocardial Infarction and Right Bundle Branch Block in the Primary PCI Era: Impact and Prognostic Factors. Pak Heart J [Internet]. 2024Jun.18 [cited 2024Jul.13];57(2):130-5. Available from: https://pakheartjournal.com/index.php/pk/article/view/2762

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Section

Original Article