Frequency of risk factors associated with peri-procedural myocardial infarction during elective coronary angioplasty in a tertiary care hospital
DOI:
https://doi.org/10.55958/jcvd.v21i2.264Keywords:
Peri-procedural myocardial infarction, Coronary angioplasty, Left ventricular ejection fraction, Coronary artery diseaseAbstract
BACKGROUND: Peri-procedural myocardial infarction (PMI) is a relatively common complication following coronary angioplasty; however, reports vary regarding its incidence and prognostic significance. In this study, we assessed the occurrence, underlying mechanisms, risk factors, and clinical implications of PMI by analyzing a large dataset.
OBJECTIVE: Determining the prevalence of PMI during elective coronary angioplasty and to compare the frequency of contributing factors in patients with and without PMI.
METHODOLOGY: This descriptive case series was carried out at Mayo Hospital, Lahore from 03-03-2022 to 03-09-2022. Total 126 patients of age between 18 to 70 years of both genders undergoing elective coronary angioplasty were enrolled. Non-probability consecutive sampling technique was done. Patients with hemodynamic instability, patient with renal failure, liver failure, severe anemia, or bleeding diathesis. Patients with raised levels of cardiac troponin at admission (rising trend). Patients with on-going ACS and patients who have had previous coronary angioplasty or CABG done were excluded from the study.
RESULTS: Total 126 participants were enrolled in which 87 (69.0%) males and 39 (31.0%) females with mean age of 52.81± 12.468 years. Overall PMI was present in 06/126 (4.8%) participants. PMI was found in 5 (83.3 %) males and 1 (16.67%) female. Total 6 patients of peri-procedural myocardial infarction were belonging to 58-77 years of age group. In our study, comparison of frequency of contributing factors diabetes mellitus, active smoking, history of dyslipidemia & CAD, Obesity (BMI> 30 kg/m2), presentation of patients with ACS in the last 12 months and Echo findings regarding LVEF < 40% had insignificant p value of >0.05.
CONCLUSION: One of the frequent complications of elective coronary angioplasty is peri-procedural MI which is associated with an increased rate of major cardiovascular adverse events.References
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