Frequency of Symptomatic Heart Failure After Primary PCI in STEMI Patients: A Clinical Snapshot
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Abstract
Background: This study was conducted to determine the frequency of symptomatic heart failure in patients undergoing primary percutaneous coronary intervention (PCI). Determining the true frequency is important to know the magnitude of the problem. Further studies can generate causes of heart failure and the ways to reduce its frequency in these population. It will help us in reducing heart failure after STEMI thus avoiding difficulties to treat conditions.
Objective: To determine the frequency of symptomatic heart failure in patients managed with primary percutaneous coronary intervention during one month follow up period.
Methodology: Descriptive, cross-sectional study conducted in the Department of Cardiology, Lady Reading Hospital, Peshawar from 7th July 2023 till 6th January 2024. Sample size was 228. Male and female patients of 18 years and above undergoing primary PCI were enrolled. Patients were followed for a period of one month. Presence of symptomatic heart failure and New York Association of heart Failure (NYHA) class was assessed.
Results: A total of 228 patients were enrolled. The mean age of the patients was 50.60 ± 7.548 years. Male to female ratio was 80 (70.2%): 34 (29.8%). Symptomatic heart failure at month follow up was present in 28(12.3%) patients. Among these, NYHA Class IV Heart failure was present in 05(2.2%) and NYHA class III in 08(3.5%) patients while NYHA class II and NYHA class I was present in 09 (3.9%) and 06 (2.6%) patients respectively.
Conclusion: Symptomatic heart failure after primary PCI for STEMI is not uncommon. Early identification of high-risk patients for HF development and more aggressive secondary prevention efforts may help to further reduce mortality and morbidity in tthese population.
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