Clinical Outcomes of Percutaneous Coronary Intervention for Left Main Coronary Artery Disease in Acute Coronary Syndrome Patients: A Hospital-Based Study

Authors

  • Altaf Hussain Gajoo National Institute of Cardiovascular Disease
  • Muhammad Zaman Baloch Indus Medical College, The University of Modern Sciences, Tando Muhammad Khan, Hyderabad
  • Mirza Rizwan Baig Liaquat University of Medical & Health Sciences, Hyderabad, Pakistan
  • Ali Faraz Shaikh Liaquat University of Medical & Health Sciences, Hyderabad, Pakistan
  • Shahid Hussain Memon Liaquat University of Medical & Health Sciences, Hyderabad, Pakistan
  • Zain Islam Arain Liaquat University of Medical & Health Sciences, Hyderabad, Pakistan

DOI:

https://doi.org/10.47144/phj.v57i3.2790

Abstract

Objectives: This study aims to evaluate the in-hospital outcomes of patients with acute coronary syndrome (ACS) who have left main coronary artery disease (LMCAD) and are treated with percutaneous coronary intervention (PCI).

Methodology: A cross-sectional, hospital-based study was conducted at the Department of Interventional Cardiology, National Institute of Cardiovascular Diseases, Karachi, from May 2022 to December 2022. Using a convenient sampling technique, adult male and female patients presenting with ACS and angiographically confirmed LMCAD were enrolled.

Results: A total of 129 patients were included in the final analysis, with a mean age of 51.22±12.03 years. The majority were male (n = 101, 78.29%). Dyslipidemia was the most common comorbid condition (n = 34, 26.35%), followed by hypertension (n = 32, 24.80%) and type 2 diabetes mellitus (n = 22, 17.50%). The most frequent in-hospital complications following PCI were heart failure (n = 12, 9.8%) and arrhythmias (n = 5, 3.87%). The in-hospital mortality rate was 2.32% (n = 3).

Conclusion: The study demonstrates that PCI for LMCAD in ACS patients is associated with favorable prognostic outcomes. While cardiac arrhythmias were the most prevalent post-procedural complication, the overall in-hospital mortality rate was low.

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Published

2024-09-30

How to Cite

1.
Gajoo AH, Baloch MZ, Baig MR, Shaikh AF, Memon SH, Arain ZI. Clinical Outcomes of Percutaneous Coronary Intervention for Left Main Coronary Artery Disease in Acute Coronary Syndrome Patients: A Hospital-Based Study. Pak Heart J [Internet]. 2024Sep.30 [cited 2024Nov.21];57(3):201-6. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2790

Issue

Vol. 57 No. 3 (2024): Pakistan Heart Journal

Section

Original Article

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