Literature DB >> 22929819

Recent trends in reperfusion in ST elevation myocardial infarction in a South Indian tier-3 city.

Brajesh Kumar Kunwar1, Amit Hooda, George Joseph.   

Abstract

AIMS: In India, larger proportions of patients with ACS present with STEMI. We sought to study the recent trends of reperfusion in patients of acute STEMI. METHODS AND
RESULTS: 1905 patients presenting with acute STEMI enrolled. 1636 (86%) received some form of reperfusion therapy. Streptokinase, 1235 (65%) patients, was the most common mode of reperfusion therapy used followed by primary PCI (205, 10.7%) and tenecteplase (196, 10%). 269 (14%) did not receive any form of reperfusion therapy, the most common reason being late presentation in 230 (85.7%). Patients presenting with STEMI increased from 297 to 446 comparing first and last half-year of study period. The PCI and tenecteplase numbers increased from 19 to 68 and 27 to 97 respectively.
CONCLUSION: There was 20% increase in STEMI every year. Younger patients are least likely to receive primary PCI or tenecteplase. 1 in 8 patients of STEMI did not receive any form of reperfusion therapy.
Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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Year:  2012        PMID: 22929819      PMCID: PMC3861191          DOI: 10.1016/j.ihj.2012.06.014

Source DB:  PubMed          Journal:  Indian Heart J        ISSN: 0019-4832


  14 in total

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