Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1398
11
1
gregorian
2020
2
1
34
1
online
1
fulltext
en
Current practice of percutaneous coronary intervention on patients with acute coronary syndrome in Iran: A prospective observational study
Cardiology
Cardiology
Original Research
Original Research
<strong>Background: </strong>Frequent Percutaneous Coronary Intervention (PCI) procedures are being performed on a daily basis in Iran. However, no study has been reported on the current PCI practice in patients with acute coronary syndrome (ACS) in Iran. We aimed to describe the clinical characteristics and treatment patterns in Iranian ACS patients treated with PCI.<br>
<strong>Methods: </strong>Between February 2017 and July 2017, ACS patients presented to 5 referral hospitals in two major cities of Iran (Tehran and Shiraz) were included in this observational study if aged > 18 years and underwent PCI for ACS during hospitalization; and their clinical and procedural characteristics were collected. All data were entered into SPSS v.21 and descriptive statistics were performed.<br>
<strong>Results:</strong> Of a total of 314 patients, 228 (73%) were males, 162 (52%) were diagnosed with ST-elevation myocardial infarction and 152 (48%) with Unstable angina/ Non-ST elevation myocardial infarction. Trans-femoral approach was more often (64%) used for PCI procedures. Stent placement was the most frequent (98%) treatment strategy on PCI, with drug-eluting stent selected in the majority of subjects (98%). The overall rate of PCI success was 95%, with 4.1% PCI-related complications, and 1.6% post-PCI bleeding events. The vast majority of the study patients (99%) were discharged with dual anti-platelet therapy.<br>
<strong>Conclusion:</strong> In this study, we observed a high level of adherence to the currently accepted guidelines in the current PCI practice on ACS patients in Iran. Also we found our practice is highly in line with the global reduction trend in the PCI-related complications.<br>
<br>
Percutaneous coronary intervention, Acute coronary syndrome, Iran
84
90
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-5430-1&slc_lang=en&sid=1
Seyyed Hashem
Sezavar
hsezavar@yahoo.com
200319475328460063769
200319475328460063769
No
Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology & Metabolism, Iran University of Medical Sciences, Tehran, Iran
Morteza
Hassanzadeh
hassanzadeh.m@iums.ac.ir
200319475328460063770
200319475328460063770
Yes
Department of Internal Medicine, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
Davood
Akhlagh Moayed
davmoayed@gmail.com
200319475328460063771
200319475328460063771
No
Cardiovascular Department, Pars General Hospital, Tehran, Iran
Mahmood
Tabandeh
mahmood_tabandeh@yahoo.com
200319475328460063772
200319475328460063772
No
Kowsar Heart Hospital, Shiraz, Iran
Massoud
Ghasemi
ghasemi@iranathero.ir
200319475328460063773
200319475328460063773
No
Department of Cardiology, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Seifollah
Abdi
Sayfabdi@yahoo.com
200319475328460063774
200319475328460063774
No
Shahid Rajaei Heart Center, Tehran, Iran
Iraj
Firoozi
ifirouzy@yahoo.com
200319475328460063775
200319475328460063775
No
Day hospital, Tehran, Iran
Pejman
Golbidi
drmhxim@gmail.com
200319475328460063776
200319475328460063776
No
Sanofi-Aventis Group, Tehran, Iran
Marzieh
Pourjafari
drmhximline@gmail.com
200319475328460063777
200319475328460063777
No
Sanofi-Aventis Group, Tehran, Iran
Negin
Taslimi
drmhximviber@gmail.com
200319475328460063778
200319475328460063778
No
Iran university of Medical Sciences, Tehran, Iran
Ali Asghar
Akhlaghi
drmhximwhatsapp@gmail.com
200319475328460063779
200319475328460063779
No
Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
Mahmoud
Hashemian
mhashemian_md@hotmail.com
200319475328460063780
200319475328460063780
No
Day hospital, Tehran, Iran