Abstract:

Purpose: Primary percutaneous coronary initiative (pPKG) is the recommended and increasingly commonly used method of treatment, where the clinical outcomes, including ST elevation myocardial infarction (STEMI) death, are mostly better than fibrinolithic treatment. Our goal is to make a statistical analysis of the pPKG procedures we have done in our hospital within a year and the clinical outcomes in the hospital. Tools and methods: STEMI patients treated with pPKG between January 2018 and December 2018 were identified retrospectively from hospital records, angiographic images were monitored, hospital mortality and ischemic-blood-procedural complication rates were analyzed. The findings: 982 patients were identified who were taken to the catheter laboratory for the purposes of emergency pPKG treatment. The success rate was 96.9%. The average (Ort) The age was higher in female patients (69±11) than in men (59±12). The average door-ballon time (KBZ) is 60.0 ± 18 min. 94.5 per cent of patients are <90 min. The target was reached by KBS. In terms of the rate of complications associated with the position, the radial ponction was found safer than the femoral ponction (1.4 % v.s. % 3.5, p = 0.037 The mortality rate of patients with cardiovascular shock was 76,0%. The STEMI hospital mortality rate was 8.6%. The age of the mortal group.It was higher (69 ± 14 v.s. 60±12, p<0.001) and death rate in female sex (%15.0 v.s. 6.8 percent, p<0.001) was significantly higher than the death rate in men. The result: As a result of our data, the mortality in STEMI patients was found higher, especially in patients on the cardiogenic shock table, in older ages and women. STEMI patients are applied pPKG with a high success rate in our clinic.

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