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Current Practice of Percutaneous Coronary Intervention on Patients With Acute Coronary Syndrome in Iran: A Prospective Observational Study Publisher



Sezavar SH1 ; Hassanzadeh M2 ; Moayed DA3 ; Tabandeh M4 ; Ghasemi M5 ; Abdi S6 ; Firoozi I7 ; Golbidi P8 ; Pourjafari M8 ; Taslimi N9 ; Akhlaghi AA10 ; Hashemian M7
Authors
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Authors Affiliations
  1. 1. Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Internal Medicine, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Cardiovascular Department, Pars General Hospital, Tehran, Iran
  4. 4. Kowsar Heart Hospital, Shiraz, Iran
  5. 5. Department of Cardiology, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Shahid Rajaei Heart Center, Tehran, Iran
  7. 7. Day hospital, Tehran, Iran
  8. 8. Sanofi-Aventis Group, Tehran, Iran
  9. 9. Iran university of Medical Sciences, Tehran, Iran
  10. 10. Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, ACECR, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2020


Abstract

Background: 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. Methods: 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. Results: 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. Conclusion: 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. © Iran University of Medical Sciences.
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