Clinical Profile and Outcomes of Patients Undergoing Primary PCI for STEMI

Background: Despite the well-documented burden of ST-elevation myocardial infarction (STEMI), there remains a notable lack of contemporary, institution-specific data from low-and middle-income countries like Bangladesh.Therefore, the present study aims to evaluate the clinical profile and in-hospital outcomes of patients undergoing primary PCI for STEMI in a tertiary care center in Bangladesh. Aim of the study: The aim of the study was to evaluate the clinical characteristics and outcomes of patients undergoing primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI).Methods: This observational study at the Department of Cardiology, BSMMU, Dhaka (Jan-Dec 2023) included 120 STEMI patients (18 years) undergoing primary PCI within 12 hours.Exclusions were late presentation, PCI contraindications, and cardiogenic shock.Data on clinical, procedural, and in-hospital outcomes were collected prospectively.STEMI and PCI success were defined per standard criteria.Outcomes included LVEF and complications.Analysis used SPSS v26 (p<0.05).Results: In 120 STEMI patients (mean age 58 years; 74% male), hypertension and smoking were common risk factors.Most had anterior wall STEMI (55%), Killip Class I status (88%), and underwent primary PCI (88%) with LAD as the main culprit (57%) and single-vessel disease (65%).TIMI 3 flow was achieved in 92%, DES used in 85%, and complete revascularization in 82%.In-hospital complications were low, with 1.7% mortality.Conclusion: Primary PCI in STEMI patients is associated with favorable in-hospital outcomes, high revascularization success, and low complication rates.