Outcomes of Early Versus Standard Discharge After PrimaryPercutaneous Coronary Intervention for ST Elevation MyocardialInfarction

2 morbidity due to complications like heart failure.It preserves cardiac function and minimizes infarct size 3 by restoring blood flow to the heart muscle.This is a great revolution in the management of STEMI patients, that will benefit hundreds of thousand of 4 patients with STEMI.After a successful PPCI, patients are generally kept in hospital for some time to monitor any immediate complications like arrhythmias, bleeding, or 5 reinfarction.Once everything goes fine, patients are 6 discharged and called for follow up.This time of discharge is still not fixed and there is a continuous debate among cardiologists about the hospital stay time period.In standard clinical practice, patients are sent home 48-72 hours after PPCI, however some AbstractObjective: To determine the outcome of early versus standard discharge after primary percutaneous coronary intervention (PPCI) in patients with ST elevation myocardial infarction (STEMI). Methods:This was a prospective cohort study conducted at Punjab Institute of Cardiology, Lahore, for 6 months.50 patients of STEMI with low risk, aged 25 to 60 years of either gender undergoing primary PCI were included in the study.Patients with moderate and high risk were excluded.The data collected was analyzed in terms of Patient Satisfaction, Complications, Follow-up Challenges and Health Perceptions. Results:The study included 50 patients (mean age 44.2 1.9 years; 29 males, 21 females).A majority (66%) preferred early discharge.Patients in the early discharge group reported significantly higher satisfaction (mean = 4.2 0.8) compared to the standard discharge group (mean = 3.5 1.0; p = 0.02).Readmission rates were significantly lower in the early discharge group (6%) versus the standard group (24%; p = 0.03).Similarly, complication rates were lower in the early discharge group (3% vs. 18%), with borderline statistical significance (p = 0.05).At 30 days, recovery rates were higher in the early discharge group (80% vs. 60%; p = 0.04).Qualitative analysis revealed more positive feedback, better health perceptions, and fewer follow-up challenges among early discharge patients. Conclusion:Early discharge in low-risk STEMI patients after primary PCI is a safe and feasible option with good recovery and better patient satisfaction.