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Journal of Research in Medical Sciences، جلد ۱۴، شماره ۲، صفحات ۱۲۳-۰
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عنوان انگلیسی Primary Percutaneous Coronary Intervention (PPCI) in acute myocardial infarction complicated with cardiogenic shock in a newly emerging cardiac center in Nepal
چکیده انگلیسی مقاله BACKGROUND : Acute myocardial infarction (AMI) is complicated by cardiogenic shock in 7~10% of patients. Mortality rate is exceedingly high and reaches 70-80% in those treated conservatively. Large thrombolytic trials demonstrate 60% mortality with most effective thrombolytic agent. METHODS : In between September 2005 to August 2008 total PCI in Shahid Gangalal National Heart Center (SGNHC) in Nepal was 452. Among them primary PCI (PPCI) in AMI with cardiogenic shock was done in only 16 patients (3.5%). RESULTS : This study showed in-hospital mortality of 50% (n = 8). Of 50% (n = 8) alive patients with cardiogenic shock who underwent PPCI, 6 atients are in routine follow-up over 12 months and 2 were doing well in subsequent 6 months but not in follow up after that. CONCLUSION : Primary PCI in AMI complicated by cardiogenic shock has lower mortality and improved outcome. High cost, high in-hospital ortality and lack of trained personnel are major limitations. KEY WORDS: Primary percutaneous coronary intervention, acute myocardial infarction, cardiogenic shock, SGNHC (Shahid Gangalal National Heart Center).
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نویسندگان مقاله arun maskey | arun maskey
consultant cardiologist, cardiology department, shahid gangalal national heart centre, kathmandu ,nepal


شیام راژ regmi | shyam raj regmi
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


laxman dubey | laxman dubey
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


yadab bhatt | yadab bhatt
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


ربیع malla | rabi malla
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


yuba راژ limbu | yuba raj limbu
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


deewakar شارما | deewakar sharma
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal


ایمان bahadur | man bahadur
department of cardiology, shahid gangalal national heart centre, kathmandu, nepal
نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/2353
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Short Communications
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