Incidence and prognostic significance of myocardial injury after elective percutaneous coronary intervention in Duhok, Iraq

  • Ameen Mosa Mohammad Department of Internal Medicine, College of Medicine, Duhok university, Duhok, Iraq.
  • Hartmut K Guelker Department of cardiology, Helios university hospital Wuppertal, university of Witten/Herdecke, Wupertal, Germany.
  • Sabri K Sheikhow Department of Internal Medicine, College of Medicine, Duhok university, Duhok, Iraq.

Abstract

Objective: This study aims to look at the incidence of myocardial injury after elective percutaneous coronary intervention (PCI) and to correlate its effect to midterm clinical outcome.
Methods: A total of 182 patients were enrolled. Their mean age was (57.44±9.15) years. They were undergoing elective PCIs in Azadi heart center, Duhok, Iraq. Cases with positive cardiac troponin (cTn) pre-procedural were excluded. Within first 24-hours after PCI (cTn) was estimated. And then after all patients were followed for 12 months for major adverse cardiac events (MACE).
Results: 36(19.8%) out of 182(100%) had elevated cTn. Those patients with elevated cTn had a statistically significant higher rate of prior CABG, ECG changes, triple vessels disease, type C lesions, post stent balloon dilatation and more periprocedural side branch jeopardy and coronary dissections compared to those with negative cTn (p≤0.05). During follow up; the MACE was higher in patients with positive cTn (log rank=0.04).
Conclusions: Minor myocardial injury after elective PCI is common. It’s associated with procedural complexity and stratified patients at risks of worse prognosis.
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Published
2021-10-26
How to Cite
MOHAMMAD, Ameen Mosa; GUELKER, Hartmut K; SHEIKHOW, Sabri K. Incidence and prognostic significance of myocardial injury after elective percutaneous coronary intervention in Duhok, Iraq. Journal of Contemporary Medical Sciences, [S.l.], v. 7, n. 5, oct. 2021. ISSN 2413-0516. Available at: <http://www.jocms.org/index.php/jcms/article/view/1065>. Date accessed: 07 dec. 2021. doi: https://doi.org/10.22317/jcms.v7i5.1065.