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ST elevation myocardial infarction (STEMI) management in 6th of October insurance hospital /

Nagham Ibrahim Saad Elshafie

ST elevation myocardial infarction (STEMI) management in 6th of October insurance hospital / بمستشفى 6 اكتوبر للتأمين الصحى ST سجل استراتيجيات العلاج النافذة فى مرضى احتشاء عضلة القلب المصحوب بارتفاع مقطع Nagham Ibrahim Saad Elshafie ; Supervised Mohamed Mahmoud Abdelghany , Hesham Yehia Abdelsalam , Amir Anwar Shaker - Cairo : Nagham Ibrahim Saad Elshafie , 2021 - 46 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology

The first 24 hours are a critical time window in which much of the fate of a patient with acute MI is declared.The goal is to facilitate rapid recognition and treatment of patients with STEMl, such that door-to-needle time for initiation of fibrinolytic therapy can be achieved within 30 minutes or that door-to balloon time for PCI can be kept under 90 minutes to keep total ischemic time within 120 minutes.This registry observes these strategies and time frames in 6 October insurance hospital. Regarding the intervention, majority of patients (72%) of patients underwent Primary PCI. 20% of our patients reported post MI complications with 6.0% mortality rate.Time of door to balloon was 5.43(±8.93), time of door to needle was 1.55 (±0.83) and pain until FMC was 10.53 (±16.34). STEMI patients presented to our hospital were treated primarily using PCI and the outcomes of PCI were found to be satisfactory. Based on the work done in this area, a unified protocol and timeline implementation in the Egyptian hospitals for the management of ACS mainly STEMI, is recommended for the improvement of emergency medical services provided to the Egyptian population



Primary PCI ST elevation myocardial infarction Thrombolysis