Abstract :
Background: To compare between the outcomes of streptokinase and primary PCI in acute
myocardial infarction. The inappropriate treatment, misdiagnosis, contraindications of procedures
can result in complications of procedures and increased mortality of patients. The present study
aimed to compare between the outcomes of streptokinase and primary percutaneous coronary
intervention in acute myocardial infarction patients to minimize the death rates in MI patients.
Methodology: The descriptive study was conducted at Gulab Devi Chest Hospital. All the samples
were collected from cardiac department. A Performa was designed for recording the risk factors,
ST elevation, clinical findings and lab results of the patients.
Results: In this cross-sectional study of 100 patients, the mean age was 51.02+ 10.956. Male
gender was predominant. There were more chances (67.00%) of acute LVF in streptokinase and
less chances (21.00%) in primary PCI. According to this study, there was more chances (67.00%)
of cardiogenic shock in streptokinase and less chances (21.00%) in primary PCI. In this study
there were equal chances of stroke in streptokinase and primary PCI. In this study there were more
chances (28.00%) of bleeding from any site in streptokinase and less chances (0%) in primary PCI.
According to results there were chances (24.00%) of renal failure in streptokinase and less chances
(0%) in primary PCI. There were more chances (9.43%) of rescue PCI in streptokinase and less
chances in primary PCI. In this study, there were more chances of arrhythmias (26.41%) in
streptokinase patients and less chances in primary PCI. In this study, there were also more chances
of death (1.92%) in streptokinase and less chance in primary PCI. So according to my study
primary PCI was better than streptokinase with less complications.
Conclusion: Primary PCI was better than streptokinase to cure the myocardial infarction and better
to minimize the complications after procedure.
Keyword :
Streptokinase, Primary PCI, Myocardial Infarction, Acute Coronary syndrome, Non- ST-segment elevation myocardial infarction