ĐÁNH GIÁ KẾT QUẢ CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA ĐIỀU TRỊ BỆNH NHÂN HỘI CHỨNG ĐỘNG MẠCH VÀNH CẤP TẠI BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG

Abstract

Objectives: An assessment of the outcomes of percutaneous coronary intervention in managing patients diagnosed with acute coronary syndrome at Hai Duong Provincial General Hospital. Methods: This study is a cross-sectional, descriptive study conducted at the Cardiovascular Centre - Hai Duong Provincial General Hospital. The study included patients who met the specific requirements for participation from February 2022 to March 2023. Results: Percutaneous coronary intervention was performed on a study group of 50 patients diagnosed with acute coronary syndrome. The average age of the patients was 67.46 years, and 76.0% of them were male. The main risk factors were hypertension (64.0%) and smoking (54.0%). All patients exhibit myocardial motion issues, with an average ejection fraction of 45.38%. Additionally, 64.0% of patients are at a high risk of developing bleeding. The prevalence of coronary artery damage in patients with 1, 2, and 3 damaged arteries was 54.0%, 30.0%, and 6.0%, respectively. The culprit arteries were the left anterior descending artery (LAD) with a prevalence of 46.0%, the right coronary artery (RCA) with a prevalence of 22.0%, and the left circumflex artery (LCx) with a prevalence of 10.0%. The percentage of accessing the radial artery is 84.0%. The percentage of patients who underwent 1 stent intervention was 62.0%, whereas 34.0% received 2 stents and 4.0% received 3 stents. Following the intervention, the incidence of ST elevation dropped from 70% to 38%, while the occurrence of sinus rhythm rose from 74% to 98%. The ejection fraction (EF) after the intervention showed a greater increase compared to before the intervention (49.34 ± 7.75% vs. 45.38 ± 7.46%), with a p-value of less than 0.05. The primary consequence observed is the formation of a hematoma at the site of the puncture. This occurred in 18.0% of patients, whereas 6.0% of patients who experienced excessive bleeding were successfully stabilised with therapy. Both the procedural success and clinical success rates were 100%. Conclusion:  The outcomes of percutaneous coronary intervention for patients with acute coronary syndrome at Hai Duong Provincial General Hospital have demonstrated clinical and subclinical effectiveness. Following stent intervention, there has been notable improvement in symptoms, a high success rate, minimal complications, and stable management of any complications.

Keywords:  percutaneous coronary intervention, acute coronary syndrome, Hai Duong Provincial General Hospital.