Iranian Heart Journal

Iranian Heart Journal

Evaluation of Risk Factors Associated With Mortality in Patients Undergoing Primary PCI: A Retrospective Cohort Study

Document Type : Original Article

Authors
Abdollah Amirfarhangi 1
Marjan Hajahmadipoor Rafsanjani 1
Mahboobe Pazooki 1
Ali Shamsadini 2
Nadia Pourghaz 1
1 Department of Cardiology, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
2 Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
Abstract
Background: This study investigates the prognosis and complications in patients who underwent primary percutaneous coronary intervention (PCI) at Rasul Akram Hospital between 2020 and 2021. The primary objective is to improve care quality for myocardial infarction (MI) patients post-PCI by identifying and analyzing prognostic factors. Given MI’s significant impact on mortality in industrialized and developing nations, recognizing and managing risk factors effectively can reduce disease burden.
 
Methods: A retrospective cohort design was employed. Patients were selected based on predefined inclusion and exclusion criteria. Demographic, clinical, and laboratory data and clinical outcomes were extracted from medical records and analyzed using SPSS software.
 
Results: Several factors influenced patient prognosis, including age, sex, prior heart disease, hypertension, diabetes, and hyperlipidemia. Those with a history of cardiac conditions or metabolic risk factors exhibited worse outcomes. The study also highlighted that timely PCI intervention and optimized risk factor management could enhance prognosis.
 
Conclusions: Early identification of high-risk patients and prompt, effective treatment are critical. Public and patient education on MI symptoms and the urgency of seeking immediate medical care may reduce treatment delays and improve outcomes. (Iranian Heart Journal 2025; 26(3): 6-14)
Keywords
Myocardial Infarction
Percutaneous coronary intervention
Mortality
Complication
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Iranian Heart Journal
Volume 26, Issue 3
Summer 2025
Pages 6-14