Characteristics and mortality of percutaneous coronary intervention patients in Palestine: a prospective cohort study
Publication Type
Original research

According to the American Heart Association, cardiovascular diseases are the main cause of
death worldwide in 2015 [1]. A common consequence of coronary heart disease is acute coronary
syndrome (ACS),which includes ST elevation myocardial infarction, Non ST elevation myocardial
infarction and unstable angina [2]. ACS causes more than 2.5 million hospitalizations in the world
every year [3].In Palestine, myocardial infarction and ischemic heart disease are the leading cause
of death according to the Palestinian health information center. During 2012, twenty percent of the
reported deaths among age Group 20 - 59 years were due to myocardial infarction and ischemic
heart disease. In the Palestinian older age group, more than 60 years, mortality due to
cardiovascular diseases was 19.4% of the overall mortality causes (Palestinian Ministry Of
Health/2012) Management of ACS includes both conservative and invasive methods; the earlier
consists of medical management, which can be followed by catheterization and revascularization if
ischemia persists despite medical therapy. The Invasive method; that’s cardiac catheterization,
done within 4 to 24 hours after admission, followed by revascularization using percutaneous
coronary intervention (PCI) or coronary artery bypass grafting (CABG) [4].The number of PCI
procedure performed has been dramatically increasing during the last years in Palestine, this rapid
growth in PCI as an alternative to medical therapy or coronary artery bypass graft (CABG) surgery
is mainly due to PCI being less invasive and less expensive choice. Factors affect the outcome and
the prognosis of PCI including age, gender, hypertension, diabetes, Creatine kinase (CK)
[5].Through our research, we found insufficient data among the Palestinian population regarding
PCI. We conducted this prospective study to describe patients’ characteristics and their outcome in
Palestine. The objectives of our study was to assess the relationship between the prognosis of
primary PCI procedure and demographic factors, medical history , lab results and PCI data and to
follow up each patient readmission due to cardiovascular events “including stroke,
revascularization procedures, heart failure and chest pain” using the medical records within 30

Palestinian Medical and Pharmaceutical Journal (PMPJ).
An-Najah National University
Publisher Country
Publication Type
Prtinted only