Primary Percutaneous Coronary Intervention Facility Hospitals and Easy Access Can Affect the Outcomes of ST-Segment Elevation Myocardial Infarction Patients.

Background: The reperfusion therapy using primary percutaneous coronary intervention (PPCI) in ST-segment elevation myocardial infarction (STEMI) is known to give a better result than fibrinolytic therapy. The fast access to PPCI will improve hospital outcome. We believe that patient access to PPCI facility would have improved due to enhanced public awareness and expanding evidenced-based health provision.

The Effect of Glycemic Control on Cardiac Outcomes in Saudi Diabetic Patients who Underwent Coronary Angiogram.

Background: Diabetes mellitus is a metabolic disorder that causes impaired insulin secretion or cellular dysfunction. Glycated hemoglobin (HbA1c) indicates the long-term level of glucose. Diabetes can lead to cardiovascular complications such as acute coronary syndrome , which might require coronary intervention.

The Impact of COVID-19 Pandemic on the Presentation and Hospital Management of STEMI Patients in a Tertiary Care Center in Saudi Arabia.

Background: The COVID-19 Pandemic has put enormous pressure on the healthcare system globally, causing many healthcare organizations to cancel elective admission for coronary angiograms. The purpose of this study is to assess changes in ST segment elevation myocardial infarction (STEMI) practice, including the number of patients, door to balloon time and time from the onset of symptoms until reperfusion therapy in a tertiary center in Saudi Arabia.

Methods: This is a single center retrospective observational study, comparing all STEMI patients in the last five months of 2019 (Pre-COVID-19 period) with the first 5 months of 2020 (COVID -19 period) in regards to the volume of STEMI patients, symptoms onset to ER arrival time, door to balloon timing and the reperfusion therapy strategy.

Degenerated Suturless Perceval with (Paravalvular Leak and AS) Treated by Valve in Valve using S3 Edward Valve.

A 70-year-old female patient, known to be diabetic and hypertensive, was diagnosed with coronary artery disease and severe aortic stenosis aortic valve area 0.5 cm, peak gradient of 110 mmHg, mean gradient 55 mmHg). This patient underwent coronary artery bypass graft with two grafts and artery bypass grafting in 2012.

The Effect of Contrast Administration on Renal Function after Cardiac Catheterization in Saudi Patients.

Background: The increase of serum creatinine by 25% from the baseline readings will lead to contrast-induced nephropathy. Most of the time this acute reduction in kidney function will occur in the first 48 h after angiogram; diabetes mellitus (DM) is one of the major predisposing factors.

Objectives: Our objective is to study the influence of contrast material administration during angiogram on kidney function, especially in patients with risk factors such as DM in the Saudi community.