Original Research

Outcomes of Early Versus Standard Discharge After PrimaryPercutaneous Coronary Intervention for ST Elevation MyocardialInfarction

Muhammad Nabeel Akbar Chaudhary1
Punjab Institute of Cardiology, Lahore, Pakistan
Somia Iqtadar2
King Edward Medical University/Mayo Hospital, Lahore, Pakistan
Sami Ullah Mumtaz2
King Edward Medical University/Mayo Hospital, Lahore, Pakistan
Muhammad Hammad Akhtar1
Punjab Institute of Cardiology, Lahore, Pakistan
Mobeen Raza2
King Edward Medical University/Mayo Hospital, Lahore, Pakistan
Athar Nayeem3
Narowal Medical College, DHQ Teaching Hospital, Narowal, Pakistan

✉ Correspondence: Sami Ullah Mumtaz Email: drsummumtaz@gmail.com

DOI https://doi.org/10.70302/jpsim.v6i3.2541
Volume: 6, Issue 3 Pages: 223–227 Published: 23 Aug 2025
Received: 24 Jan 2025 Revised: 08 Feb 2025 Accepted: 09 Jul 2025 Published Online: 23 Aug 2025

Abstract

Objective

To determine the outcome of early versus standard discharge after primary percutaneous coronary intervention (PPCI) in patients with ST elevation myocardial infarction (STEMI).

Methods

This was a prospective cohort study conducted at Punjab Institute of Cardiology, Lahore, for 6 months. 50 patients of STEMI with low risk, aged 25 to 60 years of either gender undergoing primary PCI were included in the study. Patients with moderate and high risk were excluded. The data collected was analyzed in terms of Patient Satisfaction, Complications, Follow-up Challenges and Health Perceptions.

Results

The study included 50 patients (mean age 44.2 ± 1.9 years; 29 males, 21 females). A majority (66%) preferred early discharge. Patients in the early discharge group reported significantly higher satisfaction (mean = 4.2 ± 0.8) compared to the standard discharge group (mean = 3.5 ± 1.0; p = 0.02). Readmission rates were significantly lower in the early discharge group (6%) versus the standard group (24%; p = 0.03). Similarly, complication rates were lower in the early discharge group (3% vs. 18%), with borderline statistical significance (p = 0.05). At 30 days, recovery rates were higher in the early discharge group (80% vs. 60%; p = 0.04). Qualitative analysis revealed more positive feedback, better health perceptions, and fewer follow-up challenges among early discharge patients.

Conclusion

Early discharge in low-risk STEMI patients after primary PCI is a safe and feasible option with good recovery and better patient satisfaction.

Keywords
Outcomes Discharge Primary Percutaneous Coronary intervention Myocardial infarction

How to Cite This Article

Chaudhary MNA, Iqtadar S, Mumtaz SU, Akhtar MH, Raza M, Nayeem A. Outcomes of Early Versus Standard Discharge After PrimaryPercutaneous Coronary Intervention for ST Elevation MyocardialInfarction. J Pak Soc Intern Med. 2025;6(3):223–227. doi:10.70302/jpsim.v6i3.2541

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2025 Journal of Pakistan Society of Internal Medicine.
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