ABSTRACT
Primary percutaneous coronary intervention [PCI] provides outcomes superior to fibrinolytic therapy in acute myocardial infarction [AMI], but no registry or study in Iraq has demonstrated its use in hospital. To evaluate using of primary PCI for acute MI in Ibn Alnafees hospital -Baghdad. Patients between 2010 and march 2013 having symptom onset within 12 hours and either ST-segment elevation of - 1 mm in - 2 contiguous leads or presumed new left bundle branch block [LBBB] in electrocardiogram [ECG] who were treated with primary PCI were included in this study. Two patient had cardiogenic shock treated within 16 hours. A total of 76 patient included in this study having primary PCI for acute MI. successful result reported in 71 of cases, while death reported in 2 cases, slow flow in 2 cases, no re flow in one case and stent thrombus formation in one case. No need for urgent or elective CABG. Primary PCI for patients with AMI having ST-elevation or new LBBB is a safe and effective strategy