Comparative Outcomes of Primary PCI and One-Year Mace in Iranian and Afghan Patients With STEMI

A Propensity Score-Matched Retrospective Cohort at Tehran Heart Center

Datos Bibliográficos

ID24141013
AutoresLayla Nematipour (Tehran University of Medical Sciences), Muhammadhosein Moradi (0000-0003-2349-9353, Tehran University of Medical Sciences), Farzad Masoudkabir (0000-0001-8098-7121, Tehran University of Medical Sciences, autor de correspondencia), Arash Jalali (0000-0003-3225-8498, Tehran University of Medical Sciences), Amir Khoshravan (Tehran University of Medical Sciences), Mina Pashang (0000-0002-1052-6095, Tehran University of Medical Sciences), Akbar Shafiee (0000-0001-6912-7788, Tehran University of Medical Sciences), Ebrahim Nematipour (0000-0003-0472-0286, Tehran University of Medical Sciences), Mojtaba Salarifar (Tehran University of Medical Sciences), Hamid Reza Poorhosseini (0000-0002-5733-9588, Tehran University of Medical Sciences), Saeed Sadeghian (0000-0002-9968-9965, Tehran University of Medical Sciences), Hassan Aghajani (0000-0002-2181-4850, Tehran University of Medical Sciences)
Año2026
Páginas100437
Fecha de publicación2026-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Migration and Health (JOURNAL)
Identificadores de la revistaISSN: 2666-6235 • E-ISSN: 2666-6235
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.jmh.2026.100437
OpenAlexW7204162235
IdiomaEN
Referencias citadas17

Background Although advances in primary percutaneous coronary intervention (PPCI) have significantly reduced mortality and procedure-related complications, substantial disparities persist among vulnerable populations. Afghan immigrants in Iran face intersecting socioeconomic and structural barriers that may compromise long-term cardiovascular outcomes. Addressing these inequities is crucial to improving outcomes in vulnerable populations. Objective To evaluate the success of PPCI and the one-year incidence of major adverse cardiovascular events (MACE) among Iranian and Afghan patients with ST-segment elevation myocardial infarction (STEMI) treated at Tehran Heart Center. Methods This retrospective cohort study included STEMI patients who underwent PCI at Tehran Heart Center between March 2015 and March 2024. Eligible patients were categorized by nationality. Demographic data, medical history, laboratory results, and angiographic/procedural details were retrieved from the angioplasty registry. A one-year follow-up was conducted via outpatient visits and structured telephone interviews. Results A total of 6,883 STEMI patients were analyzed (6,776 Iranian; 107 Afghan). Iranian patients were older, had higher body mass index, and more cardiovascular risk factors. Angiographic findings showed greater left main and left anterior descending artery involvement in Afghan patients, while right coronary artery involvement was more common in Iranians. After applying propensity score matching, no significant differences were found in PCI failure rates (OR: 1.54; 95% CI: 0.41–10.0; p = 0.573) or 12-month MACE (HR: 0.94; 95% CI: 0.42–2.09; p = 0.884) between the two groups. Conclusion There were no significant differences in PPCI success or one-year MACE outcomes between Iranian and Afghan STEMI patients treated at our Center.

Afghan · Cohort · Conventional PCI · Mace · Myocardial infarction · Percutaneous coronary intervention · Retrospective cohort study · Acute Myocardial Infarction Research · Cardiac Health and Mental Health · Coronary Interventions and Diagnostics