Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.23/1060 |
Resumo: | INTRODUCTION AND OBJECTIVES: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. METHODS: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013. RESULTS: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions). Between 2002 and 2013 the rate increased from 106 to 338 p-PCIs per million population per year. Rescue angioplasty decreased from 70.7% in 2002 to 2% in 2013. During this period, the use of drug-eluting stents grew from 9.9% to 69.5%. After 2008, the use of aspiration thrombectomy increased, reaching 46.7% in 2013. Glycoprotein IIb-IIIa inhibitor use decreased from 73.2% in 2002 to 23.6% in the last year of the study. Use of a radial approach increased steadily from 8.3% in 2008 to 54.6% in 2013. CONCLUSION: During the reporting period there was a three-fold increase in primary angioplasty rates per million population. Rescue angioplasty has been overtaken by p-PCI as the predominant procedure since 2006. New trends in the treatment of STEMI were observed, notably the use of drug-eluting stents and radial access as the predominant approach. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional CardiologyAngioplastia CoronáriaIntervenção Coronária PercutâneaINTRODUCTION AND OBJECTIVES: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. METHODS: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013. RESULTS: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions). Between 2002 and 2013 the rate increased from 106 to 338 p-PCIs per million population per year. Rescue angioplasty decreased from 70.7% in 2002 to 2% in 2013. During this period, the use of drug-eluting stents grew from 9.9% to 69.5%. After 2008, the use of aspiration thrombectomy increased, reaching 46.7% in 2013. Glycoprotein IIb-IIIa inhibitor use decreased from 73.2% in 2002 to 23.6% in the last year of the study. Use of a radial approach increased steadily from 8.3% in 2008 to 54.6% in 2013. CONCLUSION: During the reporting period there was a three-fold increase in primary angioplasty rates per million population. Rescue angioplasty has been overtaken by p-PCI as the predominant procedure since 2006. New trends in the treatment of STEMI were observed, notably the use of drug-eluting stents and radial access as the predominant approach.Repositório Científico do Hospital de BragaPereira, HCampante Teles, RCosta, MCanas da Silva, Pda Gama Ribeiro, VBrandão, VMartins, DMatias, FPereira-Machado, FBaptista, JFarto E Abreu, PSantos, RDrummond, ACyrne de Carvalho, HCalisto, JSilva, JCPipa, JLMarques, JSousa, PFernandes, RCruz Ferreira, RRamos, SOliveira, EAlmeida, M2016-07-15T14:03:39Z2016-07-05T00:00:00Z2016-07-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/1060engRev Port Cardiol. 2016 Jul 5. pii: S0870-2551(16)00093-7.10.1016/j.repc.2016.01.005info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:02:52ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
title |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
spellingShingle |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology Pereira, H Angioplastia Coronária Intervenção Coronária Percutânea |
title_short |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
title_full |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
title_fullStr |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
title_full_unstemmed |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
title_sort |
Trends in coronary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology |
author |
Pereira, H |
author_facet |
Pereira, H Campante Teles, R Costa, M Canas da Silva, P da Gama Ribeiro, V Brandão, V Martins, D Matias, F Pereira-Machado, F Baptista, J Farto E Abreu, P Santos, R Drummond, A Cyrne de Carvalho, H Calisto, J Silva, JC Pipa, JL Marques, J Sousa, P Fernandes, R Cruz Ferreira, R Ramos, S Oliveira, E Almeida, M |
author_role |
author |
author2 |
Campante Teles, R Costa, M Canas da Silva, P da Gama Ribeiro, V Brandão, V Martins, D Matias, F Pereira-Machado, F Baptista, J Farto E Abreu, P Santos, R Drummond, A Cyrne de Carvalho, H Calisto, J Silva, JC Pipa, JL Marques, J Sousa, P Fernandes, R Cruz Ferreira, R Ramos, S Oliveira, E Almeida, M |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Hospital de Braga |
dc.contributor.author.fl_str_mv |
Pereira, H Campante Teles, R Costa, M Canas da Silva, P da Gama Ribeiro, V Brandão, V Martins, D Matias, F Pereira-Machado, F Baptista, J Farto E Abreu, P Santos, R Drummond, A Cyrne de Carvalho, H Calisto, J Silva, JC Pipa, JL Marques, J Sousa, P Fernandes, R Cruz Ferreira, R Ramos, S Oliveira, E Almeida, M |
dc.subject.por.fl_str_mv |
Angioplastia Coronária Intervenção Coronária Percutânea |
topic |
Angioplastia Coronária Intervenção Coronária Percutânea |
description |
INTRODUCTION AND OBJECTIVES: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. METHODS: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013. RESULTS: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions). Between 2002 and 2013 the rate increased from 106 to 338 p-PCIs per million population per year. Rescue angioplasty decreased from 70.7% in 2002 to 2% in 2013. During this period, the use of drug-eluting stents grew from 9.9% to 69.5%. After 2008, the use of aspiration thrombectomy increased, reaching 46.7% in 2013. Glycoprotein IIb-IIIa inhibitor use decreased from 73.2% in 2002 to 23.6% in the last year of the study. Use of a radial approach increased steadily from 8.3% in 2008 to 54.6% in 2013. CONCLUSION: During the reporting period there was a three-fold increase in primary angioplasty rates per million population. Rescue angioplasty has been overtaken by p-PCI as the predominant procedure since 2006. New trends in the treatment of STEMI were observed, notably the use of drug-eluting stents and radial access as the predominant approach. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-07-15T14:03:39Z 2016-07-05T00:00:00Z 2016-07-05T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.23/1060 |
url |
http://hdl.handle.net/10400.23/1060 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2016 Jul 5. pii: S0870-2551(16)00093-7. 10.1016/j.repc.2016.01.005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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