Trends in Primary 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/10400.17/2554 |
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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Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional CardiologyAngioplastia Primária em Portugal Entre 2002-2013. Atividade Segundo o Registo Nacional de Cardiologia de IntervençãoHSM CARDrug-Eluting Stents/trendsDrug-Eluting Stents/utilizationPercutaneous Coronary Intervention/trendsPercutaneous Coronary Intervention/utilizationPortugalProspective StudiesRegistries/statistics & numerical dataST Elevation Myocardial Infarction/surgeryTreatment OutcomeINTRODUCTION 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.Sociedade Portuguesa de CardiologiaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEPereira, HCampante Teles, RCosta, MCanas da Silva, PGama 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, M2016-08-12T12:01:56Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2554engRev Port Cardiol. 2016 Jul-Aug;35(7-8):395-40410.1016/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:RCAAP2023-03-10T09:38:19Zoai:repositorio.chlc.min-saude.pt:10400.17/2554Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:54.176170Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology Angioplastia Primária em Portugal Entre 2002-2013. Atividade Segundo o Registo Nacional de Cardiologia de Intervenção |
title |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology |
spellingShingle |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology Pereira, H HSM CAR Drug-Eluting Stents/trends Drug-Eluting Stents/utilization Percutaneous Coronary Intervention/trends Percutaneous Coronary Intervention/utilization Portugal Prospective Studies Registries/statistics & numerical data ST Elevation Myocardial Infarction/surgery Treatment Outcome |
title_short |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology |
title_full |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology |
title_fullStr |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology |
title_full_unstemmed |
Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology |
title_sort |
Trends in Primary 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 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 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 do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Pereira, H Campante Teles, R Costa, M Canas da Silva, P 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 |
HSM CAR Drug-Eluting Stents/trends Drug-Eluting Stents/utilization Percutaneous Coronary Intervention/trends Percutaneous Coronary Intervention/utilization Portugal Prospective Studies Registries/statistics & numerical data ST Elevation Myocardial Infarction/surgery Treatment Outcome |
topic |
HSM CAR Drug-Eluting Stents/trends Drug-Eluting Stents/utilization Percutaneous Coronary Intervention/trends Percutaneous Coronary Intervention/utilization Portugal Prospective Studies Registries/statistics & numerical data ST Elevation Myocardial Infarction/surgery Treatment Outcome |
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 |
2016-08-12T12:01:56Z 2016 2016-01-01T00:00:00Z |
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/10400.17/2554 |
url |
http://hdl.handle.net/10400.17/2554 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2016 Jul-Aug;35(7-8):395-404 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.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799131295439126528 |