Details

Autor(en) / Beteiligte

• Pereira, Hélder
• Campante Teles, Rui
• Costa, Marco
• Canas da Silva, Pedro
• da Gama Ribeiro, Vasco
• Brandão, Vítor
• Martins, Dinis
• Matias, Fernando
• Pereira-Machado, Francisco
• Baptista, José
• Farto E Abreu, Pedro
• Santos, Ricardo
• Drummond, António
• Cyrne de Carvalho, Henrique
• Calisto, João
• Silva, João Carlos
• Pipa, João Luís
• Marques, Jorge
• Sousa, Paulino
• Fernandes, Renato
• Cruz Ferreira, Rui
• Ramos, Sousa
• Oliveira, Eduardo
• Almeida, Manuel

Titel

Trends in primary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology

Ist Teil von

• Revista portuguesa de cardiologia, 2016-07, Vol.35 (7-8), p.395-404

Ort / Verlag

Portugal

Erscheinungsjahr

2016

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. 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. 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. 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.