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

Autor:	Pereira H; Hospital Garcia de Orta EPE, Almada, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal. Electronic address: helder@netcabo.pt., Campante Teles R; Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, EPE, Lisboa, Portugal; Registo Nacional de Cardiologia de Intervenção, APIC-CNCDC; Hospital CUF Infante Santo, Lisboa, Portugal., Costa M; Centro Hospitalar e Universitário de Coimbra-CHC, Coimbra, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Canas da Silva P; Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte EPE, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., da Gama Ribeiro V; Centro Hospitalar de Vila Nova de Gaia/Espinho, Hospital Eduardo Santos Silva, Porto, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Brandão V; Hospital de Faro EPE, Faro, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Martins D; Hospital do Divino Espírito Santo de Ponta Delgada EPE, Ponta Delgada, Açores, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Matias F; Hospital da Cruz Vermelha Portuguesa, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Pereira-Machado F; Hospital da Luz, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Baptista J; Unidade de Intervenção Cardiovascular - Alvor, Portimão, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal; Hospital de Santo André, Centro Hospitalar de Leiria, Leiria, Portugal., Farto E Abreu P; Hospital Professor Doutor Fernando da Fonseca EPE, Amadora, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Santos R; Hospital de São Bernardo, Centro Hospitalar de Setúbal EPE, Setúbal, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Drummond A; Hospital do Funchal, Funchal, Madeira, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Cyrne de Carvalho H; Hospital de Santo António, Centro Hospitalar do Porto, Porto, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal; Hospital de Santo André, Centro Hospitalar de Leiria, Leiria, Portugal., Calisto J; Centro Hospitalar e Universitário de Coimbra - HUC, Coimbra, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Silva JC; Centro Hospitalar de São João EPE, Porto, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Pipa JL; Hospital de São Teotónio, Viseu, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Marques J; Hospital de São Marcos, Braga, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Sousa P; Hospital de Vila Real, Centro Hospitalar de Trás-os-Montes e Alto Douro EPE, Vila Real, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Fernandes R; Hospital do Espírito Santo, Évora, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Cruz Ferreira R; Hospital de Santa Marta, Centro Hospitalar Lisboa Central EPE, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal., Ramos S; Registo Nacional de Cardiologia de Intervenção, APIC-CNCDC; Hospital CUF Infante Santo, Lisboa, Portugal., Oliveira E; Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte EPE, Lisboa, Portugal; Registo Nacional de Cardiologia de Intervenção, APIC-CNCDC; Hospital CUF Infante Santo, Lisboa, Portugal., Almeida M; Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, EPE, Lisboa, Portugal; Registo Nacional de Cardiologia de Intervenção, APIC-CNCDC; Hospital CUF Infante Santo, Lisboa, Portugal.
Jazyk:	English; Portuguese
Zdroj:	Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology [Rev Port Cardiol] 2016 Jul-Aug; Vol. 35 (7-8), pp. 395-404. Date of Electronic Publication: 2016 Jul 05.
DOI:	10.1016/j.repc.2016.01.005
Abstrakt:	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. (Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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