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Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology

2016Journal article Open access
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dc.contributor.authorPereira, H
dc.contributor.authorCampante Teles, R
dc.contributor.authorCosta, M
dc.contributor.authorCanas da Silva, P
dc.contributor.authorGama Ribeiro, V
dc.contributor.authorBrandão, V
dc.contributor.authorMartins, D
dc.contributor.authorMatias, F
dc.contributor.authorPereira-Machado, F
dc.contributor.authorBaptista, J
dc.contributor.authorFarto e Abreu, P
dc.contributor.authorSantos, R
dc.contributor.authorDrummond, A
dc.contributor.authorCyrne de Carvalho, H
dc.contributor.authorCalisto, J
dc.contributor.authorSilva, JC
dc.contributor.authorPipa, JL
dc.contributor.authorMarques, J
dc.contributor.authorSousa, P
dc.contributor.authorFernandes, R
dc.contributor.authorCruz Ferreira, R
dc.contributor.authorRamos, S
dc.contributor.authorOliveira, E
dc.contributor.authorAlmeida, M
dc.date.accessioned2016-08-12T12:01:56Z
dc.date.available2016-08-12T12:01:56Z
dc.date.issued2016
dc.description.abstractINTRODUCTION 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.pt_PT
dc.identifier.citationRev Port Cardiol. 2016 Jul-Aug;35(7-8):395-404pt_PT
dc.identifier.doi10.1016/j.repc.2016.01.005pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2554
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedade Portuguesa de Cardiologiapt_PT
dc.subjectHSM CARpt_PT
dc.subjectDrug-Eluting Stents/trendspt_PT
dc.subjectDrug-Eluting Stents/utilizationpt_PT
dc.subjectPercutaneous Coronary Intervention/trendspt_PT
dc.subjectPercutaneous Coronary Intervention/utilizationpt_PT
dc.subjectPortugalpt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRegistries/statistics & numerical data
dc.subjectST Elevation Myocardial Infarction/surgery
dc.subjectTreatment Outcome
dc.titleTrends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiologypt_PT
dc.title.alternativeAngioplastia Primária em Portugal Entre 2002-2013. Atividade Segundo o Registo Nacional de Cardiologia de Intervençãopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage404pt_PT
oaire.citation.issue7-8pt_PT
oaire.citation.startPage395pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume35pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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