Pereira, 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, M2016-08-122016-08-122016Rev Port Cardiol. 2016 Jul-Aug;35(7-8):395-404http://hdl.handle.net/10400.17/2554INTRODUCTION 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.engHSM CARDrug-Eluting Stents/trendsDrug-Eluting Stents/utilizationPercutaneous Coronary Intervention/trendsPercutaneous Coronary Intervention/utilizationPortugalProspective StudiesRegistries/statistics & numerical dataST Elevation Myocardial Infarction/surgeryTreatment Outcomejournal article10.1016/j.repc.2016.01.005