Rita Calé, Hélder Pereira, André Luz, Rui Campante Teles, Marco Costa, João Carlos Silva, Pedro Braga, Pedro Pinto Cardoso, Rui Cruz Ferreira, Filipe Seixo, João Costa, Hélder Ribeiro, João Brum da Silveira, Pedro Costa Ferreira, Jorge Guardado, Pedro Farto E Abreu, Renato Fernandes, Hugo Vinhas, Dinis Martins, Graça Caires, Tiago Adrega, Rui Caria, Luís Bernardes, José Baptista, Pedro de Araújo Gonçalves, Eduardo Infante Oliveira, Paulino Sousa, Carlos Braga, Pedro Jerónimo Sousa, Manuel Almeida
{"title":"葡萄牙国家介入心脏病登记处：2014年至2023年经皮冠状动脉造影和介入治疗官方报告。","authors":"Rita Calé, Hélder Pereira, André Luz, Rui Campante Teles, Marco Costa, João Carlos Silva, Pedro Braga, Pedro Pinto Cardoso, Rui Cruz Ferreira, Filipe Seixo, João Costa, Hélder Ribeiro, João Brum da Silveira, Pedro Costa Ferreira, Jorge Guardado, Pedro Farto E Abreu, Renato Fernandes, Hugo Vinhas, Dinis Martins, Graça Caires, Tiago Adrega, Rui Caria, Luís Bernardes, José Baptista, Pedro de Araújo Gonçalves, Eduardo Infante Oliveira, Paulino Sousa, Carlos Braga, Pedro Jerónimo Sousa, Manuel Almeida","doi":"10.1016/j.repc.2024.12.003","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and objectives: </strong>To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023).</p><p><strong>Methods: </strong>Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time.</p><p><strong>Results: </strong>From 2014 to 2023, there were 160101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R<sup>2</sup>=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R<sup>2</sup>=0.759, p<0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R<sup>2</sup>=0.908, p<0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R<sup>2</sup>=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R<sup>2</sup>=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023.</p><p><strong>Conclusion: </strong>The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. The geographical asymmetries were markedly reduced due to the expansion on PCI capable centers, enabling a progress towards a more universal access to percutaneous coronary techniques.</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023.\",\"authors\":\"Rita Calé, Hélder Pereira, André Luz, Rui Campante Teles, Marco Costa, João Carlos Silva, Pedro Braga, Pedro Pinto Cardoso, Rui Cruz Ferreira, Filipe Seixo, João Costa, Hélder Ribeiro, João Brum da Silveira, Pedro Costa Ferreira, Jorge Guardado, Pedro Farto E Abreu, Renato Fernandes, Hugo Vinhas, Dinis Martins, Graça Caires, Tiago Adrega, Rui Caria, Luís Bernardes, José Baptista, Pedro de Araújo Gonçalves, Eduardo Infante Oliveira, Paulino Sousa, Carlos Braga, Pedro Jerónimo Sousa, Manuel Almeida\",\"doi\":\"10.1016/j.repc.2024.12.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and objectives: </strong>To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023).</p><p><strong>Methods: </strong>Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time.</p><p><strong>Results: </strong>From 2014 to 2023, there were 160101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R<sup>2</sup>=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R<sup>2</sup>=0.759, p<0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R<sup>2</sup>=0.908, p<0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R<sup>2</sup>=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R<sup>2</sup>=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023.</p><p><strong>Conclusion: </strong>The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. 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Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023.
Introduction and objectives: To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023).
Methods: Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time.
Results: From 2014 to 2023, there were 160101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R2=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R2=0.759, p<0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R2=0.908, p<0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R2=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R2=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023.
Conclusion: The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. The geographical asymmetries were markedly reduced due to the expansion on PCI capable centers, enabling a progress towards a more universal access to percutaneous coronary techniques.
期刊介绍：
The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in 1982 with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. The Journal is a monthly publication with high standards of quality in terms of scientific content and production. Since 1999 it has been published in English as well as Portuguese, which has widened its readership abroad. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. It has been referred in Medline since 1987.
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