title: The journey of Malaysian NCVD-PCI (National Cardiovascular Disease Database-Percutaneous Coronary Intervention) Registry: a summary of three years report.
abstract: BACKGROUND
  The Malaysian National Cardiovascular Disease Database (NCVD) team presents Percutaneous Coronary Intervention (PCI) Registry report for the year 2007 to 2009. It provides comprehensive information regarding practice and outcome of PCI in Malaysia.
  
  
  METHODS
  It was a voluntary, multi-centered, observational, cohort study and included patients of 18 years or above who underwent PCI at eleven participating centers in Malaysia from the year 2007 to 2009.
  
  
  RESULTS
  Ten thousand six hundred and two patients underwent 11,498 PCI procedures with 18,116 stents for 15,538 lesions. Mean age of the patients was 57 years and more than 98% of patients had at least one cardiovascular risk factor. A significant number of our patients were diabetic (50%) and had renal impairment (44.7% had ≤ stage 3 chronic kidney disease) at the time of procedure. Fifty eight percent of the lesions were type B2 or type C lesion. Twenty eight percent of the lesions had high risk characteristics. Procedural success rate was about 97% and post-procedural complications were low. Overall in-hospital, all cause mortality was 1%, of which 85% were cardiac related deaths. The poor prognostic factors for in-hospital mortality were acute coronary syndrome cases, higher Killip class and increasing age.
  
  
  CONCLUSIONS
  Compared to other registries, Malaysian patients undergoing PCI were much younger with high prevalence of risk factors. In spite of complex and high risk lesions, procedural success was high, with overall low mortality rate. NCVD-PCI Registry aims to improve over-all cardiac services in Malaysia through its ongoing journey.
authors.affiliation: Division of Cardiology, University Malaya Medical Centre, Malaysia. wanazman@ummc.edu.my
authors.forename: Wan Azman Wan
authors.initials: WA
authors.lastname: Ahmad
authors.forename: Rosli Mohd
authors.initials: RM
authors.lastname: Ali
authors.forename: Mehrunnissa
authors.initials: M
authors.lastname: Khanom
authors.forename: Chee Kok
authors.initials: CK
authors.lastname: Han
authors.forename: Liew Houng
authors.initials: LH
authors.lastname: Bang
authors.forename: Alan Fong Yean
authors.initials: AF
authors.lastname: Yip
authors.forename: Azmee Mohd
authors.initials: AM
authors.lastname: Ghazi
authors.forename: Omar
authors.initials: O
authors.lastname: Ismail
authors.forename: Robaayah
authors.initials: R
authors.lastname: Zambahari
authors.forename: Sim Kui
authors.initials: SK
authors.lastname: Hian
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D015331:Cohort Studies; D016208:Databases, Factual / Q000639:trends*; D005260:Female; D006801:Humans; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000639:trends*; D012042:Registries; D058028:Research Report / Q000639:trends*