title: Trends in primary angioplasty in Portugal from 2002 to 2013 according to the Portuguese National Registry of Interventional Cardiology.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Garcia de Orta EPE, Almada, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal. Electronic address: helder@netcabo.pt.
authors.forename: Hélder
authors.initials: H
authors.lastname: Pereira
authors.affiliation: 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.
authors.forename: Rui
authors.initials: R
authors.lastname: Campante Teles
authors.affiliation: Centro Hospitalar e Universitário de Coimbra-CHC, Coimbra, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Marco
authors.initials: M
authors.lastname: Costa
authors.affiliation: Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte EPE, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Canas da Silva
authors.affiliation: Centro Hospitalar de Vila Nova de Gaia/Espinho, Hospital Eduardo Santos Silva, Porto, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Vasco
authors.initials: V
authors.lastname: da Gama Ribeiro
authors.affiliation: Hospital de Faro EPE, Faro, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Vítor
authors.initials: V
authors.lastname: Brandão
authors.affiliation: Hospital do Divino Espírito Santo de Ponta Delgada EPE, Ponta Delgada, Açores, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Dinis
authors.initials: D
authors.lastname: Martins
authors.affiliation: Hospital da Cruz Vermelha Portuguesa, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Fernando
authors.initials: F
authors.lastname: Matias
authors.affiliation: Hospital da Luz, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Francisco
authors.initials: F
authors.lastname: Pereira-Machado
authors.affiliation: Unidade de Intervenção Cardiovascular - Alvor, Portimão, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal; Hospital de Santo André, Centro Hospitalar de Leiria, Leiria, Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Baptista
authors.affiliation: Hospital Professor Doutor Fernando da Fonseca EPE, Amadora, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Farto E Abreu
authors.affiliation: Hospital de São Bernardo, Centro Hospitalar de Setúbal EPE, Setúbal, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Santos
authors.affiliation: Hospital do Funchal, Funchal, Madeira, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Drummond
authors.affiliation: 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.
authors.forename: Henrique
authors.initials: H
authors.lastname: Cyrne de Carvalho
authors.affiliation: Centro Hospitalar e Universitário de Coimbra - HUC, Coimbra, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Calisto
authors.affiliation: Centro Hospitalar de São João EPE, Porto, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Silva
authors.affiliation: Hospital de São Teotónio, Viseu, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: João Luís
authors.initials: JL
authors.lastname: Pipa
authors.affiliation: Hospital de São Marcos, Braga, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Jorge
authors.initials: J
authors.lastname: Marques
authors.affiliation: Hospital de Vila Real, Centro Hospitalar de Trás-os-Montes e Alto Douro EPE, Vila Real, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Paulino
authors.initials: P
authors.lastname: Sousa
authors.affiliation: Hospital do Espírito Santo, Évora, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Renato
authors.initials: R
authors.lastname: Fernandes
authors.affiliation: Hospital de Santa Marta, Centro Hospitalar Lisboa Central EPE, Lisboa, Portugal; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Cruz Ferreira
authors.affiliation: Registo Nacional de Cardiologia de Intervenção, APIC-CNCDC; Hospital CUF Infante Santo, Lisboa, Portugal.
authors.forename: Sousa
authors.initials: S
authors.lastname: Ramos
authors.affiliation: 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.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Oliveira
authors.affiliation: 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.
authors.forename: Manuel
authors.initials: M
authors.lastname: Almeida
mesh_terms: D000368:Aged; D054855:Drug-Eluting Stents / Q000706:statistics & numerical data / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000706:statistics & numerical data / Q000639:trends*; D011174:Portugal; D011446:Prospective Studies; D012042:Registries / Q000706:statistics & numerical data; D000072657:ST Elevation Myocardial Infarction / Q000601:surgery*; D016896:Treatment Outcome
keywords: Angioplastia primária; Cardiologia de intervenção; Coronariografia; Coronary angiography; Enfarte do miocárdio; Interventional cardiology; Myocardial infarction; Primary angioplasty; Registo; Registry; Stent