Mudanças no perfil populacional e resultados da intervenção coronária percutânea do Registro Angiocardio

Abstract

Background: Technological developments have enabled the expansion of percutaneous coronary intervention (PCI) indications for more challenging clinical and angiographic scenarios. Our objective was to evaluate the results of PCI in two different periods in the past 6 years. Methods: This was a multicenter registry including 6,288 consecutive patients treated by PCI, who were divided according to different treatment periods: 2006 to 2008 (P1; n = 1,779) and 2009 to 2012 (P2; n = 4,509). We intended to compare the rates of in-hospital major adverse cardiac and cerebrovascular events (MACCE) and identify their predictors. Results: P2 patients were younger and had a higher prevalence of smoking and diabetes. These patients had a greater rate of multivessel, thrombotic and bifurcation lesions. The number of diseased vessels per patient was higher in the P2 Group, as well as the number of stents per patient, and the use of drug-eluting stents. MACCE was more frequent in P2 patients (2.5% vs. 3.5%; P = 0.04), due to periprocedural myocardial infarction (1.7% vs. 2.6%; P = 0.05), and there were no differences in terms of death (1.0% vs. 1.0%; P = 0.87), stroke (0.2% vs. 0.1%; P = 0.47) or emergency coronary artery bypass grafting (0.1% vs. 0; P = 0.68).

Intervenção Coronária Percutânea em Pacientes Jovens

“…In an earlier published analysis of the multicenter registry Angiocardio, when comparing with the population of the registry's initial period (2006)(2007)(2008), the population in its most recent period (2009-2012) was younger, with a higher prevalence of smoking and diabetes. 4 In Brazil, publications on PCI in young subjects are scarce. 5,6 Thus, the authors analyzed the in-hospital results of most recent PCIs from the Angiocardio registry in patients under 40 years, retrospectively assessing their profile and in-hospital clinical outcomes.…”