Trends in aortic stenosis diagnosis and treatment in the years 2006–2016 according to the SILesian CARDiovascular (SILCARD) database

Abstract

INTRODUCTION During the last decade, aortic stenosis (AS) has emerged as one of the most significant concerns in cardiovascular diseases. OBJECTIVES We aimed to characterize AS patients on the basis of data derived from a local registry. PATIENTS AND METHODS We used data from the SILesian CARDiovascular (SILCARD) registry, which was developed under the agreement between the Silesian Centre for Heart Diseases in Zabrze and the Silesian branch of the Polish National Health Fund in Katowice to conduct a comprehensive analysis of patients with cardiovascular diseases in Silesian Voivodeship. RESULTS A total of 15 158 patients hospitalized with a diagnosis of AS between 2006 and 2016 were included (mean [SD] age, 69.87 [11.97] years; male patients, 7644 [50.43%]). Heart failure was reported in 4187 patients (27.62%), and coronary artery disease, in 6217 (41.01%). During the first hospitalization, aortic valve intervention was performed in 2137 patients (14.10%), and during a 12-month follow-up, in 3416 (25.32%). During the first hospitalization, percutaneous coronary intervention (PCI) was performed in 666 patients (4.39%), and coronary artery bypass grafting (CABG), in 1071 (6.71%). At 12-month follow-up, PCI was reported in 560 patients (4.15%), and CABG, in 560 (4.15%). Between 2006 and 2016, 30-day mortality was 4.35% (659 patients) and remained stable throughout the study (5.4% in 2005 vs 4.0% in 2016, P = 0.28). The 1-year mortality was 15.88% (2142 patients) and increased from 14.3% in 2006 to 16% in 2015 (P = 0.07). CONCLUSIONS The SILCARD registry has revealed an increase in the number of AS diagnoses. AS has become one of the most critical issues among cardiovascular diseases in Silesian Voivodeship.

Clinical Characteristics, Treatments, and Outcomes of Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA): Results from a Multicenter National Registry

“…The SILCARD database was based on the agreement between the Silesian Center for Heart Diseases in Zabrze and the Regional Department of National Health Fund in Katowice in order to conduct a comprehensive analysis of patients with cardiovascular diseases in the Silesian Province [8]. General information on the SILCARD database was previously reported.…”

“…conduct a comprehensive analysis of patients with cardiovascular diseases in the Silesian Province [8]. General information on the SILCARD database was previously reported.…”

Clinical Features and Long-Term Outcomes in Very Young Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries

“…MINOCA patients had similar high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol levels with o-CAD patients, however, the triglyceride values was significantly higher (180.8±90.6) than control (136.2±82.8). A previous study investigated the various etiology associated with clinical presentation of MINOCA [11]. The precise occurrence rate of MINOCA varies between researches, although it has been shown to be present in 3-15% in the MI patients [12,13].…”

The role of external iliac artery diameter indexed to BSA score in predicting vascular access complications after transfemoral transcatheter aortic valve implantation

“…Aortic stenosis (AS) is the most common valvular heart disease (VHD) and is associated with high mortality and morbidity when left untreated [ 1 ]. With an aging population, the number of patients undergoing valve interventions has significantly increased and is expected to rise further over the following years [ 2 ]. Transcatheter aortic valve implantation (TAVI) has been established as a standard of care in patients fulfilling the clinical and demographic criteria outlined in current ESC/EACTS guidelines [ 3 ], improving significantly outcomes and quality of life of patients with AS [ 4 ].…”