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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

[Referral to elective and emergency coronary investigation from a medium-size central hospital]

Erlend Aune1, Jan Erik Otterstad, Knut Endresen

  • 1Hjertemedisinsk avdeling, Hjerteseksjonen Klinikk Medisin, Sykehuset i Vestfold, HF 3103 Tønsberg. erlend.aune@siv.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 10, 2005
PubMed

Insights

Regional differences in invasive coronary procedures are significant in Norway. Incidence rates for percutaneous interventions in Vestfold were similar to the national average in 2001 but 30% lower in 2003, highlighting the need for localized planning.

Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Public health

Context:

  • Limited data exists on regional variations in acute and elective invasive coronary procedures in Norway.
  • Understanding these differences is crucial for planning new cardiac catheterization laboratories.
  • This study focuses on the county of Vestfold and its referral patterns to a major hospital in Oslo.

Purpose:

  • To investigate the incidence of acute and elective invasive coronary procedures in the county of Vestfold, Norway.
  • To compare local procedure rates with national averages.
  • To inform the planning of peripheral catheterization laboratory capacity based on regional needs.

Summary:

  • A prospective study included 760 patients referred for coronary angiography from Vestfold (2002-2003).
  • Of 746 undergoing angiography, 19% were acute referrals. Percutaneous coronary interventions (PCI) were performed on 295 patients (31% acute), and coronary artery bypass grafting (CABG) on 123.
  • Incidence rates for PCI in Vestfold were comparable to the 2001 national average but 30% lower than the 2003 national average.

Impact:

  • The findings reveal significant regional disparities in the utilization of invasive coronary procedures.
  • Accurate population basis calculations are essential for optimal peripheral catheterization laboratory planning.
  • This study underscores the importance of local incidence data for healthcare resource allocation in interventional cardiology.
Abstract

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