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Trends of percutaneous coronary intervention in Italy in the last 10 years
Gian Battista Danzi1, Luca Olivotti, Renato Valenti
1aOspedale Santa Corona, Pietra Ligure bOspedale Careggi, Florence cIstituto Ospedaliero San Donato, Milan dOspedale Sant'Orsola Malpigli, Bologna eOspedale Villa Maria Cecilia, Cotignola fOspedale Anthea, Bari gOspedale Niguarda, Milan hOspedali Riuniti di Trieste, Trieste iPoliclinico Umberto I, Rome jOspedale degli Infermi, Rivoli kFondazione Toscana Gabriele Monasterio, Massa, Italy.
Aims:
To study the trends in the use of percutaneous coronary interventions (PCIs) in Italy between 2005 and 2014.
Methods:
Publicly available data were obtained from the Italian Society of Invasive Cardiology (GISE), which organizes an annual audit of public and private cardiac catheterization laboratories.
Results:
During the 10 years, more than 1.3 million PCIs were performed. The total number of PCIs per year increased by 23%, and reached 2342 procedures/million inhabitants in 2014: this was driven by a 91% increase in primary PCIs (PPCIs) for acute myocardial infarction, with the number of PPCIs/million inhabitants that nearly doubled from 291 to 536. Although the number of PCIs/million inhabitants was not homogeneously distributed over the country: even in 2014, it was higher in northern regions (2545) than in central (2229) or southern Italy and the islands (2138).
Conclusion:
The number of PCIs performed in Italy has steadily grown over the last decade. The trend was driven by a striking increase in the number of PPCIs for patients with acute myocardial infarction. The increase in the number of PCIs/million inhabitants was higher in northern Italy.
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