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Trends in Coronary Revascularization and Ischemic Heart Disease-Related Mortality in Israel

Orit Blumenfeld1, Wasef Na'amnih2, Ayelet Shapira-Daniels3

  • 1Israel Centers for Disease Control, Ministry of Health, Ramat Gan, Israel orit.blumenfeld@moh.health.gov.il.

Journal of the American Heart Association
|February 19, 2017
PubMed

Insights

Percutaneous coronary angioplasty (PCI) volume initially rose then fell, while coronary artery bypass grafting (CABG) significantly declined in Israel. Despite these shifts, procedural mortality remained stable, and ischemic heart disease mortality decreased substantially.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Investigated national trends in coronary revascularization procedures and ischemic heart disease mortality in Israel.
  • Examined percutaneous coronary angioplasty (PCI) and coronary artery bypass grafting (CABG) volumes and outcomes.
  • Assessed ischemic heart disease-related mortality rates.

Purpose of the Study:

  • To analyze national trends in the volume and outcomes of PCI and CABG in Israel from 2002 to 2014.
  • To evaluate changes in procedural mortality and ischemic heart disease-related mortality over the study period.
  • To identify shifts in the utilization of different revascularization strategies.

Main Methods:

  • Linked five Israeli national databases, including specialized PCI and CABG registries.
  • Utilized International Classification of Diseases codes for data extraction.
  • Analyzed trends using linear regression with a Poisson distribution assumption.

Main Results:

  • Total revascularization procedures exceeded 298,000.
  • PCI volume increased initially then decreased; CABG volume saw a significant decline of 59%.
  • In-hospital procedural mortality remained stable for both PCI and CABG, while ischemic heart disease mortality decreased by 46%.

Conclusions:

  • Observed a significant shift in the type and volume of coronary revascularization procedures in Israel.
  • Noted a substantial reduction in ischemic heart disease-related mortality.
  • The underlying reasons for these observed changes require further investigation.
Abstract

Keywords:
coronary diseasepopulationrevascularizationsurvival

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