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Structural Heart Disease Intervention: The Canadian Landscape
Anita W Asgar1, Eric Horlick2, Kevin McKenzie3
1Department of Cardiology, Institut de Cardiologie de Montréal, Montréal, Québec, Canada.
Insights
This study surveys structural heart disease (SHD) interventions in Canada, revealing current practices and challenges. It highlights the need for more data on access and volume for these advanced cardiovascular procedures.
Area of Science:
- Interventional Cardiology
- Structural Heart Disease (SHD) Intervention
Background:
- Cardiovascular disease prevalence increases with age.
- Interventional cardiology now includes percutaneous procedures beyond the coronary tree, forming the discipline of structural heart disease intervention.
- The current landscape of SHD interventions in Canada is unknown.
Purpose of the Study:
- To survey the current state of structural heart disease intervention in Canada.
- To understand the access to and volume of SHD procedures performed in Canada.
- To identify challenges faced by cardiologists in delivering SHD care.
Main Methods:
- A national survey of structural interventions was conducted.
- Data on access and numbers of procedures were collected.
Main Results:
- This survey provides the first insight into the landscape of SHD intervention in Canada.
- The study highlights challenges faced by cardiologists in delivering this care.
Conclusions:
- Understanding the current status of SHD interventions in Canada is crucial.
- Addressing identified challenges is necessary to improve patient care for structural heart disease.
Abstract:
Cardiovascular disease encompasses coronary artery disease and valvular heart disease, and the prevalence of both increases with age. Over the past decade, the landscape of interventional cardiology has evolved to encompass a new set of percutaneous procedures outside the coronary tree, including transcatheter aortic valve implantation, transcatheter mitral valve repair, and left atrial appendage occlusion. These interventions have sparked a new discipline within interventional cardiology referred to as structural heart disease (SHD) intervention. The access to and numbers of such procedures performed in Canada is currently unknown. This "first of its kind" survey of structural interventions provides insight into the landscape of SHD intervention in Canada and the challenges faced by cardiologists to deliver this important care.
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