Egypt: coronary and structural heart interventions from 2010 to 2015
Ahmed Magdy1, Ahmed Shawky, Ahmed Mohanad
1National Heart Institute, Cairo, Egypt.
Summary
Interventional cardiology in Egypt saw significant growth from 2010-2015, with a threefold increase in percutaneous coronary interventions (PCI). This expansion was driven by rising heart disease and improved healthcare access, particularly for coronary and congenital heart conditions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Public Health
Background:
- Interventional cardiology procedures are rapidly advancing globally, with notable development in developing nations like Egypt.
- The increasing volume and complexity of procedures necessitate a review of progress and influencing factors.
Purpose of the Study:
- To review the development of interventional cardiology in Egypt between 2010 and 2015.
- To analyze demographic, economic, and educational factors impacting this growth.
Main Methods:
- Data collection from various centers and intervention tool distributors in Egypt.
- Analysis of procedural data from 2010 to 2015.
Main Results:
- A threefold increase in primary percutaneous coronary interventions (PCI) was observed over six years.
- Growth in PCI-capable centers, particularly in Cairo, with approximately 55,000 PCIs annually.
- Increased use of drug-eluting stents (DES) to 65-70%, and rapid growth in structural interventions like balloon mitral valvuloplasty, TAVI, and EVAR, though cost remains a barrier.
Conclusions:
- Interventional cardiology in Egypt experienced substantial growth from 2010-2015, outpacing structural heart disease interventions.
- Rising ischemic heart disease, enhanced patient education, and improved interventional practices are key drivers.
- Despite challenges like cost, the field shows a positive trajectory, especially for coronary and congenital heart disease interventions.
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