NCVD-PCI Registry. Percutaneous Coronary Intervention (PCI) Registry, MALAYSIA c/o National Heart Association of Malaysia
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1 NCVD-PCI Registry National Cardiovascular Disease Database (NCVD) National Cardiovascular Disease Database (NCVD) Percutaneous Coronary Intervention (PCI) Registry, MALAYSIA c/o National Heart Association of Malaysia
2 ANNUAL REPORT OF THE NCVD-PCI REGISTRY
3 NCVD-PCI Registry, Total Total number of patients Total number of PCI procedures performed Ttl Total number of lesions treated Total number of stents used 3,618 3,374 3,610 4,106 4,293 4,895 23,896 3,928 3,654 3,916 4, ,679 5,299 25,881 5,455 4,944 5,139 6,043 5,901 6,834 34,316 6,462 5,767 5,887 6,828 6,692 7,611 39,247
4 tients who und derwent PCI Pe ercentage of pa Age Group of Patients Who Underwent PCI, NCVD PCI Registry, Age group of patients who underwent PCI, NCVD PCI Registry, <30 30 <40 40 <50 50 <60 60 <70 70 <80 >= 80 Age group Mean (SD) of patients age = 57 (10) years Min, Max of age = 22, 95 years
5 Percentage of patients who underwent PCI by Gender, NCVD PCI Registry, Percentage of patients who underwent PCI by gender, NCVD PCI Registry, Female 19% M Male 81%
6 Percentage of patients who underwent PCI by ethnic group, NCVD PCI Registry, Other Malaysian includes Kadazan Dusun, Bidayuh, Bajau, Melanau, Murut, Iban & Punjabi
7 Previous Revascularization Previous revascularization (%) (n=3618) (n=3374) (n=3610) (n=4405) (n=4679) (n=5299) Previous PCI Previous CABG
8 Clinical Background and CV Risk Factors Medical history (%) (n=3618) (n=3374) (n=3610) (n=4405) (n=4679) (n=5299) Dyslipidaemia Hypertension Diabetes Smoking status Former (quit > 30 days) Current (any tobacco use within last 30 days) Family history of CVD History of heart failure Chronic renal failure (include all pts with creatinine >200micromol/l) STEMI
9 PCI status PCI status (%) (n=3928) (n=3654) (n=3916) (n=4405) (n=4679) (n=5299) Elective NSTEMI/UA AMI Primary PCI *
10 Medication (%) Adjunctive Pharmacotherapy PCI 2007 (n=3928) 2008 (n=3654) 2009 (n=3916) 2010 (n=4405) 2011 (n=4679) 2012 (n=5299) Thrombolytics IIb/ IIIa Blockade Heparin LMWH Ticlopidine idi Aspirin Clopidogrel Fondaparinux
11 Percutaneous entry (%) Percutaneous Entry 2007 (n=3928) 2008 (n=3654) 2009 (n=3916) 2010 (n=4405) 2011 (n=4679) 2012 (n=5299) Brachial Radial Femoral Extent of Coronary Artery Disease Extent of coronary disease (%) (n=3928) (n=3654) (n=3916) (n=4405) (n=4679) (n=5299) Single vessel disease Multiple vessel disease Graft
12 Lesion characteristics (n=5455) (n=4948) (n=5139) (n=6043) (n=5901) (n=6834) Lesion result (%) Successful Unsuccessful Lesion type (%) A B B C %
13 Lesion Description Lesion description (%) (n=5455) (n=4948) (n=5139) (n=6043) (n=5901) (n=6834) Ostial Bifurcation Total occlusion (< 3 mo) CTO > 3 mo Thrombus
14 Anatomical location of lesions, NCVD-PCI,
15 Summary of location of lesions treated with ihpci, NCVD PCI Registry, Location of l lesion (n=5455) (n=4948) (n=5139) (n=6043) (n=5901) (n=6043) LMS LAD RCA LCx Graft
16 Device (%) Intracoronary Devices Used 2007 (n=5455) 2008 (n=4948) 2009 (n=5139) 2010 (n=6043) 2011 (n=5901) 2012 (n=6043) Bll Balloon only Drug Eluting Balloon Cutting Balloon Bll IVUS Rotablator Drug Eluting Stent (DES) BareMetal Stent (BMS) Distal Embolic Protection
17 Procedure Characteristics (n=5455) (n=4948) (n=5139) (n=6043) (n=5901) (n=6043) Estimated lesion length (mm) (15.2) (14.4) (2.8) (15.7) (14.3) (14.0) Stent length (mm) (17.6) (16.6) 6) (16.7) Stent diameter (mm) Maximum stent/balloon deploy pressure (atm) 23.2 (7.7) 22.2 (7.7) 22.8 (7.6) 3.1 (0.6) 3.1 (0.6) 3.1 (0.6) 2.95 (0.5) 2.95 (0.5) 3.0 (1.6) 15.7 (3.7) 15.8 (3.9) 15.4 (4.0) 15.7 (3.9) 15.9 (4.2) 15.7 (4.1) Stents/ Lesion
18 Target vessel complications Type of complication (%) (n=5455) (n=4948) (n=5139) (n=6043) (n=5901) (n=6043) Acute closure Dissection post procedure Perforation Persistent no reflow
19 Complication (%) 2007 Periprocedural major MI Emergency Reintervention Procedural complications (n=3928) (n=3654) (n=3916) (n=4405) (n=4679) (n=5299) Bail out CABG Cardiogenic shock (post procedure) Arrhythmia (VT/VF/Brady) TIA/ Stroke Tamponade Contrast reaction New renal impairment New onset/worsened heart failure
20 Year *Outcome (No., %) 2007 (N=3618) Patient Outcome Duration At discharge 30-day** 6-month** 1 year** Death 39 (1) 46 (1) 52 (1) 61 (2) Alive 3579 (99) 1723 (48) 1300 (36) 1117 (31) Lost to Follow Up (51) 2266 (63) 2440 (67) 2008 Death 43 (1) 53 (1) 67 (2) 76 (3) (N=3374) Alive 3331 (99) 2665 (79) 1793 (53) 1527 (45) (N=3610) Lost to Follow Up (20) 1514 (45) 1771 (52) Death 41 (1) 57 (1) 75 (3) 84 (4) Alive 3569 (99) 3175 (88) 2414 (67) 1959 (55) Lost to Follow Up (11) 1121 (31) 1567 (43) Overall Death 123 (1) 156 (2) 194 (2) 221 (2) (N=10602) Alive (99) 7563 (71) 5507 (52) 4603 (43) Lost to Follow Up (27) 3781 (46) 4212 (55) The outcome data is derived based on data matching with the National Death Register ** Including patients who died in hospital + For year 2009, total for 6-month and 1-year follow up were based on cases registered in the database
21 Patient Outcome Outcome at 2007* 2008* 2009* discharge, % (n=3618) (n=3374) (n=3610) (n=4405) (n=4679) (n=5299) Alive Death 1 (n=39) 1 (n=43) 1 (n=41) 1 (n=49) 2 (n=92) 2 (n=97) * Referred to the NCVD PCI Registry Annual Report * Based on real time data analysis
22 Percentage of death by age group, NCVD-PCI Registry, Pe ercentage e of patie nts Young Middle aged Elderly 0 At discharge (n=123) 30 day (n=156) 6 month (n=194) 1 year (n=221) Outcome Note: The percentage of death reflect the cumulative deaths Note: The outcome data has been derived based on data matching with National Death Register data Note: Young is defined as age from 20 to less than 40 years, middle-aged is defined as age between 40 to less than 60 years and elderly is defined as 60 years and above
23 Percentage of death by diabetic status, NCVD-PCI Registry, Per rcentage of patient Diabetic Non diabetic 10 0 At Discharge (n=123) 30 day (n=156) 6 month (n=194) 1 year (n=221) Outcome Note: The percentage of death reflect the cumulative deaths Note: The outcome data has been derived based on data matching with National Death Register data
24 Gender difference, NCVD PCI
25 Differences in Mortality Following PCI, in Diabetics Outcome, No. Outcome at 30 day 6 month 12 months (%) discharge Diabetic Non Diabetic Diabetic Non Diabetic Diabetic Non Diabetic Diabetic Non Diabetic Death 22 (2) 13 (1) 26 (3) 16 (2) 30 (5) 18 (2) 35 (7) 22 (3) Alive (98) (99) (96) (96) (93) (96) (91) (93) Lost to follow up 24 (3) 22 (2) 10 (2) 14 (2) 12 (2) 27 (4) Death 22 (1) 18 (1) 27 (2) 22 (1) 38 (4) 25 (2) 44 (6) 28 (3) Alive 1502 (98) 1764 (99) 1192 (95) 1423 (95) Lost to follow up 38 (3) 46 (4) 51 (6) 70 (7) 45 (4) 50 (6) Death 31 (2) 8 (0) 40 (2) 15 (1) 54 (4) 19 (1) 63 (6) 19 (2) Alive 1685 (99) 1806 (100) 1527 (94) 1597 (94) 813 (90) 1172 (94) 943 (91) 1224 (95) 689 (90) 952 (92) 801 (91) 1000 (95) Lost to follow up 53 (4) 93 (5) 20 (2) 44 (4) 21 (2) 39 (3) Higher in Diabetics
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