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Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey

Background: Considering the global burden of cardiovascular disease, we analysed trends in interventional coronary and structural procedures over the past 16 years (2005–2021), using continuous data from the Swiss national registry. Methods: Based on a standardised questionnaire, data on coronary an...

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Autores principales: Wagener, Max, Boeddinghaus, Jasper, Gaemperli, Oliver, Räber, Lorenz, Nietlispach, Fabian, Meier, Pascal, Muller, Olivier, Weilenmann, Daniel, Jeger, Raban
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9783484/
https://www.ncbi.nlm.nih.gov/pubmed/36556075
http://dx.doi.org/10.3390/jcm11247459
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author Wagener, Max
Boeddinghaus, Jasper
Gaemperli, Oliver
Räber, Lorenz
Nietlispach, Fabian
Meier, Pascal
Muller, Olivier
Weilenmann, Daniel
Jeger, Raban
author_facet Wagener, Max
Boeddinghaus, Jasper
Gaemperli, Oliver
Räber, Lorenz
Nietlispach, Fabian
Meier, Pascal
Muller, Olivier
Weilenmann, Daniel
Jeger, Raban
author_sort Wagener, Max
collection PubMed
description Background: Considering the global burden of cardiovascular disease, we analysed trends in interventional coronary and structural procedures over the past 16 years (2005–2021), using continuous data from the Swiss national registry. Methods: Based on a standardised questionnaire, data on coronary and structural interventions in Switzerland were assessed by the Working Group Interventional Cardiology of the Swiss Society of Cardiology (SSC). Here, we analysed the trend of annually performed interventions from 2005 to 2021 in Switzerland and the impact of the COVID-19 pandemic. Results: We observed a constant increase in the total number of cases (including coronary angiographies (CA) and percutaneous coronary interventions (PCI)) from 36,436 cases in 2005 to 56,555 cases in 2021 (+55%). With 18 cases in 2007, TAVI procedures have increased to 2004 cases in 2021. During the early phase of the COVID-19 pandemic in 2020, a slight decrease in CAs and PCIs of 9.15% was observed. In contrast, we did not observe an impact of the COVID-19 pandemic on the number of no TAVI procedures. Most importantly, all cause in-hospital mortality for coronary interventions before and during the peak of the COVID-19 pandemic was comparable (1.4% vs. 1.3%). Conclusion: Over a 16-year period, we observed an upward trend in diagnostic and therapeutic procedures for coronary as well as structural heart disease, with only a small short-term impact of the COVID-19 pandemic on interventions and a similar procedure-related in-hospital-mortality in Switzerland.
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spelling pubmed-97834842022-12-24 Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey Wagener, Max Boeddinghaus, Jasper Gaemperli, Oliver Räber, Lorenz Nietlispach, Fabian Meier, Pascal Muller, Olivier Weilenmann, Daniel Jeger, Raban J Clin Med Article Background: Considering the global burden of cardiovascular disease, we analysed trends in interventional coronary and structural procedures over the past 16 years (2005–2021), using continuous data from the Swiss national registry. Methods: Based on a standardised questionnaire, data on coronary and structural interventions in Switzerland were assessed by the Working Group Interventional Cardiology of the Swiss Society of Cardiology (SSC). Here, we analysed the trend of annually performed interventions from 2005 to 2021 in Switzerland and the impact of the COVID-19 pandemic. Results: We observed a constant increase in the total number of cases (including coronary angiographies (CA) and percutaneous coronary interventions (PCI)) from 36,436 cases in 2005 to 56,555 cases in 2021 (+55%). With 18 cases in 2007, TAVI procedures have increased to 2004 cases in 2021. During the early phase of the COVID-19 pandemic in 2020, a slight decrease in CAs and PCIs of 9.15% was observed. In contrast, we did not observe an impact of the COVID-19 pandemic on the number of no TAVI procedures. Most importantly, all cause in-hospital mortality for coronary interventions before and during the peak of the COVID-19 pandemic was comparable (1.4% vs. 1.3%). Conclusion: Over a 16-year period, we observed an upward trend in diagnostic and therapeutic procedures for coronary as well as structural heart disease, with only a small short-term impact of the COVID-19 pandemic on interventions and a similar procedure-related in-hospital-mortality in Switzerland. MDPI 2022-12-15 /pmc/articles/PMC9783484/ /pubmed/36556075 http://dx.doi.org/10.3390/jcm11247459 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wagener, Max
Boeddinghaus, Jasper
Gaemperli, Oliver
Räber, Lorenz
Nietlispach, Fabian
Meier, Pascal
Muller, Olivier
Weilenmann, Daniel
Jeger, Raban
Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title_full Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title_fullStr Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title_full_unstemmed Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title_short Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey
title_sort trends in coronary and structural heart interventions in switzerland over the last 16 years and impact of covid-19: insights from the national swiss pci survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9783484/
https://www.ncbi.nlm.nih.gov/pubmed/36556075
http://dx.doi.org/10.3390/jcm11247459
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