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논문 기본 정보

자료유형
학술저널
저자정보
Dong-Ho Shin (Yonsei University College of Medicine) Hyun-Jae Kang (Seoul National University Hospital) Jae-Sik Jang (Busan Paik Hospital University of Inje College of Medicine Busan) Keon-Woong Moon (St. Vincent's Hospital The Catholic University of Korea) Young Bin Song (Samsung Medical Center) Duk-Woo Park (Asan Medical Center) Jang-Whan Bae (Chungbuk National University College of Medicine) Juhan Kim (Heart Center of Chonnam National University Hospital) Seung-Ho Hur (Keimyung University Dongsan Medical Center) Byung Ok Kim (Sanggye-Paik Hospital University of Inje College of Medicine) Dong Woon Jeon (National Health Insurance Service Ilsan Hospital) Donghoon Choi (Severance Cardiovascular Hospital) Kyoo-Rok Han (Kangdong Sacred Heart Hospital Hallym University Medical Center Seoul Korea)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.49 No.12
발행연도
2019.1
수록면
1,136 - 1,151 (16page)

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Background and objectives: In this second report from Korean percutaneous coronary intervention (K-PCI) registry, we sought to describe the updated information of PCI practices and Korean practice pattern of PCI (KP3). Methods: In addition to K-PCI registry of 2014, new cohort of 2016 from 92 participating centers was appended. Demographic and procedural information, as well as in-hospital outcomes, of PCI was collected using a web-based reporting system. KP3 class C was defined as any strategy with less evidence from randomized trials and more aggressive for PCI than medical therapy or bypass-surgery. Results: In 2016, total 48,823 PCI procedures were performed at 92 participating centers. Mean age of the patients was 65.7±11.6 years, and 71.7% were males. Overall patient characteristics and PCI practices in 2016 were similar to those in 2014. The biggest change was the decrease in the in-hospital occurrence of myocardial infarction (MI;1.6%→0.7%, p<0.001). Many associations between PCI volumes and demographic/procedural characteristics observed in 2014 have disappeared. The median of door-to-balloon time was 62 minutes, and 83.3% of ST-elevation MI patients received primary PCI within 90 minutes, while the median of total ischemic time was 168 minutes and patients who had total ischemic time within 120 and 180 minutes were 29.1% and 54.1%, respectively. The proportion of KP3 class C cases in non-acute coronary syndrome patients decreased from 13.5% in 2014 to 12.1% in 2016 (p<0.001). Conclusions: In this second report from K-PCI registry, we described the current practices of PCI and changes from 2014 to 2016 in Korea.

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