A new report, published in the Journal of the American College of Cardiology, provides insights into heart disease patient populations and patterns of care from four of the 10 American College of Cardiology National Cardiovascular Data Registry Programs.
The report includes insights based on 2014 data from the CathPCI Registry, ICD Registry, ACTION Registry-GWTG and IMPACT Registry.
Here are eight heart disease trends to know:
1. Of the 667,424 patients undergoing percutaneous coronary intervention in 2014, 35.3 percent of PCIs were performed on an elective basis, as compared to 64.7 percent performed for non-elective indications.
2. Between 2011 and 2014, the use of femoral access for PCI patients declined from 88.4 percent to 74.5 percent, while the use of radial access increased from 10.9 percent to 25.2 percent.
3. Of the 158,649 patients receiving implantable cardioverter defibrillator therapy in 2014, around 120,228 received a device for primary prevention reasons.
4. Twenty-five percent of all ICD implants in 2014 involved single chamber devices, while 32 percent involved dual chamber devices and 43 percent involved cardiac resynchronization therapy pacemakers with defibrillation therapy.
5. Of the 182,903 patients with acute myocardial infarction in 2014, 71,368 had ST-segment elevation myocardial infarction, while 111,535 had non-ST-segment elevation acute coronary syndromes.
6. Compared to non-ST-segment elevation acute coronary patients, ST-segment elevation myocardial infarction patients were more likely to experience certain adverse events during hospitalization, including death.
7. Of the 20,169 patients with congenital heart disease undergoing cardiac catheterization or a catheter-based intervention, 86 percent were under the age of 18 and 24.6 percent were under one year old.
8. Device embolization was reported in 1.2 percent of atrial septal defect closure procedures and in 1.1 percent of patent ductus arteriosus closure procedures.