Key result
Total PCI volume increases ~23%, driven by primary PCI for AMI.
Observational (n=1,300,000)
Yes
The use of PCI, particularly primary PCI for acute myocardial infarction, steadily increased in Italy from 2005 to 2014, with higher rates observed in northern regions.
Supports expanded primary PCI access for AMI in Italy; leaves open effects on outcomes and costs.
AIMS: To study the trends in the use of percutaneous coronary interventions (PCIs) in Italy between 2005 and 2014. METHODS: Publicly available data were obtained from the Italian Society of Invasive Cardiology (GISE), which organizes an annual audit of public and private cardiac catheterization laboratories. RESULTS: During the 10 years, more than 1.3 million PCIs were performed. The total number of PCIs per year increased by 23%, and reached 2342 procedures/million inhabitants in 2014: this was driven by a 91% increase in primary PCIs (PPCIs) for acute myocardial infarction, with the number of PPCIs/million inhabitants that nearly doubled from 291 to 536. Although the number of PCIs/million inhabitants was not homogeneously distributed over the country: even in 2014, it was higher in northern regions (2545) than in central (2229) or southern Italy and the islands (2138). CONCLUSION: The number of PCIs performed in Italy has steadily grown over the last decade. The trend was driven by a striking increase in the number of PPCIs for patients with acute myocardial infarction. The increase in the number of PCIs/million inhabitants was higher in northern Italy.
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Danzi et al. (2016) conducted an observational in acute myocardial infarction (n=1,300,000). Percutaneous coronary intervention was evaluated on Trends in the use of percutaneous coronary interventions. The total number of percutaneous coronary interventions in Italy increased by 23% between 2005 and 2014, driven by a 91% increase in primary PCIs for acute myocardial infarction.
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