Key result
Coronary angiography volumes doubled over an 8-year period while maintaining high ACS stenting rates.
Why the study?
Although high-tech interventional methods for ACS have reduced hospital stay and temporary disability, they have not produced the expected decline in HF incidence or mortality, prompting this study of ACS hospital prevalence and revascularization intervention dynamics.
Observational
This 9-year analysis demonstrates the resilience and adaptation of interventional cardiology services during the COVID-19 pandemic and martial law, achieving a 106% overall increase in coronary angiography volumes and maintaining high stenting rates (87.6-91.6%) for acute coronary syndrome.
ACS revascularization volumes require resilient systems planning; leaves open effects on HF incidence and mortality.
Introduction. The introduction of innovative high-tech interventional methods for the examination and treatment of patients with acute coronary syndrome (ACS) has contributed to a reduction in the length of hospital stay and temporary disability. However, these advancements have not resulted in the expected decline in the incidence of heart failure (HF) or mortality rates.Aim. To study hospital prevalence (HP) and the dynamics of revascularization interventions in patients with ACS.Materials and Methods. The dynamics of development and the volumes of coronary angiography (CA) and endovascular stenting were analysed over a 9-year period (2017-2025).Results and Discussion. A doubling of the number of coronary angiographies (CA) from 736 to 1.516 was revealed, along with an increase in the proportion of urgent interventions for ACS. A wave-like pattern of ACS hospital prevalence was established, with a distinct upward trend during periods of maximal cumulative stress (the COVID-19 pandemic and the beginning of the full-scale war). The steady maintenance of the ACS share within the total CA structure at 51.4-66.7% indicates the dominance of the urgent patient flow. In the 2020-2022 period, against the background of a decrease in the total number of CAs performed in both urgent and elective settings compared with 2019, the proportion of urgent interventions increased significantly, with urgent-to-elective ratios of 2.0:1 in 2020 and 1.6:1 in 2021-2022. Under martial law (2023-2025), the number of CAs increased (+39.7% in 2025), while the rate of endovascular stenting remained consistently high: 87.6-91.6% for ACS and 89.0-96.2% for chronic coronary syndromes.Conclusions. Analysis of the 2017-2025 data showed a doubling of the number of CAs (by 106%, p<0.001), with parity (1.0:1) between urgent and elective interventions being achieved for the first time in 2024. The high efficiency of patient selection (87.6-91.6% stenting rate) and an increase in the number of CAs (+39.7% in 2025) demonstrate the adaptation of the healthcare system under martial law conditions.
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Tomashkevych et al. (2026) conducted an observational in Acute coronary syndrome. Coronary angiography and endovascular stenting vs. Temporal comparisons across 2017-2025 (including COVID-19 pandemic and martial law periods) was evaluated on Hospital prevalence of acute coronary syndrome and volumes of coronary angiography and endovascular stenting (p=<0.001). Coronary angiography volumes doubled from 736 to 1,516 (+106%, p<0.001) during 2017-2025, maintaining an 87.6-91.6% stenting rate for acute coronary syndrome.
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