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dc.contributor.authorGudnason, T
dc.contributor.authorGudnadottir, G S
dc.contributor.authorLagerqvist, B
dc.contributor.authorEyjolfsson, K
dc.contributor.authorNilsson, T
dc.contributor.authorThorgeirsson, G
dc.contributor.authorThorgeirsson, G
dc.contributor.authorAndersen, K
dc.contributor.authorJames, S
dc.date.accessioned2014-06-03T15:16:59Z
dc.date.available2014-06-03T15:16:59Z
dc.date.issued2013-09-30
dc.date.submitted2013
dc.identifier.citationInt. J. Cardiol. 2013, 168 (2):1237-42en
dc.identifier.issn1874-1754
dc.identifier.pmid23232456
dc.identifier.doi10.1016/j.ijcard.2012.11.054
dc.identifier.urihttp://hdl.handle.net/2336/317798
dc.descriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the pageen
dc.description.abstractThe practice of interventional cardiology differs between countries and regions. In this study we report the results of the first nation-wide long-term comparison of interventional cardiology in two countries using a common web-based registry.
dc.description.abstractThe Swedish Coronary Angiography and Angioplasty Registry (SCAAR) was used to prospectively and continuously collect background-, quality-, and outcome parameters for all coronary angiographies (CA) and percutaneous coronary interventions (PCI) performed in Iceland and Sweden during one year.
dc.description.abstractThe rate of CA per million inhabitants was higher in Iceland than in Sweden. A higher proportion of patients had CA for stable angina in Iceland than in Sweden, while the opposite was true for ST elevation myocardial infarction. Left main stem stenosis was more commonly found in Iceland than in Sweden. The PCI rate was similar in the two countries as was the general success rate of PCI, achievement of complete revascularisation and the overall stent use. Drug eluting stents were more commonly used in Iceland (23% vs. 19%). The use of fractional flow reserve (0.2% vs. 10%) and the radial approach (0.6% vs. 33%) was more frequent in Sweden than in Iceland. Serious complications and death were very rare in both countries.
dc.description.abstractBy prospectively comparing interventional cardiology in two countries, using a common web based registry online, we have discovered important differences in technique and indications. A discovery such as this can lead to a change in clinical practice and inspire prospective multinational randomised registry trials in unselected, real world populations.
dc.description.sponsorshipSwedish Association of Local Authorities and Regions funds SCAAR Landspitali University Hospital Research Fund Bent Scheving Thorsteinsson fund for Cardiology and Thoracic surgery in Iceland Terumo Inc. Boston Scientific, Medtronic Inc. Vascular Solutions Abbot Vascular Eli Lilly Astra Zeneca BMS Mercken
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0167527312015379/pdfft?md5=8ef04de840d414921f9d96bb99394998&pid=1-s2.0-S0167527312015379-main.pdfen
dc.relation.urlhttp://dx.doi.org/10.1016/j.ijcard.2012.11.054en
dc.rightsArchived with thanks to International journal of cardiologyen
dc.subjectHjartalækningaren
dc.subject.meshAgeden
dc.subject.meshCardiologyen
dc.subject.meshCoronary Angiographyen
dc.subject.meshEuropeen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshInterneten
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshPercutaneous Coronary Interventionen
dc.subject.meshProspective Studiesen
dc.subject.meshRadiography, Interventionalen
dc.subject.meshRegistriesen
dc.subject.meshSwedenen
dc.subject.meshTreatment Outcomeen
dc.titleComparison of interventional cardiology in two European countries: a nationwide Internet based registry study.en
dc.typeArticleen
dc.contributor.departmentLandspitali Univ Hosp Iceland, Dept Cardiol, Reykjavik, Iceland, Uppsala Univ, Dept Med Sci, Uppsala, Sweden, Uppsala Univ, Uppsala Clin Res Ctr, Uppsala, Sweden, Cardiovasc Res Inst Landspitali, Reykjavik, Iceland, Univ Iceland, IS-101 Reykjavik, Iceland, Univ Iceland, Reykjavik, Iceland, Univ Uppsala Hosp, Dept Cardiol, Uppsala, Sweden, Centralsjukhuset, Dept Cardiol, Karlstad, Swedenen
dc.identifier.journalInternational journal of cardiologyen
dc.rights.accessLandspitali Access - LSH-aðganguren
html.description.abstractThe practice of interventional cardiology differs between countries and regions. In this study we report the results of the first nation-wide long-term comparison of interventional cardiology in two countries using a common web-based registry.
html.description.abstractThe Swedish Coronary Angiography and Angioplasty Registry (SCAAR) was used to prospectively and continuously collect background-, quality-, and outcome parameters for all coronary angiographies (CA) and percutaneous coronary interventions (PCI) performed in Iceland and Sweden during one year.
html.description.abstractThe rate of CA per million inhabitants was higher in Iceland than in Sweden. A higher proportion of patients had CA for stable angina in Iceland than in Sweden, while the opposite was true for ST elevation myocardial infarction. Left main stem stenosis was more commonly found in Iceland than in Sweden. The PCI rate was similar in the two countries as was the general success rate of PCI, achievement of complete revascularisation and the overall stent use. Drug eluting stents were more commonly used in Iceland (23% vs. 19%). The use of fractional flow reserve (0.2% vs. 10%) and the radial approach (0.6% vs. 33%) was more frequent in Sweden than in Iceland. Serious complications and death were very rare in both countries.
html.description.abstractBy prospectively comparing interventional cardiology in two countries, using a common web based registry online, we have discovered important differences in technique and indications. A discovery such as this can lead to a change in clinical practice and inspire prospective multinational randomised registry trials in unselected, real world populations.


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