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越南一项基于欧洲心脏病学会的经皮冠状动脉介入治疗注册研究:设计、原理及初步结果。

An Euroheart-Based Percutaneous Coronary Intervention Registry in Vietnam: Design, Rationale, and Preliminary Results.

作者信息

Hoang Vu Vu, Nguyen Khang Duong, Duong Bao Thien, Pham Ngoc Minh, Reid Christopher M, Truong Binh Quang, Norman Richard

机构信息

Interventional Cardiology Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.

School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

出版信息

Catheter Cardiovasc Interv. 2025 Aug;106(2):1425-1432. doi: 10.1002/ccd.31700. Epub 2025 Jun 19.

DOI:10.1002/ccd.31700
PMID:40536053
Abstract

BACKGROUND

As a cardiac interventional procedure, percutaneous coronary intervention (PCI) is increasingly becoming the most widely adopted across the globe. With increasing implementation in practice, the use of PCI registries to evaluate safety and effectiveness has grown internationally. Standardization across registries in relation to common data elements will allow comparison between outcomes in different populations.

AIMS

This study is to enhance the understanding of PCI practices and outcomes in a developing country context. This registry is among the first of its kind in Vietnam, providing an unprecedented level of detail on procedural characteristics, patient outcomes, and quality metrics in a population that has been underrepresented in global cardiovascular research.

METHODS

This protocol reports a prospective, single-center, PCI registry based on the EuroHeart data set standards for acute coronary syndrome/PCI, conducted at University Medical Center Ho Chi Minh City, Vietnam. It describes the data collection and analysis process and presents baseline characteristics of the first enrollees.

RESULTS

From December 2023 to October 2024, we enrolled 1168 PCI patients, with a mean age of 64.1% ± 11.7% and 68.8% being male. Hypertension emerged as the most prominent risk factor. In addition, 27.8% of the population received a final diagnosis of ST-elevation myocardial infarction. The mean baseline Seattle Angina Questionnaire-7 summary score was 60.8 ± 16.4.

CONCLUSION

Establishing a registry is an important step in assuring quality and safety in the provision of PCI. A PCI registry based on EuroHeart data set standards will align with international efforts. In-hospital results also demonstrate early success in implementing the PCI registry management.

摘要

背景

作为一种心脏介入手术,经皮冠状动脉介入治疗(PCI)在全球范围内越来越广泛地被采用。随着在实践中的应用不断增加,利用PCI登记系统来评估安全性和有效性在国际上也日益普遍。登记系统在常见数据元素方面的标准化将有助于比较不同人群的治疗结果。

目的

本研究旨在增进对发展中国家背景下PCI实践和治疗结果的理解。该登记系统是越南首个此类系统,为全球心血管研究中代表性不足的人群的手术特征、患者治疗结果和质量指标提供了前所未有的详细信息。

方法

本方案报告了一项基于欧洲心脏病数据集标准的急性冠状动脉综合征/PCI的前瞻性、单中心PCI登记系统,该系统在越南胡志明市大学医学中心开展。它描述了数据收集和分析过程,并展示了首批入组患者的基线特征。

结果

2023年12月至2024年10月,我们纳入了1168例PCI患者,平均年龄为64.1%±11.7%,男性占68.8%。高血压是最突出的危险因素。此外,27.8%的患者最终被诊断为ST段抬高型心肌梗死。西雅图心绞痛问卷-7的平均基线总结评分为60.8±16.4。

结论

建立登记系统是确保PCI服务质量和安全的重要一步。基于欧洲心脏病数据集标准的PCI登记系统将与国际努力保持一致。住院治疗结果也显示了在实施PCI登记系统管理方面的早期成功。

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