Application of the appropriate use criteria for coronary revascularization in patients with acute coronary syndrome in the Russian Federation (data from the federal registry)

Popova Yu.V.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Kiselev A.R.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Sagaydak O.V.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, 3-rd Cherepkovskay St., 15a, Moscow, 121552, Russian Federation

Posnenkova O.M.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Gridnev V.I.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Oschepkova E.V.

Federal State budget organization National Medical Research Center of Cardiology of the Ministry of healthcare of the Russian Federation, The Institute of Clinical Cardiology, Moscow, Russia

Application of the appropriate use criteria for coronary revascularization in patients with acute coronary syndrome in the Russian Federation (data from the federal registry)

Authors:

Popova Yu.V., Kiselev A.R., Sagaydak O.V., Posnenkova O.M., Gridnev V.I., Oschepkova E.V.

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Journal: Russian Cardiology Bulletin. 2018;13(4): 17‑22

DOI: 10.17116/Cardiobulletin20181304117

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To cite this article:

Popova YuV, Kiselev AR, Sagaydak OV, Posnenkova OM, Gridnev VI, Oschepkova EV. Application of the appropriate use criteria for coronary revascularization in patients with acute coronary syndrome in the Russian Federation (data from the federal registry). Russian Cardiology Bulletin. 2018;13(4):17‑22. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20181304117

Подписка 2025-2 (Russian Cardiology Bulletin)

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Aim. The aim of the study was to apply the appropriate use criteria (AUC) for coronary revascularization on federal acute coronary syndrome (ACS) registry data to analyse validity of percutaneous coronary interventions (PCI) performing decision among ACS patients. Material and methods. Data was exported from Federal russian registry from a period of 01.01.2016—31.12.2016. We analyzed 33 893 cases, but 13 957 patients were excluded due to absence of data needed. The study group therefore included 19 936 patients with ACS (mean age 65.3±11.9 years, 40.3% women) and it was divided into two subgroups: 13 757 (69%) patients who were treated conservatively and 6179 patients who underwent PCI. According to AUC physicians choice of strategy was validated. Results. According to AUC among ACS patients treated with PCI the decision was warranted in 86.3% (valid decision). In 7.6% of cases there was no need in PCI. Among patients who underwent conservative treatment 77.7% of patients needed PCI according to AUC. According to our data only 3.8% patients who were treated conservatively actually didn’t need PCI. Conclusion. Appropriate use criteria for coronary revascularization could be applied in Russian clinical practice for unbiassed PCI candidates selection and for evaluation of decision made validity.

Keywords:

acute coronary syndrome

percutaneous coronary intervention

appropriate use criteria

Authors:

Popova Yu.V.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Kiselev A.R.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Sagaydak O.V.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, 3-rd Cherepkovskay St., 15a, Moscow, 121552, Russian Federation

Posnenkova O.M.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Gridnev V.I.

Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

Oschepkova E.V.

Federal State budget organization National Medical Research Center of Cardiology of the Ministry of healthcare of the Russian Federation, The Institute of Clinical Cardiology, Moscow, Russia

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