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.; Kiselev A.R.; Sagaydak O.V.; Posnenkova O.M.; Gridnev V.I.; Oschepkova E.V.

doi:https://doi.org/10.17116/Cardiobulletin20181304117

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 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

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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References:

Bockeria LA, Alekyan B.G. Endovascular diagnostics and treatment of cardiovascular diseases in the Russian Federation (2015). Endovaskulyarnaya hirurgiya. 2016;3(2):5-21. (In Russ.)
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimský P. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal. 2018;39(2):119-177. https://doi.org/10.1093/eurheartj/ehx393
Korotin AS, Popova YuV, Posnenkova OM. The dynamics of implementation of recommended remedial measures in patients with acute coronary syndrome in the regions of the Russian Federation in 2014—2015 years. Cardio-IT. 2016;3(2):e0204. (In Russ.)
Roffi M, Patrono C, Collet JP, Mueller C, Valgimigli M, Andreotti F, BaxÂ JJ, Borger MA, Brotons C, Chew DP, Gencer B, Hasenfuss G, Kjeldsen K, Lancellotti P, Landmesser U, Mehilli J, Mukherjee D, Storey RF, Windecker S. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). European Heart Journal. 2016;37(3):267-315. https://doi.org/10.1093/eurheartj/ehv320
Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V, Filippatos G, Hamm C, Head SJ, Jüni P, Kappetein AP, Kastrati A, Knuuti J, Landmesser U, Laufer G, Neumann FJ, Richter DJ, Schauerte P, Sousa Uva M, Stefanini GG, Taggart DP, Torracca L, Valgimigli M, Wijns W, Witkowski A. 2014 ESC/EACTS Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). European Heart Journal. 2014;35(37):2541-2619. https://doi.org/10.1093/eurheartj/ehu278
Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011;124(23):574-651. https://doi.org/10.1161/CIR.0b013e31823ba622
Ruda MYa, Averkov OV, Panchenko EP, Yavelov IS. Recommendations of the Society of Specialists in Urgent Cardiology. Diagnosis and Treatment of Patients With Non-ST-Segment Elevation Acute Coronary Syndrome. Part 1. Kardiologiya. 2017;57(8):80-100. (In Russ.) https://doi.org/10.18087/cardio.2017.8.10023
Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA. ACCF/SCAI/STS/AATS/AHA/ASNC/HFSA/SCCT 2012 Appropriate Use Criteria for Coronary Revascularization Focused Update. Journal of the American College of Cardiology. 2012;59(9):857-881. https://doi.org/10.1016/j.jacc.2011.12.001
Gridnev VI, Kiselev AR, Posnenkova OM, Popova YV, Dmitriev VA, Prokhorov MD, DovgalevskyPYa, Oschepkova EV. Objectives and Design of the Russian Acute Coronary Syndrome Registry (RusACSR). Clinical Cardiology. 2016;39(1):1-8. https://doi.org/10.1002/clc.22495
Dovgalevsky PYa, Gridnev VI, Posnenkova OM, Kiselev AR, Dmitriev VA, Popova YuV, Oshchepkova EV. Federal Registry of Acute Coronary Syndrome user guide. Cardio-IT. 2014;1(2):0203. (In Russ.) https://https://doi.org/10.15275/cardioit.2014.0203
Obshchestvo specialistov po neotlozhnoy kardiologii. Accessed 01.06.18. (In Russ.) http://acutecardio.ru/article/catalog/3
Inohara T, Kohsaka S, Miyata H, Ueda I, Noma S, Suzuki M, Negishi K, Endo A, Nishi Y, Hayashida K, Maekawa Y, Kawamura A, Higashi T, Fukuda K. Appropriateness of coronary interventions in Japan by the US and Japanese standards. American Heart Journal. 2014;168(6):854-861. https://doi.org/10.1016/j.ahj.2014.08.011
Chan PS, Patel MR, Klein LW, Krone RJ, Dehmer GJ, Kennedy K, Nallamothu BK, Weaver WD, Masoudi FA, Rumsfeld JS, Brindis RG, SpertusÂ JA. Appropriateness of percutaneous coronary intervention. Journal of the American Medical Association. 2011;306(1):53-61. https://doi.org/10.1001/jama.2011.916
Bradley SM, Maynard C, Bryson CL. Appropriateness of percutaneous coronary interventions in Washington State. Circulation. Cardiovascular QuaÂlity and Outcomes. 2012;5(4):445-453. https://doi.org/10.1161/CIRCOUTCOMES.111.964320
Inohara T, Kohsaka S, Miyata H, Ueda I, Ishikawa S, Ohki T, Nishi Y, Hayashida K, Maekawa Y, Kawamura A, Higashi T, Fukuda K. Appropriateness Ratings of Percutaneous Coronary Intervention in Japan and Its Association With the Trend of Noninvasive Testing. Journal of the American College of Cardiology Cardiovascular Interventions. 2014;7(9):1000-1009. https://doi.org/10.1016/j.jcin.2014.06.006
Kiselev AR, Popova YV, Gridnev VI, Posnenkova OM, Dovgalevsky PYa. Implementation of percutaneous coronary interventions in patients with acute coronary syndrome in Russia and clinical factors influencing decision making. Cor et Vasa. 2014;56(1):1-10. https://doi.org/10.1016/j.crvasa.2013.10.005
Sabouret P, Asseman P, Dallongeville J, Dujardin JJ, Philippe F, Herrmann MA, Montalescot G. Observational study of adherence to European clinical practice guidelines for the management of acute coronary syndrome in revascularized versus non-revascularized patients — the CONNECT Study. Archives of Cardiovascular Diseases. 2010;103(8-9):437-446. https://doi.org/10.1016/j.acvd.2010.07.001
Udell JA, Koh M, Qiu F, Austin PC, Wijeysundera HC, Bagai A, Yan AT, Goodman SG, Tu JV, Ko DT. Outcomes of women and men with acute coronary syndrome treated with and without percutaneous coronary revascularization. Journal of the American Heart Association. 2017;6(1):e004319. https://doi.org/10.1161/JAHA.116.004319