Ischemic Heart Disease 2018

Ischemic Heart Disease– Interventional Treatment

Cardiac Catheterization Laboratory Procedures

IJN is a regional and national referral center for percutaneous coronary intervention (PCI). A total of 10,712 cardiac catheterization procedures were done in 2018 to treat patients with simple and complex ischemic heart disease.

* Source of Data: Cardiac cath procedure from Imaging Centre Department

Use of Appropriate Process Measures: Medications (N = 2,919), 2016 - 2018

One of the key performance measures is the use of appropriate medications before and after PCI.

From year 2016 to 2018, IJN achieved 99% use for all medication categories, which is comparable with ACC-National Cardiovascular Data Registry (NCDR).
*Source of data: Cardiology quality Indicators database

PCI Procedure, In-Hospital Mortality (N = 3,243), 2018

The rate of in-hospital mortality among patients who had PCI procedures at IJN in 2018 is lower compared with ACC- National Cardiovascular Data Registry (NCDR).
*Source of data: Cardiology quality Indicators database
*No. PCI procedure from Imaging Centre Department

Door-to-Balloon Time (N=592), 2016 – 2018

IJN continues to improve door-to-balloon time to reduce the risk of mortality and morbidity, meeting the reported criteria at 90 minutes (American College of Cardiology/American Heart Association (ACC/AHA) guideline for PCI inflation).

IJN median door-to-balloon time for patients decreased from 67 minutes in 2014 to 50 minutes in 2018.
*Source of data: Cardiology quality Indicators database

PCI Procedures — Use of Radial Access (N = 7,178), 2016 - 2018

In 2018, IJN performed more PCI procedures using radial access than other comparable hospitals (n= 2,431).

The use of radial access is associated with reduction in bleeding complications, readmission rates, infection, and recovery time compared with PCI procedures done using a femoral approach.
*Source of data: ICL (data collection by Imaging Centre Dept)

Data validated by Quality Management, IJN