IJCS | Volume 32, Nº2, March/April 2019

132 1. Finegold JA, Asaria P, Francis DP. Mortality from ischaemic heart disease by country, region, and age: Statistics from World Health Organisation and United Nations. Int J Cardiol. 2013;168(2):934–45. 2. Boersma E, Maas AC, Deckers JW, Simoons ML, Davie P. Early thrombolytic treatment in acute myocardial infarction. Lancet. 1996;348(9030):1312–3. 3. Jolly SS, Cairns JA, Yusuf S, Rokoss MJ, Gao P, Meeks B, et al. Outcomes after thrombus aspiration for ST elevation myocardial infarction: 1-year follow-up of the prospective randomised TOTAL trial. Lancet. 2016;387(10014):127–35. 4. Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): A randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409–20. 5. Jolly SS, Cairns JA, Yusuf S, Meeks B, Pogue J, Rokoss MJ, et al. Randomized Trial of Primary PCI with or without Routine Manual Thrombectomy. N Engl J Med. 2015;372(15):1389–98. 6. Fröbert O, Lagerqvist B, OlivecronaGK, Omerovic E, Gudnason T, Maeng M, et al. Thrombus Aspiration during ST-Segment ElevationMyocardial Infarction. N Engl J Med. 2013;369(17):1587–97. 7. Narayan KMV, Gregg EW, Fagot-Campagna A, Engelgau MM, Vinicor F. Diabetes - A common, growing, serious, costly, and potentially preventable public health problem. Diabetes Res Clin Pract. 2000;50(Suppl 2):S77-84. 8. Bosi PL, Carvalho AM, Contrera D, Casale G, Pereira MA, Gronner MF, et al. Prevalence of diabetes and impaired glucose tolerance in the urban population of 30 to 79 years of the city of São Carlos, São Paulo. Arq Bras Endocrinol Metabol. 2009;53(6):726–32. 9. Silva AB da, Engroff P, Sgnaolin V, Ely LS, Gomes I. Prevalência de diabetes mellitus e adesãomedicamentosa em idosos da Estratégia Saúde da Família de Porto Alegre/RS. Cad Saúde Coletiva. 2016;24(3):308–16. 10. Brasil.Ministério da Saúde Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL). Brasilia; 2012. 11. Brasil.Ministério da Saúde. Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL). .Brasilia;2017. 12. Wessler JD, Stant J, Duru S, Rabbani L, Kirtane AJ. Updates to the ACCF/ AHA and ESC STEMI and NSTEMI guidelines: Putting guidelines into clinical practice. Am J Cardiol. 2015;115(5):23A–28A. 13. Steg PG, James SK, Atar D, Badano LP, Lundqvist CB, Borger MA, et al. ESC Guidelines for the management of acute myocardial infarction References Machado et al. Care changes in primary PCI Int J Cardiovasc Sci. 2019;32(2)125-133 Original Article inherent to observational studies, such as the lack of follow-up, which in our case was 10%. Some data were obtained retrospectively and others through telephone calls, which can determine less reliable information. However, this study is a registry of consecutive and unselected patients coming from a tertiary referral hospital, submitted to the treatment of acute coronary syndromes, so the data shown herein are highly applicable to daily clinical practice. Conclusions In conclusion, our registry illustrates the care changes in clinical practice in line with current guidelines. From 2011 to 2016, the patient’s profiles, amount and characteristics of the procedures have undergone important modifications. Radial access became more widely used with a decrease in mortality through this route, and aspiration thrombectomy became a rare procedure. Author contributions Conception and design of the research: Machado GP, Wainstein R, AraujoGN, Carpes CK, Valle FH, Gonçalves SC. Acquisition of data: Carpes CK, Lech MC, Bergoli LCC, Gonçalves SC. Analysis and interpretation of the data: Machado GP, Wainstein R, Araujo GN, Valle FH, Gonçalves SC. Statistical analysis: Machado GP, Araujo GN, Valle FH, Bergoli LCC. Writing of the manuscript: Machado GP, Pivatto Junior F, Araujo GN, Carpes CK, LechMC, Valle FH, WainsteinMV. Critical revision of the manuscript for intellectual content: Machado GP, Pivatto Junior F, Wainstein R, Bergoli LCC, Wainstein MV. Supervision / as the major investigador: WainsteinMV. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associated with any thesis or dissertation work. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Hospital de Clinicas de Porto Alegre under the protocol number 1.438.645. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study.

RkJQdWJsaXNoZXIy MjM4Mjg=