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Research Letter
July 21, 2021

Population Trends in Rates of Percutaneous Coronary Interventions, 2010 to 2017

Author Affiliations
  • 1Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
  • 2Division of Cardiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
JAMA Cardiol. 2021;6(10):1219-1220. doi:10.1001/jamacardio.2021.2639

In the United States, incidence rates of myocardial infarction (MI) have declined owing to advancements in preventive care.1 In addition, more recent randomized clinical trials have supported the role of medical therapy in the initial management of stable ischemic heart disease.2,3 Although the epidemiology of MI and practice patterns for stable ischemic heart disease have changed over time, it remains unclear how these shifts have affected percutaneous coronary intervention (PCI) rates. Prior studies of PCI trends have been restricted to select populations and have often not included PCIs performed in the outpatient setting, which have increased in recent years.4-6 Therefore, in this study, we provide a contemporary assessment of population-level trends in PCI use among all age groups, insurance payers, and hospital settings across 4 US states.

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