The journey of Malaysian NCVD—PCI (National Cardiovascular Disease Database— Percutaneous Coronary Intervention) Registry: A summary of three years report ☆ Wan Azman Wan Ahmad a, ⁎ , 1 , Rosli Mohd Ali b, 1 , Mehrunnissa Khanom a, 1 , Chee Kok Han a, 1 , Liew Houng Bang c, 1 , Alan Fong Yean Yip d, 1 , Azmee Mohd Ghazi e, 1 , Omar Ismail f, 1 , Robaayah Zambahari e, 1 , Sim Kui Hian d, 1 a Division of Cardiology, University Malaya Medical Centre, Malaysia b Department of Cardiology, National Heart Institute, Malaysia c Queen Elizabeth Hospital, Malaysia d Sarawak General Hospital Heart Centre, Malaysia e National Heart Institute, Malaysia f Department of Cardiology, Hospital Pulau Pinang, Malaysia abstract article info Article history: Received 12 August 2011 Accepted 15 August 2011 Available online 15 September 2011 Keywords: NCVD PCI Acute coronary syndrome Introduction: The Malaysian National Cardiovascular Disease Database (NCVD) team presents Percutaneous Coronary Intervention (PCI) Registry report for the year 2007 to 2009. It provides comprehensive informa- tion regarding practice and outcome of PCI in Malaysia. Methodology: It was a voluntary, multi-centered, observational, cohort study and included patients of 18 years or above who underwent PCI at eleven participating centers in Malaysia from the year 2007 to 2009. Result: Ten thousand six hundred and two patients underwent 11,498 PCI procedures with 18,116 stents for 15,538 lesions. Mean age of the patients was 57 years and more than 98% of patients had at least one cardio- vascular risk factor. A significant number of our patients were diabetic (50%) and had renal impairment (44.7% had ≤ stage 3 chronic kidney disease) at the time of procedure. Fifty eight percent of the lesions were type B2 or type C lesion. Twenty eight percent of the lesions had high risk characteristics. Procedural success rate was about 97% and post-procedural complications were low. Overall in-hospital, all cause mor- tality was 1%, of which 85% were cardiac related deaths. The poor prognostic factors for in-hospital mortality were acute coronary syndrome cases, higher Killip class and increasing age. Conclusion: Compared to other registries, Malaysian patients undergoing PCI were much younger with high prevalence of risk factors. In spite of complex and high risk lesions, procedural success was high, with overall low mortality rate. NCVD—PCI Registry aims to improve over-all cardiac services in Malaysia through its on- going journey. © 2011 Elsevier Ireland Ltd. All rights reserved. 1. Introduction Percutaneous Coronary Intervention (PCI) was first introduced in Malaysia in 1983, and it has been extensively practiced and developed, keeping pace with advanced technologies worldwide. In recognition of the importance of a nation-wide record for PCI, NCVD—PCI Registry was introduced in 2007. The remarkable points in first annual NCVD—PCI 2007 report included young age of patients, high prevalence of cardio- vascular risk factors, door-to-balloon time higher than the recommended guidelines for primary PCI, good practice of pharmaco- therapy and good clinical outcome [1]. The current paper highlights PCI Registry report for the year 2007 to 2009. 2. Methods 2.1. Objective The eventual goal of NCVD—PCI Registry is to determine the number of PCI between regions and sectors, to monitor the outcomes of PCI, to determine the level of adherence to current practice guidelines, to stimulate and facilitate research and development, to evaluate the cost-effectiveness of treatment and to improve current practice. 2.2. Study population and design In this voluntary, multi-centered, observational cohort study, the subjects were pa- tients of 18 years old or above who underwent PCI at eleven participating centers in the year 2007 to 2009. International Journal of Cardiology 165 (2013) 161–164 ☆ Grant support: The NCVD—PCI Registry is funded with grants from the Ministry of Health, Malaysia and the National Heart Association of Malaysia. ⁎ Corresponding author at: Department of Medicine, University Malaya Medical Cen- tre, Lembah Pantai, 50603, Kuala Lumpur, Malaysia. Tel.: +60 3 7949 2429, +60 3 7949 2852, +60 12 273 9049(HP); fax: +60 3 7949 4627. E-mail address: wanazman@ummc.edu.my (W.A.W. Ahmad). 1 On behalf of NCVD investigators. 0167-5273/$ – see front matter © 2011 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.ijcard.2011.08.015 Contents lists available at SciVerse ScienceDirect International Journal of Cardiology journal homepage: www.elsevier.com/locate/ijcard