1. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY

2. SWEDISH HEART SURGERY REGISTRY Annual report 2013

3. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Working group Swedish Heart Surgery Registry 2013 Chair Örjan Friberg, MD, PhD, Örebro Deputy chair Johan Nilsson, MD, PhD, Lund Gunnar Engström, MD, PhD, Umeå Wolfgang Freter, MD, Linköping Hans Granfeldt, MD, PhD, Linköping Jan Hentschel, Biomedical Scientist, Umeå Torbjörn Ivert, MD, PhD, Stockholm Lena Jideus, MD, PhD, Uppsala Lisa Ternström, MD, Gothenburg Bengt Åberg, MD, PhD, Karlskrona

4. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 1. Coverage of data of variables per centre, 2013.

5. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 1. Completed variables per centre, 2013.

6. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 2. Numbers of procedures, 1992–2013.

7. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 3. Numbers of procedures, 1992–2013.

8. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 4. Proportions of procedures, 2013.

9. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 5. Procedures per centre, 2013.

10. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 6. Number of operated patients per 100 000 inhabitants across Swedish counties, 2013.

11. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 7. Number of operated patients according to gender per 100 000 inhabitants across Swedish counties, 2013.

12. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 2. Number of operated individuals per 100 000 population.

13. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 8. Age distribution of all procedures, 1992–2013.

14. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 9. Gender distribution for different procedures, 2013.

15. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 10. Age and gender distribution all procedures, 2013.

16. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 11. Distribution of Euroscore I (additive), 2013.

17. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 3. Waiting times – Excluding emergency operations.

18. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 4. Postoperative length of stay, days.

19. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 5. Diabetes.

20. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 6. Age, Eursoscore and renal function.

21. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 12. Proportion of patients with CCS class 4 angina, all procedures, 2013.

22. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 13. Proportion of patients on preoperative dialysis, all procedures, 2013.

23. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 14. Proportion of patients in critical preoperative state, all procedures, 2013. Only registrations with calculated Euroscore II.

24. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 15. Proportion of patients with chronic lung disease, all procedures, 2013. Only registrations with calculated Euroscore II.

25. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 16. Proportion of patients with poor mobility, all procedures, 2013. Only registrations with calculated Euroscore II.

26. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 17. Proportion of patients with recent MI, all procedures, 2013. Only registrations with calculated Euroscore II.

27. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 18. 30-day mortality, per procedure, 1992–2013.

28. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 19. One-year mortality according to Kaplan-Meier, 2002–2012 (datatables in appendix).

29. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 20. Euroscore points, 30-day mortality, all procedures, 2013.

30. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 7. All heart surgery.

31. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 8a and 8b. All heart surgery.

32. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 9. All heart surgery.

33. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 10. Age group per gender.

34. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 11. Complications Dialysis and Stroke.

35. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 12. Sternum complications and circulatory support.

36. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 13. Reoperation for bleeding.

37. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 21. Proportion of patients with pharmacological treatment with platelet inhibitors after isolated CABG, per centre, 2013.

38. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 22. Proportion of patients with pharmacological treatment after aortic valve replacement (AVR) with bioprothesis, per centre, 2013.

39. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 23. Proportion of patients with pharmacological treatment after CABG and concomitant AVR with bioprothesis, per centre, 2013.

40. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 24. Proportion of patients with pharmacological treatment after isolated MVR, per centre, 2013.

41. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 25. Proportion of patients with pharmacological treatment after isolated MVR with bioprothesis, per centre, 2013.

42. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 26. Distribution of coronary surgery across counties. Operated patients per 100 000 inhabitants, 2013.

43. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 27. Distribution of coronary interventions (PCI and CABG) across counties. Operated patients per 100 000 inhabitants, 2013.

44. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 28. Isolated coronary surgery, 30-day mortality, 1992–2013.

45. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 29. Distribution of PCI/CABG across counties. Operated patients per 100 000 inhabitants, 2013.

46. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 14. Isolated coronary surgery.

47. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 15a and 15b. Isolated coronary surgery.

48. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 16. Previous PCI treatment in coronary surgery.

49. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 17. Isolated coronary surgery.

50. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 18. Isolated coronary surgery. 30-day mortality.

51. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 30. Kaplan-Meier plot of MACE after first time isolated CABG surgery in patients age ≤ 70, per centre. MACE defined as new CABG or PCI, MI (according to RIKS-HIA) or death, 2008–2012. (Datatables in appendix).

52. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 31. Kaplan-Meier plot of MACE after first time isolated CABG surgery in patients age ≤ 70, per county. MACE defined as new CABG or PCI, MI (according to RIKS-HIA) or death, 2008–2012. (Datatables in appendix).

53. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 32. AVR, isolated or concomitant CABG, 2003–2013.

54. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 33. Proportion of bioprothesis, 2013.

55. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 34. Distribution of aortic valve prothesis, per centre, 2013.

56. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 35. Distribution of TAVI and AVR across counties, per 100 000 inhabitants, 2013.

57. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 36. 30-day mortality for AVR, isolated or concomitant CABG, 2003–2013.

58. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 37. Distribution of AVR, isolated or concomitant CABG across counties. Operated patients per 100 000 inhabitants, 2011–2013.

59. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 38. Distribution of type of aortic mechanical valve prothesis (including combined procedures), 2010–2013.

60. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 39. Distribution of type of aortic biological valve prothesis (including combined procedures), 2010–2013.

61. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 19. Isolated aortic valve procedures per indication.

62. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 40. Number of MVR, isolated or concomitant CABG, 2003–2013.

63. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 41. 30-day mortality after MVR, isolated or concomitant CABG, 2003–2013.

64. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 42. MVR, Distribution of MVR, isolated or concomitant CABG, per county. Operated patients per 100 000 inhabitants, 2011–2013.

65. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 43. Distribution of different types of MVR, isolated or concomitant CABG, per year, 2003–2013.

66. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Figure 44. Proportion of all MVR (including combined procedures) divided into mechanical valve, biological valve, and valve repair, per year and clinic, 2003–2013.

67. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 20. Mitral valve surgery and mortality.

68. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 21. Type of valve.

69. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 22a and 22b. Isolated aortic surgery.

70. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 23. Isolated aortic surgery (not including valve surgery).

71. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 24. Heart transplantations.

72. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 25. Heart transplantations.

73. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 26. Isolated arrhythmia surgery.

74. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 27. Isolated arrhythmia surgery.

75. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 28a and 28b. Congenital surgery all.

76. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 29. Combined procedures.

77. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 30. Number of operations per unit and year.

78. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 31. Registered operations/procedure and year.

79. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 32. Patients and total 30-day mortality.

80. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 33. Five-year MACE (1826 days) calculated according to Kaplan-Meier method (operations 2008–2012) age ≤ 70 based on:

81. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 34. Five-year MACE (1826 days) calculated according to Kaplan-Meier method (operations 2008–2012) age ≤ 70 based on:

82. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 35. Five-year MACE (1826 days) calculated according to Kaplan-Meier method (operations 2008–2013) age ≤ 70 based on:

83. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 36. Five-year MACE (1826 days) calculated according to Kaplan-Meier method (operations 2008–2013) age ≤ 70 based on:

84. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 37. Five-year MACE (1826 days) calculated according to Kaplan-Meier method (operations 2008–2013) age ≤ 70 based on:

85. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 38. Number of operated individuals per county and procedure.

86. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 39. Gender and procedure.

87. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 40. Prosthetic aortic valves.

88. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 41. Prosthetic mitral valves.

89. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 42. Prosthetic aortic valves per gender.

90. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 43. Isolated mitral valve surgery.

91. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 44. Congenital surgery all 2013.

92. Issued in 2014 – SWEDISH HEART SURGERY REGISTRY Table 45. Isolated CABG Euroscore II variables.